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Psychological Therapies, Annual Report on the use of IAPT services - England, 2013-14

13:44 August 18, 2017 - 09:30 September 17, 2014
Publication date: September 17, 2014
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Summary

The experimental figures presented in this annual report provide a picture of activity in Improving Access to Psychological Therapies (IAPT) services and of the people that used them in 2013-14.

The IAPT programme is designed to provide services for those experiencing anxiety and depressive disorders and the purpose of the IAPT dataset is to support reporting on the treatment of these individuals. Locally IAPT services may have expanded to treat other psychological disorders. The information presented uses version one of the IAPT dataset, which was first reported on in quarter one of 2012-13. The report also uses the latest (mid-2013) population estimates from the Office for National Statistics.

Key facts

In 2013-14:
 
• Nearly one million (947,640) individuals were referred to IAPT services (in total they received 1,118,990 referrals) and 63 per cent of these (596,518) were female. The highest rates of access were for people between the ages of 25 and 29, at 3,384 per 100,000 of the population (compared with 1,759 for all ages)
 
• Although provisional diagnosis was not recorded in all cases, diagnoses of ‘depressive disorder’ (137,124 referrals) accounted for over a quarter of new referrals with a provisional diagnosis recorded (27 per cent)
 
•  61 per cent of the referrals that entered treatment (1)  in the year (709,117 including some referrals made during the previous year) had a first treatment appointment within 28 days of referral, and 89 per cent (632,486) within 90 days. By Clinical Commissioning Group (CCG) the proportion varied from 3 per cent to 96per cent
 
• 3,234,981 appointments were attended and 93 per cent of these (2,997,357) involved some form of therapy (referred to as a 'treatment appointment'). Cognitive Behavioural Therapy (CBT) was the most common therapy type (recorded for 38 per cent of treatment appointments)
 
• 919,994 referrals ended during the year, of which 40 per cent (364,343) had 'finished a course of treatment' (having attended at least two treatment appointments). However, 37 per cent (335,944) ended without being seen by the service(2)  (and the remaining 24 per cent (219,707) had either one attended treatment and one attended assessment appointment, or just an attended assessment appointment)
 
• The mean average number of treatment sessions within a finished course of treatment was six sessions, although 20 per cent of referrals that ended with a finished course of treatment had the minimum of two. This varied by provisional diagnosis; referrals for Obsessive Compulsive Disorder (OCD) had the highest average at nine sessions

• Of the 364,343 referrals that ended having finished a course of treatment, 60 per cent showed reliable improvement(3)  (217,591). 19,976 (13 per cent) of the 159,247 referrals prescribed and taking medication at the start of treatment were no longer taking it after their course of treatment.
 
Footnotes
1 Referrals enter treatment at the point of their first treatment appointment. 
 
2 Referrals that were never seen by the service did not have any attended appointments (assessment or treatment) during the referral.
 
3 Referrals are classed as having reliable improvement if the patient shows a reliable decrease in anxiety or depression score between the first and last measurement, and the other clinical state (depression or anxiety) either also reliably decreases or shows no reliable change.

Resources

Coverage

Date Range: April 01, 2013 to March 31, 2014
Geographical coverage:
England
Geographical granularity:
Regional health body
Regions
Clinical Commissioning Groups

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