Neurological Conditions http://www.swscn.org.uk Mental Health, - - PowerPoint PPT Presentation

Mental Health, Dementia & Neurological Conditions

http://www.swscn.org.uk

http://www.swscn.org.uk

Mental Health, Dementia & Neurological Conditions

South West Region IAPT Workforce

http://www.swscn.org.uk

Mental Health, Dementia & Neurological Conditions

The South West Region

Population and Demographics

• Large area, beautiful countryside, coast and

vibrant cities

• Pockets of high rural and urban deprivation
• Population over 5 million
• Higher than average pop. of 65s
• Increasing population

http://www.swscn.org.uk

Mental Health, Dementia & Neurological Conditions

Regional IAPT Provision

27 Providers in 12 CCG areas 8- IAPT Plus AQP contract 14 providers NHS Trusts, Social Enterprises and Partnerships 4 - IAPT AQP contract 2 providers NHS, C I C Charities

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Mental Health, Dementia & Neurological Conditions

Identifying the Workforce

• Mapping exercise:

– Who makes up the IAPT workforce currently? – Is this the right workforce for the future? – If not what do we need to do?

• Pressures on the workforce to meet targets

and the needs of people accessing the service.

http://www.swscn.org.uk

Mental Health, Dementia & Neurological Conditions

The IAPT Workforce

178.4 179.44 22 27 27.4 19.4 98.42 4.5 0.3 12.65 12.05 12 11.4 51.2 14 39 60.60 8.85 2 1 High Intensity Therapists Psychological Wellbeing Practitioner (PWP) Non IAPT Trained Wellness advisors Senior PWPs Nursing staff IAPT trained Counsellors and therapists Non IAPT trained Counsellors and Psychological therapists Employment support workers Professional lead role for lead for PWP Clinical leads Service Leads Team Managers/Leaders Clinical Psychologists Assistant Psychology practitioners HIT Trainees PWP Trainees Administrators Data Analyst/Business Manager Receptionists Volunteer coordinator

Region IAPT Workforce: 778.21 WTE

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Mental Health, Dementia & Neurological Conditions

Ratio of IAPT and Non IAPT Trained Practitioners

67% 33% IAPT trained Non IAPT trained

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Mental Health, Dementia & Neurological Conditions

Ratio of Hi to LI capacity

Including non IAPT trained practitioners

Excluding non IAPT trained practitioners

53% 47% HI Capacity LI Capacity 46% 54% HI Capacity LI Capacity

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Mental Health, Dementia & Neurological Conditions

Availability to the four non CBT Modalities by CCG

CCG area CfD CTfD DIT IPT EMDR BaNES: Y Y Y Bristol Y Y Y Y Y Cornwall Y Y Y Y Gloucestershire Y Y Y Y Y New Devon (Plymouth) Y Y Y New Devon Y North Somerset Y Y Y Somerset Y Y Y South Gloucester Y South Devon and Torbay Y Y Swindon Y Y Y Y Wiltshire Y Y Y Y Total 12 7 4 8 6

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Mental Health, Dementia & Neurological Conditions

Current Workforce Issues

• Lack of workforce capacity and capability
• Recruitment to HIT/ Counselling posts
• Recruitment and retention of PWPs
• Ongoing issues with IAPT Training

http://www.swscn.org.uk

Mental Health, Dementia & Neurological Conditions

Sufficiency of the workforce

IAPT Workforce requirements based upon 40 therapists per 250,000 head

• f population

Regional Population 4,796,362 HIT PWP Non IAPT Therapy Workforce Totals Regional Requirements 460 307 767 Current workforce 190 202 177 569 Difference 270 105 198

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Mental Health, Dementia & Neurological Conditions

Regional responses to the meet current challenges

• Negotiating with commissioners
• Changing recruitment patterns
• Prioritising supervision
• Reviewing workloads/activity levels to increase variety
• Providing in house training/CPD

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Mental Health, Dementia & Neurological Conditions

University of Exeter Year Commissions Starters Still on Programme Completers Attrition High Intensity (HI) 2011/12 45 14 13 7% 2012/13 22 21 1 18 10% 2013/14 29 27 13 13 4% 2014/15 16 10 10 0% Psychological Wellbeing Practitioner (PWP) 2011/12 75 66 58 12% 2012/13 60 49 45 8% 2013/14 75 71 1 67 4% 2014/15 54 43 42 2% Supervision Module 2013/14 33 2014/15 46 32

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Mental Health, Dementia & Neurological Conditions

PWP and HIT Training: A mixed picture

Quality and relevance of the Curriculum Entry Requirements Accessing and filling training places

Number of available places

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Mental Health, Dementia & Neurological Conditions

The National Picture

• Access, recovery and waiting times- 75% 6/52,

95% 18/52

• Outcome measures unlikely to change, and

explicit expectation that 50%+ will be achieved

• Proportion of non IAPT trained workers in the

SW therefore a big issue

• An appropriate pathway for those with SMI
• Investment of £58-£64 per head

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Mental Health, Dementia & Neurological Conditions

Moving forward to the future

• Sufficient and fully funded IAPT service to

meet national targets and planned activity

• Agree clear manageable care pathway for

people with severe and enduring needs

• Support providers to access and take available

IAPT training places

• Develop good career structures for PWPs
• Agree a regional clinical contact rate

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Mental Health, Dementia & Neurological Conditions

Training considerations

• Increase number of IAPT trained practitioners
• Salary costs funded for IAPT training places
• Flexible access to IAPT training places
• Additional training places in CfD, CTfD and
• ther non CBT modalities
• Additional skills training for PWPs and HITs

http://www.swscn.org.uk

Mental Health, Dementia & Neurological Conditions

Questions and Thoughts?