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Summary of Results

Health Topic:   Mental health and behavioural conditions
Guidance:   Anxiety
Description:   The summary of the published clinical guideline on Anxiety. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Royal College of Psychiatrists (2011) National Audit of Psychological Therapies for Anxiety and Depression, National Report 2011

Description: The National Audit of Psychological Therapies for Anxiety in Depression aims to evaluate and improve the quality of treatment and care provided in England and Wales. Questionnaire data was collected during 2010 and 2011 from 357 services. Results found that the type of therapy provided was in line with NICE guidance for 83% of patients with a diagnosis, and that 70% of patients who had high intensity therapy did not receive the minimum number of treatment sessions that NICE recommends.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2012) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q3 2011/12 final and Q4 2011/12 provisional

Description: This is the 4th publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2011/12. The data includes Q3 Oct-Dec data and Q4 Jan-Mar provisional data, for which all 151 PCTs in England contributed. Results showed that in Q4 246,545 people were referred for psychological therapies (up 12.9% from Q3); the access rate of people with anxiety or depression to IAPT services was approximately 2.5%; and 149,849 people entered treatment.

Practice appears not to be in line with guidance National

Health and Social Care Information Centre (2012) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q4 2011/12 final and Q1 2012/13 provisional

Description: This is the 1st publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2012/13. The data includes Q4 for 2011/12 and Q1 Apr-Jun provisional data, for which all 151 PCTs in England contributed. Results showed that in Q1 233,027 people were referred for psychological therapies (down 6% from 2011/12 Q4); the access rate of people with anxiety or depression to IAPT services was approx. 2.4%; and 146,702 people entered treatment.

Practice appears not to be in line with guidance National

Health and Social Care Information Centre (2013) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q1 2012/13 final and Q2 2012/13 provisional

Description: This is the latest publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2012/13. The data includes Q1 Apr-Jun and Q2 Jul-Sep provisional data, for which all 151 PCTs in England contributed. Results showed that in Q2 238,406 people were referred for psychological therapies (up 2.3% from Q1); the access rate of people with anxiety or depression to IAPT services was approx. 2.5%; and 154,908 people entered treatment.

Practice appears not to be in line with guidance National

Department of Health (2013) IAPT three-year report. The first million patients.

Description: This report describes the progress made since the inception of the Improving Access to Psychological Therapies (IAPT) programme in October 2008. Amongst the achievements are: More than 1 million people treated in IAPT services; more than 680,000 people completing a course of treatment; and recovery rates consistently in excess of 45% and approaching those expected from the randomised controlled trials that generated the initial recommendations.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q2 2012/13 final and Q3 2012/13 provisional

Description: This is the latest publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2012/13. The data includes Q2 Jul-Sep and Q3 Oct-Dec provisional data, for which all 151 PCTs in England contributed. Results showed that in Q3 251,724 people were referred for psychological therapies (up 4.7% from Q2); the access rate of people with anxiety or depression to IAPT services was approx. 2.4%; and 144,085 people entered treatment.

Practice appears not to be in line with guidance National

Health and Social Care Information Centre (2013) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q3 2012/13 final and Q4 2012/13 provisional

Description: This is the latest publication of the Improving Access to Psychological Therapies Key Performance Indicators (IAPT KPIs) from the reporting year 2012/13. The data includes Q3 Oct-Dec and Q4 Jan-Mar provisional data, for which all 151 PCTs in England contributed. Results showed that in Q4 258,143 people were referred for psychological therapies (up 2.1% from Q3); the access rate of people with anxiety or depression to IAPT services was approx. 2.5%; and 154,254 people entered treatment.

Practice appears not to be in line with guidance National

Richards, D.A. et al (2011) Implementation of psychological therapies for anxiety and depression in routine practice: Two year prospective cohort study Journal of Affective Disorders 133 (2011) 51?60

Description: This study assessed the impact of a stepped care service utilising evidence based treatments for anxiety and depression by measuring outcomes of patients referred over a two year period to one IAPT service in northern England. Data on 7859 consecutive patients was collected between July 2006 and August 2008. Results found 4183 patients (53%) received two or more treatment sessions. Patients received a mean of 5.5 sessions over 3.5 h, mainly low-intensity CBT and phone based case management.

Doubts about or mixed impact in practice Local

Health and Social Care Information Centre (2013) Improving Access to Psychological Therapies, Key Performance Indicators (IAPT KPIs) - Q4 2012/13 final

Description: This is the most recent and final (in the current format) publication of the Improving Access to Psychological Therapies KPIs. Data collection began in 2008 from all 151 PCTs in England, and since 2011/12, reported on a quarterly basis. This report covers the period January ? March 2013, and shows that 259,016 people were referred for psychological therapies and 154,722 entered treatment. The access rate of people with anxiety or depression to IAPT services was approx. 2.5%.

Practice appears not to be in line with guidance National

Clark, M. et al (2011) Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience International Review of Psychiatry, August 2011; 23: 375?384

Description: This article provides a summary of the progress made by the Improving Access to Psychological Therapies (IAPT) programme by midway through its 3rd year in Spring 2011. Progress included that IAPT services had been established in 94% of PCTs ? though there was wide variation in therapies used and as a result, only an estimated 60% of the population had access to an IAPT service at this point. Approx. 310,000 patients were being seen per year, with the aim to see approx. 900,000 per year by 2015.

Practice appears not to be in line with guidance National

Gyani, A. et al (2012) Investigating the use of NICE guidelines and IAPT services in the treatment of depression Mental Health in Family Medicine. 2012 9 (3) PAGES 149-160

Description: This study investigated the use of NICE guidelines for depression by GPs in southeast England. Questionnaires were sent to 830 GPs and 6 GPs were interviewed. The response rate to the questionnaires was 27%, which showed 95% of GPs were aware of the guidelines and 78% had read them. Results also found that 14.5% of GPs offered medication for the treatment of mild depression and 2 GPs stated that they would offer their patients St John?s wort - which the guidelines explicitly recommend against.

Doubts about or mixed impact in practice National

This page was last updated: 01 August 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.