NHSE Changes to Backfill Funding

NHS England have made changes to the backfill offer for the 2016-2018 CYP IAPT training.

What this means if you want to train

  • The costs of the training are still paid by Health Education England
  • Your service will still be funded to release you to train but the Clinical Commissioning Group (CCG) commissioning  your service will need to contribute approximately 35% of the costs.  Your service will need to agree this with your CCG – speak to your manager about this.

What this means if you are a commissioner

  • You will be expected to make a contribution to Provider staff costs to enable staff to take a CYP IAPT therapist or supervisor training.
  • Your contribution will vary depending on the staff banding, but will be approximately £10K/staff member (at mid-point of band 7).
  • Salary support from NHSE will be tranched so that your contribution will be required in the 2nd and 3rd financial years that span the 2 year training.  (See the table below.)

What this means if you manage a service and want to train staff

  • The costs of the training are still paid by Health Education England
  • Your service will still be funded to release your staff to train but the Clinical Commissioning Group (CCG) commissioning  your service will need to contribute approximately 35% of the costs.
  • You will need to talk to your commissioners to arrange this.  Further detail is below on the rationale underlying this change.

This post below explains the rationale for the change, and outlines the detail of the funding and likely costs involved.

As responsibility for training the CAMHS workforce is being localised, commissioners and providers are expected to make more of a contribution.  Health Education England will continue to cover the costs of the CYP IAPT training courses, whilst the salary support paid by NHS England will be reduced to 63% of previous levels. (The figures are included below.)  Clinical Commissioning Groups are expected to make up any shortfall to enable providers to release staff for training using the recurrent funding uplift in their baselines included in the spring 2015 budget announcement.  £75M was provided to CCGs in 2015-16, £119M for 2016-17, £140M for 2017-18, £170M in 2018-19, £190M in 2019-20 and £214M in 2020-21.

In the recently published Implementing the Five Year Forward View for Mental Health NHSE reiterated the targets first set-out in the Five Year Forward View for Mental Health (which used Future in Mind as its blueprint for children and young people’s services) of significantly expanding access to high quality mental health care.   This will be done through building capacity and capability across the system so that by 2020, 70,000 more children and young people in need of treatment are accessing an evidence-based intervention per year.  This equates to increasing met need from 25% to 35%.  In order to do this, a target has been set of training 3400 staff in evidence based practice through CYP IAPT by 2020.  The target for this year is 900, and the budget for the programme for 2017 is expected to cover university fees, and salary support for therapists, EEBP places and supervisors across all existing and new CYP MH partnerships nationwide who will complete their training in 2017.

To meet these targets, CCGs are refreshing their Local Transformation Plans by 31st October 2016, and annually after that, to include numerical targets for increasing access across the system.  CYP IAPT is also one of the deliverables in Delivering the Forward View: NHS Planning Guidance 16-17 – 20-21, which defines the Sustainability and Transformation Plans, into which the Local Transformation Plans are subsumed.

The expectation is further strengthened in the CCG Improvement and Assessment Framework (Indicator 123c Children and young people’s mental health services transformation), which is:

5) Has the CCG published joint agency workforce plans detailing how they will build capacity and capability including implementation of Children and Young People’s Improving Access to Psychological Therapies programmes (CYP IAPT) transformation objectives?

The Training Programmes

The CYP IAPT post-graduate diplomas delivered by this learning collaborative are over 2 years. For trainings beginning in 2016-2017, salary support funding will flow via the CCGs and be at the following values:

  • For each therapist, £18.75K will be made available over the 2 year training. (The table below indicates how – for each training – salary support funding will be tranched over three financial years, as well as the approximate shortfall for staff at bands 6 and 7.)
  • For each supervisor, £12,500 will be made available for salary support, split at £5K  made available from the start of the course until the end of 2016, and £7.5K available in 2017.
  • For EEBP, £3125 salary contribution/backfill will be made available, split £1250 in 2016-17 and £2000 in 2017.

Click the table to enlarge

Salary Support v0.3

The Learning Collaborative will continue to receive funding directly from Health Education England for the agreed training costs of the courses. NHS England will pass  funding for salary support to CCGs for investment in the relevant staff and providers.  The funding is conditional on the partnership signing up to implementing the programme, including confirmation that funding is available to release the staff to undergo the full training.

We appreciate that there might be some confusion within partnerships as to how the salary support will flow from the CCG to their service. If you would like more information on working with the CCG’S to obtain salary support and ensure staff are able to attend CYP IAPT trainings, please contact Alex Goforth.

About charlottebarrett13

Charlotte Barrett is the Project Officer for the London & South East CYP IAPT Learning Collaborative

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