How are we doing?

Our data shows that our CCG is performing well with regards the two national mental health access standards.

  • nearly 9 in 10 in people who experience a first episode of psychosis will commence treatment with a NICE approved  care package within two weeks of referral,
  • our CCG has ensured 85.7% of people experiencing a first episode of dementia commence treatment with a NICE approved care package within two weeks of referral. The standard is 50%,
  • over 9 in 10 in people with a common mental health condition receive their first treatment within six weeks and everyone receives treatment within 18 weeks of referral,
  • our CCG has ensured 93.3% of people with a common mental health condition receive their first treatment within six weeks (above the 75% national standard) and 100% do so within 18 weeks (above the 95% standard). 
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Improving Access to Psychological Therapies (IAPT)

Around one in every six adults in England suffers from a common mental health problem - two of the most common are depression or anxiety. The improving access to psychological therapies (IAPT) programme is a key part of improving treatment for people with depression, anxiety and other common mental health problems.

Research indicates that half of people treated with cognitive behaviour therapy (for depression or anxiety) recover during treatment. The IAPT programme was first targeted at people of working age but in 2010 was opened to adults of all ages.

The success of the IAPT programme is measured using a combination of three indicators; access, recovery rate and waiting time.

IAPT access - April - June 2016

12.5% of the estimated number of people who have common mental health problems received psychological therapies.  This is below the national standard of 15%.

We are working to increase the number of people with common mental health problems who receive psychological therapies from IAPT services.  People can now access IAPT directly through My Wellbeing College, and we expect this change to expand access.

IAPT recovery rate - November 2016

43.5% of people who completed IAPT therapy were assessed as ‘moving to recovery’. This is below the national standard of 50%.

Recovery rates show signs of improvement since November  following the implementation of a new IT system enabling clinicians to record more accurately the numbers of people moving to recovery.  We know that IAPT is successful in treating common mental health problems and will continue to work with the service provider to achieve a good rate of recovery.

First episode psychosis

Psychosis is characterised by hallucinations, delusions and a disturbed relationship with reality.  It can cause considerable distress to the person involved and their family or carers.  People who experience psychosis can and do recover, and recovery is more likely if treatment begins without delay.

Bradford City CCG will continue to work with service providers to increase the percentage of people experiencing a first episode of psychosis or at risk mental state receiving a NICE-recommended care package within two weeks of referral, including care for physical health land specialist support in other areas such as employment.   We commission specialist EIP workers to work within the Children and Young People’s Mental Health Service to identify at the earliest stage young people experiencing a first episode of psychosis.

Children and young people's mental health service transformation

Three quarters of mental health disorders (excluding dementia) occur for the first time by the age of 18. In Autumn 2015, extra funding was announced by the government to transform mental health services for children and young people. We welcomed this announcement as an opportunity to work with partners in the Local Authority, NHS and in the community to transform mental health services for children and young people in Bradford. 

Future in Mind, the local transformation plan for Bradford, is published here.

Crisis care

Partners from the NHS, Local Authority, Police and community organisations work together under the Crisis Care Concordat to ensure that people who experience a mental health crisis receive the care they need from the service best placed to provide it.  Good communication between mental health services, hospitals, social and community services, ambulance and the police is essential to ensure that people receive the right care at the point of crisis and once the immediate crisis is resolved.

We commission a 24/7 open access First Response Service which provides skilled intervention for people of all ages experiencing mental health crisis. This service has been nationally recognised for its multi-agency approach to addressing and dealing with people experiencing mental health crisis.

We also commission ‘safe havens’ (The Sanctuary, The Haven) and a safe space for children and young people from Voluntary and Community Sector (VCS) organisations.  These offer a warm and supportive place to stay for people experiencing a crisis but who do not need to be admitted to hospital, providing care in the least restrictive environment possible.

Out of area placements for acute (non-specialist) mental health inpatient care transformation

In general it is much better if any inpatient care can be provided locally.  When people are placed outside the CCG area, relationships with families and local services can be disrupted and recovery may be slower.

As part of our work to reduce the use of out of area placements, we commission ‘safe havens’ from the VCS and Intensive Home Treatment Teams to provide care in the community for people with a high level of need.  People are only admitted to hospital if this is the only place where they can receive the care they need.  This reduces reliance on inpatient services and increases the availability of local beds.

Small numbers of people in need of psychiatric intensive care still receive care outside the Bradford area, but all acute inpatient care for mental health is provided locally.  NHS England’s Implementing the Five Year Forward View for Mental Health gives Bradford as an example of successful pathway redesign to reduce the number of people receiving treatment outside the area.

Experiences of services, the friends and family test

The Friends and Family Test is a national measure of patient satisfaction on the service received whilst under the care of the NHS. The test asks people if they would recommend the services they have used. 

Since 1st January 2015, all providers of mental health services have been required to gather feedback using the Friends and Family Test. This information is provided to NHS England every month. 

In December 2016, 92% of 113 people responding to the Friends and Family Test for a service received from Bradford District Care Trust said that they would recommend the service.

More information about the friends and family test can be found on the NHS England website

Experience of mental health services, the community mental health patient survey

The community mental health survey is an annual survey which looks at the overall experience of care and how people would rate the services provided by health and social care workers. 

In 2016 255 of 850 people responded to a questionnaire about community mental health services at Bradford District Care NHS Foundation Trust.  Overall experience was rated as 7.0/10, similar to the rating at other mental health providers.

More details of the 2016 survey results are published here.