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Chesterfield & North East Derbyshire Improving Access to Psychological Therapies Programme

(IAPT)

Patient Experience Survey Results 2nd Quarter 2012-2013

July 2012 – September 2012

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Introduction The Improving Access to Psychological Therapies (IAPT) programme has one principal aim, to support Mental Health Trusts implementing National Institute for Health and Clinical Excellence (NICE) guidelines for people suffering from depression and anxiety disorders. At present, only a quarter of the 6 million people in the UK with these conditions are in treatment, with debilitating effects on society. (http://www.iapt.nhs.uk)

The way the IAPT programme has been embraced by the NHS across England is inspiring. Primary Care Trusts (PCTs) have established these new services faster than planned and, as a result, more people are getting access to the help they need. This is the NHS working at its best, with local systems responding to local needs and innovating to provide high quality services. Two types of psychological therapy practitioners are required:

High Intensity therapists trained in cognitive behavioural therapy for people with moderate and severe depression and anxiety disorders

Low intensity therapy workers trained in cognitive behavioural approaches for people with mild to moderate anxiety and depression. These approaches include guided self help and delivering psycho-educational groups. Services will also have administrative staff, employment advisors, a GP advisor and links with other services such as housing, drugs advice and benefits

The service also has counsellors and nurses who provide high intensity therapies.

It is important that people have a say in what kind of treatment they receive. This helps ensure the best health outcome for them. Clinicians should explain which treatment they are recommending and why they think it is suitable for the patient. The team and their patients should have clear information about local services and the treatment choices available. IAPT services routinely measure people’s health outcome. This charts their progress and has therapeutic benefit. It is part of ongoing, collaborative service evaluation too, providing feedback on elements of treatment that are helpful or unhelpful. The results evaluation results are available in Appendix 1, below in summary is a snapshot of the results.

The IAPT Service in Chesterfield & North East Derbyshire commenced in October 2009 when Lincolnshire Partnership NHS Foundation Trust won the tender to manage the service. The IAPT service has now moved into their permanent accommodation at Spire Walk, Chesterfield. This accommodation has five consulting rooms and a large group room. Not all staff see their clients at Spire Walk due to the huge geographical area that Chesterfield covers, however all staff have to come into Spire Walk to input their data onto the information system.

Summary of Results It was agreed to hand out the IAPT questionnaires at the patients’ penultimate appointment or near the end of their treatment and patients were assured that their anonymity would be guaranteed. There were 148 completed questionnaires received from the beginning of July 2012 to the end of September 2012, this is a decrease of 3 returns compared to the 151 received in Quarter 1. A summary of results is shown in a performance dashboard on page 3. The comments from patients are listed in categories in Appendix 2.

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Summary of Returns to Date

Quarter Responses Direction of Travel

2

nd Quarter 2011-2012

70

3

rd Quarter 2011-2012

176

4

th Quarter 2011-2012

159

1

st Quarter 2012-2013

151

2

nd Quarter 2012-2013

148

Performance Dashboard Below is a dashboard showing how the results have changed since the last quarter and indicating the direction of travel

2nd

Qtr 2011/2012

3rd

Qtr 2011/2012

4th

Qtr 2011/2012

1st

Qtr 2012/2013

2nd

Qtr 2012/2013

Very Satisfied/Satisfied with the time waiting for your first appointment

79%

82%

86%

83%

77%

Very satisfied/satisfied with the type of treatment that you received?

96%

92%

97%

98%

95%

Very satisfied/satisfied with the therapist that treated you

96%

98%

88%

98.5%

97%

Were fully involved in important decisions about their care/treatment

94%

97%

97%

97%

97%

Key: Deteriorated Increased Static

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2nd

Qtr 2011/2012

3rd

Qtr 2011/2012

4th

Qtr 2011/2012

1st

Qtr 2012/2013

2nd

Qtr 2012/2013

Very satisfied/satisfied with the overall experience of using this service

99%

94%

84%

95%

96%

References: DoH (2007), , Improving Access to Psychological Therapies, http://www.iapt.nhs.uk, accessed 20

th March, 2009

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Appendix One

Improving Access to Psychological Therapies Programme

(IAPT)

Results and Comparison to last quarter results 1. Did you have enough information about the service prior to your first appointment?

n= 148 Yes 86% (148) No 14% (21)

2. How satisfied are you with the amount of time you had to wait for your first appointment?

n= 148 Very satisfied 47% (69) Satisfied 30% (45) Neutral/Not sure 8% (11)

Dissatisfied 11% (17) Very dissatisfied 4% (6) 3. What was the main focus of your therapy?

n=148

Depression 56%(82) Anxiety 35% (52) Others: Bereavement 43% (4) Abuse 0.5% (1) Phobia 1% (2) Phobia % ()

Anger 2% (3) Trauma 0.5% (1) Other 2% (3) 4. Please state below which worker(s) you saw during your therapy:

n=148 CBT Therapist 41% (60) Counsellor 31% (46) PWP 28% (42)

5. How satisfied are you with the type of therapy that you received? n=148 Very satisfied 77% (114) Satisfied 19% (27) Neutral 3% (5) Dissatisfied 1% (2)

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6. Were you offered a choice of: n= 148 Location n=148 Yes 64% (94) No 36 % (54) Male/female worker n=148 Yes 24% (36) No 76 % (112) Time of Appointment n=148 Yes 80% (119) No 80 % (119) 7. How satisfied were you with the location of your therapy? n=148 Very satisfied 82% (121) Satisfied 17% (25) Neutral/Not sure 0.5% (1) Dissatisfied 0.5% (1) 8. Were you satisfied with the therapist that treated you? n=148 Very satisfied 90% (133) Satisfied 8% (11) Neutral/Not sure 1% (2) Dissatisfied 1% (2) 9. As part of your therapy, which of the options below were you offered? n=148

Books/literature 88% (130)

Online information 9% (14) Other voluntary organisations 2% (3) Work related organisations 1% (1) 10. How involved were you with important decisions about your care/therapy? n=148 With your involvement 97% (143) Without your full involvement but with your permission 3% (5) 11. How satisfied are you with the overall experience of using this service? n=148 Very satisfied 79% (117) Satisfied 17% (25) Neutral 3% (4) Dissatisfied 0.5% (1)

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12a. Were you offered a choice of using technologies such as the telephone, text or email? n=148 Yes 39% (57) No 61% (91) 12b. If so, did you find this helpful? n=57 Yes 89% (51) No 11% (6) 13. Please tell us about anything that you think would improve this psychological therapies service. See Appendix Two for comments

14. Would you like to be contacted to help support voice2change? n=148

Yes 28% (42) No 72% (106)

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Appendix 2

Comments from Question 10

Q10 - Comments Location

Used it to make better sense of complexities talking through problems

Everything was fine and I feel much better Avenue House

Involved and discussed best path to follow Blue Dykes

** has changed my life - I cannot speak highly enough of her Bolsover

One to one discussions with guidance/feedback on a weekly basis Chatsworth Road

I didn’t really respond to the CBT but the counselling was really good and helped me a lot Cresswell

I was considered at every point of my therapy Cresswell Surgery

From start to end was poor I was forgotten about assessed twice and waited months until I chased up. The gentleman I saw was pleasant but I would have preferred a female. I wasn’t offered this, the therapist was meant to call me in the week after my last session to see about CBT but he didn’t. It all just doesn’t seem to work

Dronfield

I was referred to a counsellor - no other people were offered Dronfield

I agreed with my therapist the times I would go and all the things she proposed to help me with my therapy Friendly Family Surgery

I found the literature very helpful Gosforth Valley MP

My therapist got me to talk about feelings that I had kept deep inside Killamarsh

Therapy was very good. I feel so much better and more in control Moss Valley Medical Centre

Felt very involved in all the decisions made North Wingfield

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Q10 - Comments Location

Taking feedback form my meetings helped to make the needed steps to get back to normal self Rec Road

I worked through workbooks at my own pace but the overall format of treatment ie half hour chats and workbooks was already decided before I was involved I assume this was out of PWPs control as well

Shirebrook

* worked with my pace, picked up I was a visual person and this helped thank you Spire Walk

** was a super therapist - I had complete confidence in her and she helped me to think differently about situations and strategies to work on if feelings changed. Very impressed by my sessions

Spire Walk

This course is very helpful from the first session it is very easy to understand and at a good pace so you are not overwhelmed or made to feel stupid. I would recommend this course to everyone I know

Spire Walk

Felt at the beginning that it wouldn’t work for me but nevertheless came with an open mind. Can’t believe how it has worked for me and how good I feel

Spire Walk

** has been great and helped me turn my depression/anxiety around. Truly one of the most influential people in my life Spire Walk

Good sessions taken a lot from it, but there were no cakes on last session! Spire Walk

The whole therapy was planned and I was involved throughout Springs HC Clowne

** was very helpful I feel that I have now got my life back Staffa

All decisions were mutually agreed upon. My therapist was very respectful in this area giving weeks advance when concerning her holiday plans for example

Welbeck Surgery

Life changing for me - many thanks Wingerworth

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Appendix 2

Query1

13 Comments Location

Keep up the good work this is a very important service

I wish I had counselling years ago Avenue House

Only that I wish I had had the opportunity to do it sooner Blue Dykes

The therapy has helped me to begin to feel like my old self and to deal with the issues I was struggling with - thank you Blue dykes

Very satisfied - would be interested in any groups to continue to improve maybe once a month or so Blue Dykes

**is absolutely fantastic and helpful, listens, lovely person - I wouldn’t have finished this therapy without her a lovely lady thank you Bolsover

My therapist was excellent I was at ease from the first appointment and she got the best out of me. I don’t think I would have come so far in so short a time without the help I have received

Caslte St

My therapist was so nice and encouraging. I felt very much she was working with me each step of the way. It was the first time I had seen a therapist and was so desperate for help in getting me back to normal living without all the anxiety and fear that I was experiencing each day. Thanks

Chatsworth Road

My therapist was superb Chatsworth Road

Offering a full and varied approach to each individual, and being prepared to change that approach/therapy where appropriate as every person responds differently

Cresswell

I cannot praise the service enough from Steps2change. ** my therapist has helped me in finding the light at the end of the tunnel. Our agreed plan of action has truly helped me and I am going to continue with this and now be my own therapist. Thank you steps2change and ** so much

Cresswell Medical Centre

Very happy with my counsellor. Very happy with the fact I could have therapy close to home on a day that suited me Cresswell Surgery

It has helped get my life back on track Cresswell Surgery

I was dissatisfied with * who initially contact me and then failed to phone on 2 occasions. ** was better and was fantastic, listened and helped me tremendously. Very professional

Dronfield

Counsellor very good, helped to have him to talk to - would like to have spoken to a psychotherapist at some point Dronfield

By having this therapy it has helped me to understand more about anxiety and depression and how I can cope with it Friendly Family

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Query1

13 Comments Location

Surgery

It worked for me thank you Gosforth Valley

it worked for me - thanks Gosforth Valley

I think a follow up 3 months would be a good idea after such intensive weekly input Hasland Medical Centre

I would recommend people give it a try. It has helped and I wish I had done it sooner Killamarsh

My therapist was very helpful at all consultations, very understanding and listened to everything I said without interrupation interruption and then counselled me on things and made me feel a lot better about myself

Killamarsh

Thank you for all your help and support I feel almost human again Killamarsh

it was very helpful Killamarsh

Very important supportive service which is truly needed Killamarsh

That it was extremely helpful and I feel very successful Killamarsh

it is very encouraging to pursue the therapy after sessions in order to gain full control of your problem Killamarsh

I am highly satisfied with the service and it has been a big help in assisting my recovery. My counsellor was friendly and helpful Moss Valley

Very relaxing atmosphere Moss Valley

Thank you its been quite a journey & I really appreciate the help. I feel I have got the tools I need to do it for myself now Moss Valley Medical Practice

Great service, ** has been a fantastic help Newbold Surgery

Offered great advice and help North Wingfield

Don’t stop the service - it is as important as medicine Pilsley Staffa Health

I am very grateful for this service I feel it has helped a lot to get through the long journey Rec Road

I didn’t expect to get as much out of the therapy sessions as I did - many thanks Rec Road

I was reluctant to use the service to being with but I'm happy I did it as it has been very helpful in overcoming my anxiety ** has been excellent and very easy to talk to

Rec Road

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Query1

13 Comments Location

Did online workbooks which were very good, however, it may have helped to be able to contact someone in between appointments with any questions, comments, general support etc

Shirebrook

a letter/information pack would be helpful before the first appointment to help you understand CBT and what the service is and how your treatment is set out, although I understand this is difficult as each person is different

Shirebrook

It has been amazing and has helped me make the right choices I need to be happy thank you Shires Surgery

The techniques I have learned have become an important part of day to day life, to help overcome any issues Spire Walk

My only dissatisfaction was the length of time it took to get the service which meant the major part of y crisis was over before therapy started Spire Walk

** WAS MY PWP HE WAS AMAZING AT HIS JOB. He helped me out of a horrible lace and gave me the skills to help myself. Thank you ** Spire Walk

I was surprised at how simple some of the ideas given to me were. I was always told how good I was and how well I was doing. This is an excellent form of therapy and I would recommend it to anyone with problems

Spire Walk

My counsellor was friendly, helpful and approachable. She has given me some techniques which should help me if I get that low again Spire Walk

This service is remarkable, I only wish I came here sooner. I shall encourage anyone else to use this service. No improvements are necessary. The waiting list could be a bit sooner. The telephone interview leaves people wondering what to do - it is a bit vague

Spire Walk

Very satisfied indeed Spire Walk

I feel if someone needs counselling they should have some sort of support whilst waiting for their 1st appointment rather than being left without any

Spire Walk

I was quite surprised the sessions were so short (30 minutes) but they did cover useful techniques/issues Spire Walk

I enjoyed actually attending counselling the fact I hadn’t had any time for me and this made me find me again and I am happier now Spire Walk

the support I received from ** was excellent Spire Walk

By the time I was seen by a Therapist I was starting to recover with the help of family. I had 2 appointments and then y therapist was on holiday for 3 weeks. I did not have time to build a relationship and came away from each session feeling they had been a waste of tome

Spire Walk

Had approximately 6-7 sessions, which was just right in order for me to feel better, thank you Spire Walk

This service is remarkable, I only wish I came here sooner. I shall encourage anyone else to use this service. No improvements are necessary. The waiting list could be a bit sooner - the telephone interview leaves people wondering what to do - it is a bit vague

Spire Walk

I feel better knowing that I can use steps2change whenever I need it - support is everything Spire Walk

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Query1

13 Comments Location

Really enjoyed it focused on real techniques Spire Walk

The course was fine and satisfactory Spire Walk

After my doctor referred me to Steps to Change. I did have to wait a long time for an appointment. There was a mix up with the referral. This was quite stressful

Spire Walk

I was made to feel very welcome and at ease straight away Spire Walk

Slightly disappointed with the 6 months or so waiting list but in this climate, recession I suppose most people would feel the same Spire Walk

I am still stuck with the problem I wanted to resolve but trying to accept I will just have to hope it lessens more and more with time. I didn’t feel the PWP understands that we all have different ways of relaxing/me time as she wanted me to do what she considered relaxing/me time which wasn’t relaxing/me time to me

Spire Walk

Extremely happy with the service provided and the therapist. Thank you so much Spire Walk

it was a very helpful experience to be able to discuss problems with counsellor in an empathic way Spire Walk

I was referred by my GP in Oct-Nov 11 - due to several reasons re-referral was necessary which took time - I was offered a lunchtime session which I could notnt attend then I had to wait again for 1:1 sessions. By this time I had managed to keep body & soul together. I was able to see a counsellor for 6 weeks. I found filling in the forms prior to each session very unhelpful as my scores were not very high I felt as though I should not be there and yet I obviously needed the chance to have counselling. It is a shame I was not able to attend when I most needed the sessions

Spire Walk

Great service, it is a shame the waiting list is so long - it would have been better if the GP still had a few appointments in between referral and CBT starting as I felt on my own and still had no help

Springs HC Clowne

Really good Stonebroom

I feel if it was not for this service my children would probably not have a dad this lady ** I really and truly believe may have saved my life. She is a truly remarkable woman and I cannot thank her enough

The Grange

To be honest I was initially surprised at how short the sessions were, but after a few weeks, I felt this was a really good idea: it helped keep me busy doing something, rather than dwelling for too long. Overall, its helped me a lot, and I am very grateful this service exists. Thank you

Welbeck Surgery

I felt that there wasn’t enough time to talk through my problems during my appointment and the person who I was seeing it was like she didn’t know what to say to me just gave me info to look at. Some of it was useful but I am dyslexics it took me a while to read and get an understanding of the info

Wheatbridge

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Query1

13 Comments Location

After my 1st assessment I was put into anger management group and after just 1 session was unable to cope and it was clear it wasn’t the right 1st step. After a 2nd assessment it was found CBT would be a better option and that has been the case as it was too much to enter into a group setting if never done that before

Wheatbridge

At first I wasn’t sure and then after the first session. I knew I was at last going to get the help I needed Wheatbridge Surgery

Very helpful and enlightening Whittington Moor Health Surgery

The counsellor that I have been seeing for 12 weeks was fantastic & understanding & very easy to talk to. 12 weeks is not enough could do with more time with this counsellor

Whittington Surgery

This experience has helped me more than I thought I feel a lot more positive Wingerworth