Key achievements include:
1. Enhancing recovery rates through understanding outcome variability
When established in 2013, the Anxiety and Depression Network committed to a minimum five percentage point improvement on average recovery rates* by March 2016. This was achieved and significantly exceeded with recovery rates increasing from 47% to 57%. The Anxiety and Depression Network has supported the services to maintain this improvement in recovery rates.
Importantly, numbers of patients recovered has increased steadily over the past year. From a baseline taken in January 2014, an additional 3,199 patients recovered up to November 2015, despite a 16% increase in the numbers of patients accessing IAPT (Improving Access to Psychological Therapy) services and no additional funding. As well as increasing service efficiency, this is estimated to have provided a £755,494 reduction in healthcare expenditure over that period. A detailed report on the benefits to the healthcare (and wider) economy can be found here and a longer case study here.
* Recovery rate = by the end of treatment the patient has dropped below the clinical/non-clinical threshold for both anxiety and depression.
2. Supporting service innovation and integrated care for patients with long-term conditions and co-morbid anxiety and / or depression
Roll-out of seven service innovation projects:
- Cognitive behaviour therapy for insomnia
- Depression and diabetes integrated care
- Heart2Heart integrated care
- Chronic obstructive pulmonary disease integrated care
- MUS (medically unexplained symptoms) integrated care, now known as ‘persistent physical symptoms’
- PPiPCare (Psychological Perspectives in Primary Care) training programme
- PPEPCare (Psychological Perspectives in Education and Primary Care) training programme
All of the long-term conditions treatments have been evaluated and shown to reduce not only anxiety and depression, but also some disorder-specific clinical markers (for example in diabetes).
To see how we are doing now, please read our executive summary for service innovations.
3. Improving the quality, use and impact of Routine Outcome Measures (ROMs) in Child and Adolescent Mental Health services (CAMHs) through improved paired data collection
Baseline data on the collection of ROMs and paired outcome data in CAMHs have provided a clear direction for improvements that need to be made to data collection and the use of outcome measures. The Anxiety and Depression Network is pleased that across the whole of Oxfordshire and Buckinghamshire a three percentage points increase had taken place by April 2016. We are hopeful other areas within the Anxiety and Depression Network will also show an encouraging increase in paired data collection once we have had an opportunity to analyse their data.