Quality statement 2: Practitioner competence

Quality statement

Practitioners delivering pharmacological, psychological or psychosocial interventions for people with depression receive regular supervision that ensures they are competent in delivering interventions of appropriate content and duration in accordance with NICE guidance.

Quality measure

Structure:

a) Evidence of local arrangements for the regular supervision of practitioners delivering pharmacological, psychological or psychosocial interventions for people with depression.

b) Evidence of local arrangements for regular monitoring of compliance with applicable competencies for practitioners delivering pharmacological, psychological or psychosocial interventions.

c) Evidence that services are commissioned to provide pharmacological, psychological or psychosocial interventions of content and duration in accordance with NICE guidance for people with depression.

Process:

a) Proportion of practitioners delivering pharmacological, psychological or psychosocial interventions for people with depression who receive regular supervision.

Numerator – the number of practitioners in the denominator receiving regular supervision.

Denominator – the number of practitioners delivering pharmacological, psychological or psychosocial interventions for people with depression.

b) Proportion of people with depression receiving interventions who receive interventions of appropriate content in accordance with NICE guidance.

Numerator – the number of people in the denominator receiving interventions of appropriate content in accordance with NICE guidance.

Denominator – the number of people with depression receiving psychological, psychosocial or pharmacological interventions.

c) Proportion of people with depression receiving interventions who receive interventions of appropriate duration in accordance with NICE guidance.

Numerator – the number of people in the denominator receiving interventions of appropriate duration in accordance with NICE guidance.

Denominator – the number of people with depression receiving psychological, psychosocial or pharmacological interventions.

What the quality statement means for each audience

Service providers ensure systems are in place to regularly supervise practitioners to ensure they are competent in delivering interventions of appropriate content and duration for people with depression in accordance with NICE guidance.

Healthcare professionals ensure they are competent to deliver interventions of appropriate content and duration for people with depression in accordance with NICE guidance.

Commissioners ensure they commission services that supervise practitioners and provide programmes of appropriate content and duration for people with depression in accordance with NICE guidance.

People with depression receive suitable treatment for the right length of time from competent staff.

Definitions

The term 'people with depression' includes all people with depression and a chronic physical health problem.

NICE clinical guideline 90 and 91 provide information on the correct content and duration of interventions.

Competencies for practitioners delivering psychological therapies are provided by the Improving Access to Psychological Therapies (IAPT) programme.

A competency based curriculum for specialist training in psychiatry is provided by the Royal College of Psychiatrists.

Regular supervision involves a review and reflection on practice and should be in a format appropriate to the setting, type of practitioner and type of intervention being delivered.

Source guidance

NICE clinical guideline 90 recommendation 1.1.5.1 and NICE clinical guideline 91 recommendation 1.1.4.1 (key priorities for implementation).

Data source

Structure: Local data collection.

Process: Local data collection.