Relieving distress, transforming lives

1. Relieving distress, transforming lives Begin by engaging with the audience � saying How delighted to be here with distinguished colleagues to talk about the programme and what an important part they have to play in this exciting programme, which is making such a difference to peopleBegin by engaging with the audience � saying How delighted to be here with distinguished colleagues to talk about the programme and what an important part they have to play in this exciting programme, which is making such a difference to people

2. What are the Workforce issues? Change over time, but include: Varied starting point for the psychological therapy workforce Qualified staff competent to supervise trainees Supervision assumptions Selection criteria for PWP and HI trainees Achieving required quality standards for training and accreditation

3. What are the workforce issues? Co-ordination of service and training providers Banding and job descriptions Clinical leadership and service management Opportunities for role development Opportunities for career progression IAPT CBT focussed staff and the wider workforce In this first phase of IAPT, the overall strategy has involved 5 basic stepsIn this first phase of IAPT, the overall strategy has involved 5 basic steps

4. What are the workforce issues? Commissioning for workforce and trainings- pre and post 2011 Sustainability of the PWP workforce Non CBT NICE recommended therapies and therapists- who, how, when? Skill mix now and over time Long term workforce planning for psychological therapists- across the economy

5. Professional backgrounds of the Qualified workforce for 2008 & 2009

6. Professional backgrounds of the High Intensity Trainees 2008 & 2009

7. Background of PWP trainees 2008 & 2009

8. Diversity of the workforce in 2008 & 2009?The national picture In the early summer the recruitment began with a national recruitment campaign for HI and LI workers In the early summer the recruitment began with a national recruitment campaign for HI and LI workers

9. What do these trends suggest? Still attracting wide range of professions into High Intensity training, but the mix is changing Growing number of CBT therapists and psychologists Largely attracting support workers into PWP roles, although largely with graduate backgrounds We are only marginally improving on the ethnic diversity of our workforce I mentioned earlier that we were not targeting specific professional groups but it is interesting to look at who we have actually recruitmed Slide 5 HI trainees by professional background I mentioned earlier that we were not targeting specific professional groups but it is interesting to look at who we have actually recruitmed Slide 5 HI trainees by professional background

10. What is improving? Numbers of supervisors competent to supervise both PWP and HI trainees and qualified staff, BUT supervisors need to be BABCP (or equivalent) accredited CBT practitioners by the time the next cohort of HI trainees qualify Greater clarity about what constitutes clinical case management supervision- guide to be published soon Advice on supervision training available to SHAs

11. What is improving? Alternative routes for entry to trainings are now clearer- KSA route for HI and non graduate route for PWPs Accreditation processes- timeliness of HI and introduction of PWP process in 2010 Unison leading process to have agreed formal national profiles for qualified HI & PWP IAPT workforce Mature (1+ year) IAPT services are clearer about how they fit with other services and staff

12. Continuing challenges Integration of IAPT within primary care and linked pathways, including interface with counsellors and psychotherapists. The new depression guidelines (2009) highlight Interpersonal Therapy (IPT); Behavioural Couple Therapy; Counselling (humanistic) and Brief Dynamic Therapy IPT-small numbers currently, can be drawn from existing therapy workforce; Roslyn Law appointed to lead process to devise training programme for supervisors and practitioners

13. Continuing Challenges Couples Therapy- competences being extracted/developed, initially for Behavioural CT but to include other approaches-led by Relate and Tavistock Counselling- lots of staff, with varied backgrounds; competence framework, training and practice guide being developed to clarify quality standards- led by BACP

14. Continuing Challenges Brief Dynamic Therapy- Likely to a wide range of local staff; competence framework, training and practice guides being developed by UCL and Tavistock All of these will be CPD focussed, building on existing experienced staff (preferably NOT HI CBT) Frameworks and training initiatives to start in 2010, initially funded from IAPT centrally. Challenge is-which staff and ongoing training funding

15. Continuing Challenges PWP workforce- selection criteria should NOT be based on excellent degrees; need to attract people from local communities with differing academic qualifications Role needs to be better understood within IAPT (by HI therapists) and outwith-GPs etc Role development needs exploring at band 5, beyond exclusive focus on high volume, low intensity work Career progression within PWP role needs improving through senior PWP role All of these issues are being taken forward

16. Continuing Challenges Developing the multi-disciplinary team, clarifying leadership, management needs and opportunities- the Advanced Practitioner role is currently under development to assist at bands 8A and above The economic downturn and the implications for ongoing funding of training and services post 2011- an SHA Workforce Leads Network has been established to assist in exploring ways of sustaining progress

17. Next steps A revised Workforce Capacity Tool is being developed to help model workforce requirements based on local need and assist in calculating funding requirements. This will give clarity of direction. It will distinguish between the skill mix of new/ training services and those that are mature. As IAPT is rolled out to broader groups, their needs will have to be factored in e.g. Deaf Community The way will be led by people at a local level-yourselves!

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