Recovery Rate
What this data shows:
This indicator shows how many people have shown a real movement in symptoms large enough to warrant the judgement that the person has recovered.
How the data is gathered:
Improving Access to Psychological Therapies (IAPT) is an NHS programme which provides services across England offering low and high intensity interventions approved by the National Institute of Health and Care Excellence (NICE) for treating people with depression and anxiety disorders. These treatments include:
• Guided self-help and other low-intensity interventions• Cognitive behavioural therapy (CBT)• Interpersonal psychotherapy (IPT)• Brief dynamic interpersonal therapy (DIT)• Couple therapy for depression• Counselling for depression• Eye-movement desensitisation and reprocessing (EMDR therapy)
Psychological therapies involve working with a trained professional to understand and deal with emotional and mental health problems. Therapy starts with a detailed assessment that aims to identify the main problems that are currently holding people back in their lives. These can be discussed confidentially with the professional who has been trained to listen attentively and to respect your feelings without judging. In addition to providing an opportunity to talk, a psychological therapist help you learn new ways of managing your problems. For further detailed information on the Psychological Therapies (IAPT) programme please visit the website at http://www.iapt.nhs.uk/
Recovery is measured according to a person's score on the PHQ-9 and ADSM questionnaires at the start and end of treatment. Each questionnaire has a clinical cut-off point, which is the score at which a person's symptoms are considered a clinically significant case. For people who initially score above this "caseness" point on one or more of the questionnaires, recovery is achieved if they then score below this threshold on completion of treatment. This change in score shows a reduction in symptoms to a point where their condition is no longer considered a clinical case.
This indicator shows the proportion of people who completed a course of treatment who were considered to be a clinical case at the start of treatment (above caseness), and whose symptoms had improved to below the clinical threshold upon completing treatment.
This indicator differs from the reliable recovery indicator as "recovery" in this case simply means a change in symptoms from above to below the threshold for being considered a clinical case, regardless of the actual amount of change this represents. For example, someone who initially scored just above the clinical threshold for depression on the PHQ-9 at the start of treatment, and just below this threshold at the end of treatment, will have "recovered" in the sense of no longer having clinically significant symptoms. However, such small changes in questionnaire scores may not be statistically reliable. Recovery is judged to occur if patients fall below the clinical/non-clinical cut-off for BOTH anxiety and depression at the end of treatment.
The Government has set a national standard that all services should aim to achieve recovery in at least 50% of cases.
Caseness is the term used when a referral is assessed as being a clinical case. This is determined by the scores which are recorded using tools designed to measure anxiety and depression. If patients score above the clinical/non-clinical cut-off for anxiety, depression or both, they are classified as clinical cases.
When the data is shown:
This indicator is not scored, as many factors such as casemix can affect a service's recovery rate. The term casemix is applied to reflect the complexity (mix) of the care provided to a patient.
Numerator: number of people recovered Denominator: number of people completing a course of treatment – number of people not initially at caseness
More information about the data source:
In some cases, a service will be reported as "N/A" on this indicator. This could mean that no data is currently available, or it could be due to low numbers which have been supressed in these data. The Health and Social Care Information Centre (HSCIC) supresses numbers lower than 5, in order to preserve service-user anonymity. Therefore, if a service has less than 5 cases recorded for any measure used to calculate this indicator, the overall score cannot be computed, and will be recorded as "N/A". For example, as part of the calculation for the recovery rate involves knowing the number of people who were not at caseness at the start of treatment. Therefore, if a particular service has low numbers of people not at caseness (perhaps due to the area having a higher number of more severe cases), a recovery rate cannot be reported.
Data Source:
Improving Access to Psychological Therapies (IAPT) Dataset - NHS Digital
Data Period:
Monthly: April 2019
Data Supplier:
Improving Access to Psychological Therapies (IAPT) Dataset - Health and Social Care Information Centre (HSCIC)
Further Information:
These data are published monthly. For further information please refer to the monthly Improving Access to Psychological Therapies (IAPT) reports on the HSCIC website at http://www.hscic.gov.uk/mentalhealth.