Quality standard
Quality statement 12: Lack of response to initial treatment within 6 to 8 weeks
Quality statement 12: Lack of response to initial treatment within 6 to 8 weeks
Quality statement
People with depression that has not responded adequately to initial treatment within 6 to 8 weeks have their treatment plan reviewed.
Quality measure
Structure: Evidence of local arrangements to identify people with depression that has not responded adequately to initial treatment within 6 to 8 weeks and to review treatment plans.
Process: Proportion of people with depression that has not responded adequately to initial treatment within 8 weeks who have their treatment plan reviewed.
Numerator – the number of people in the denominator receiving a review of their treatment plan.
Denominator – the number of people with depression that has not responded adequately to initial treatment within 8 weeks.
What the quality statement means for each audience
Service providers ensure systems are in place for reviewing treatment plans for people with depression that has not responded adequately to initial treatment within 6 to 8 weeks.
Healthcare professionals ensure people with depression that has not responded adequately to initial treatment within 6 to 8 weeks have their treatment plan reviewed.
Commissioners ensure they commission services that review the treatment plans for people with depression that has not responded adequately to initial treatment within 6 to 8 weeks.
People with depression whose symptoms have not much improved 6 to 8 weeks after starting treatment have their treatment plan reviewed.
Definitions
The term 'people with depression' includes all people with depression and a chronic physical health problem.
Source guidance
Recommendations on sequencing of treatments after initial inadequate response are contained within section 1.8 of NICE clinical guideline 90.