We are happy to let you know that NHS England have confirmed that the salary support offer for the 2018-2019 CYP IAPT training courses will remain the same as last year, except for EBCP.
What that means for training candidates
- The costs of the training are paid by Health Education England
- Your service will be funded to release you to train but the Clinical Commissioning Group (CCG) commissioning your service, or your service itself, 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 may 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, or yours service itself, 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 (updated from last year) explains the rationale for last years change in salary support, and outlines the detail of the funding and likely costs involved.
As more money is flowing from NHSE directly to CCGs for children and young people’s mental health services than ever, responsibility for training the CAMHS workforce is being localised, and 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 the level enjoyed during the first 5 years of the programme. (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. An additional £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 budget for the programme for 2018 is expected to cover university fees, and salary support for therapists, EEBP places and supervisors across all existing and new CYP MH partnerships nationwide.
To meet these targets, CCGs are refreshing their Local Transformation Plans annually, to include numerical targets for increasing access, and reaching waiting times targets 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 2018-2019, 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. (Please note, this figure will be a little less than half this rate for the Evidence Based Counselling course, £9K).
- For each supervisor, £12,500 will be made available for salary support, split at £5K in late 2017/early, and £7.5K available mid-2018.
- For EEBP, £3,250 salary contribution/backfill will be made available.
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 various bandings.
Click the table to enlarge
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.