Improving Access to Psychological Therapies Data Set

The Improving Access to Psychological Therapies Data Set will be in included in a future version of the Mental Health Services Data Set.

Overview

The Improving Access to Psychological Therapies Data Set will be in included in a future version of the Mental Health Services Data Set.

Improving Access to Psychological Therapies Services are being renamed as NHS Talking Therapies for Anxiety and Depression, see NHS Talking Therapies, for anxiety and depression.

Introduction

The Improving Access to Psychological Therapies Data Set (IAPT) has been developed to support the Adult Improving Access to Psychological Therapies Programme through a regular national return of data. This includes for example: supporting commissioning, service improvement and service design.

The Adult Improving Access to Psychological Therapies Programme is an NHS programme in England, which started in 2008, that has transformed treatment of anxiety disorders and depression through the delivery of interventions approved by the National Institute for Health and Care Excellence (NICE).

The Improving Access to Psychological Therapies Data Set is a PATIENT level, output based, secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable information for PATIENTS accessing NHS-funded Improving Access to Psychological Therapies Services located in England.

As a secondary uses data set, the Improving Access to Psychological Therapies Data Set re-uses clinical and operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local information systems. These national definitions allow Health Care Providers to extract data from their local systems in a consistent manner, which supports national and local reporting to be undertaken.

The Improving Access to Psychological Therapies Data Set includes information on:

PATIENT
Demographics: including geographical, gender, age, ethnicity, religion, sexual orientation and DISABILITY
Care Pathways: referral details, Mental Health Care Cluster details and Presenting Complaints information
CARE CONTACTS
and CARE ACTIVITIES: SESSION details and any clinical, economic and social outcomes recorded relating to the interventions and coded scored assessments provided
Waiting Time Pauses: ACTIVITY SUSPENSION periods across the PATIENT's care pathway
Improving Access to Psychological Therapies Patient Experience Questionnaires
: Improving Access to Psychological Therapies treatment and assessment questionnaires
National Tariff Payment System
: Additional data items to support the introduction and development of a payment system for Improving Access to Psychological Therapies Services
Care Personnel
: Qualifications of the Care Personnel delivering treatment.

Submission Information

The Improving Access to Psychological Therapies Data Set is submitted centrally on a monthly basis via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS England.

Format Information

Improving Access to Psychological Therapies Data Set submissions are made using the latest MS Access Improving Access to Psychological Therapies Data Set Intermediate Database (IDB) which is available for download from the Technology Reference Update Distribution (TRUD) page at: Improving Access to Psychological Therapies Data Set Intermediate Database.

For guidance on downloading the Intermediate Database (IDB), see the NHS England website at: Intermediate Database (IDB) guidance preparing the IDB for making submissions to the SDCS Cloud.

For enquiries regarding technical support for the Intermediate Database (IDB) files, please contact the National Service Desk at: ssd.nationalservicedesk@nhs.net.

Further Guidance

Further guidance relating to the Improving Access to Psychological Therapies Data Set is available on the NHS England website: at Improving Access to Psychological Therapies Data Set.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes
P = Pilot: this data element is for piloting use only.

Note: items in the Mandation column which are shown with notation P have not been approved by the Data Alliance Partnership Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Improving Access to Psychological Therapies Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

Data Set Constraints

For guidance on the Data Set constraints, see the Improving Access to Psychological Therapies Data Set Constraints.

Specification


HEADER To carry header details for the submission.One occurrence of this group is required.
Mandation	Data Elements
M	DATA SET VERSION NUMBER
M	ORGANISATION IDENTIFIER (CODE OF PROVIDER)
M	ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
M	PRIMARY DATA COLLECTION SYSTEM IN USE
M	REPORTING PERIOD START DATE
M	REPORTING PERIOD END DATE
M	DATE AND TIME DATA SET CREATED


PATIENT DEMOGRAPHICS
Mandation	Master Patient Index To carry personal details of the patient.One occurrence of this group is required for each patient.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
R	NHS NUMBER
R	NHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY)
M	PERSON BIRTH DATE
R	POSTCODE OF USUAL ADDRESS
R	PERSON STATED GENDER CODE
R	GENDER IDENTITY CODE
R	GENDER IDENTITY SAME AT BIRTH INDICATOR
R	ETHNIC CATEGORY
P	ETHNIC CATEGORY 2021
R	EX-BRITISH ARMED FORCES INDICATOR
R	LANGUAGE CODE (PREFERRED)
R	EDUCATIONAL ESTABLISHMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

Mandation	GP Practice Registration To carry details of the GP Practice Registration of the patient.One occurrence of this group is required for each change of GP Practice Registration.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
R	START DATE (GMP PATIENT REGISTRATION)
R	END DATE (GMP PATIENT REGISTRATION)

Mandation	Accommodation Status To carry accommodation details of the patient.One occurrence of this group is permitted for each accommodation type.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ACCOMMODATION TYPE
R	SETTLED ACCOMMODATION INDICATOR
M	ACCOMMODATION TYPE RECORDED DATE
R	ACCOMMODATION TYPE START DATE
R	ACCOMMODATION TYPE END DATE

Mandation	Employment Status To carry details of the employment status of the patient.One occurrence of this group is permitted for each employment status.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	EMPLOYMENT STATUS
M	EMPLOYMENT STATUS RECORDED DATE
R	WEEKLY HOURS WORKED
R	SELF EMPLOYED INDICATOR
R	SICKNESS ABSENCE INDICATOR
R	STATUTORY SICK PAY RECEIPT INDICATOR
R	BENEFIT RECEIPT INDICATOR (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
R	EMPLOYMENT AND SUPPORT ALLOWANCE RECEIPT INDICATOR
R	UNIVERSAL CREDIT RECEIPT INDICATOR
R	PERSONAL INDEPENDENCE PAYMENT RECEIPT INDICATOR
R	EMPLOYMENT SUPPORT SUITABILITY INDICATOR
R	EMPLOYMENT SUPPORT REFERRAL DATE
R	DISCHARGE DATE (EMPLOYMENT SUPPORT)

Mandation	Disability Type To carry details of the type of disability affecting a patient, based on formal diagnoses, the patient's perception or the perception of a patient proxy.One occurrence of this group is permitted for each disability identified.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DISABILITY CODE

Mandation	Social and Personal Circumstances To carry details of social and personal circumstances of a patient.One occurrence of this group is permitted for each social and personal circumstance recorded.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
R	SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Mandation	Overseas Visitor Charging Category To carry details of the Overseas Visitor Charging Category of the patient.Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	OVERSEAS VISITOR CHARGING CATEGORY
R	OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE DATE


REFERRALS
Mandation	Service or Team Referral To carry details of the Service or Team referral that the patient is subject to.One occurrence of this group is required for each referral.
M	SERVICE REQUEST IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	REFERRAL REQUEST RECEIVED DATE
R	SOURCE OF REFERRAL FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES
R	YEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
R	PREVIOUS DIAGNOSED CONDITION INDICATOR
R	DISCHARGE FROM IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE REASON
R	SERVICE DISCHARGE DATE

Mandation	Onward Referral To carry details of any onward referral of the patient which has taken place.One occurrence of this group is permitted for each onward referral.
M	SERVICE REQUEST IDENTIFIER
M	ONWARD REFERRAL DATE
R	ONWARD REFERRAL TIME
R	ONWARD REFERRAL REASON (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
R	ORGANISATION IDENTIFIER (RECEIVING)

Mandation	Waiting Time Pauses To carry details of the Waiting Time Pauses.One occurrence is permitted for each Waiting Time Pause.
M	IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
M	ACTIVITY SUSPENSION START DATE
R	ACTIVITY SUSPENSION END DATE
R	IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES ACTIVITY SUSPENSION REASON


CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES
Mandation	Care Contact To carry details of any contacts with a patient which have taken place as part of a referral.One occurrence of this group is permitted for each Care Contact.
M	CARE CONTACT IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
M	CARE CONTACT DATE
R	CARE CONTACT TIME
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	PLANNED CARE CONTACT INDICATOR
R	ATTENDED OR DID NOT ATTEND CODE
R	APPOINTMENT SLOT SHORT NOTICE CANCELLATION INDICATOR
R	CLINICAL CONTACT DURATION OF CARE CONTACT
M	INTEGRATED IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES LONG TERM CONDITION SERVICE INDICATOR
M	APPOINTMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
R	CONSULTATION MECHANISM (MENTAL HEALTH)
R	INTERNET ENABLED THERAPY PROGRAMME
R	CARE CONTACT PATIENT THERAPY MODE
R	NUMBER OF GROUP THERAPY PARTICIPANTS
R	NUMBER OF GROUP THERAPY FACILITATORS
R	PSYCHOTROPIC MEDICATION USAGE INDICATION CODE
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	LANGUAGE CODE (TREATMENT)
R	INTERPRETER PRESENT AT CARE CONTACT INDICATION CODE

Mandation	Care Activity To carry details of any activities which have taken place as part of a Care Contact.One occurrence of this group is permitted for each Care Activity.
M	CARE ACTIVITY IDENTIFIER
M	CARE CONTACT IDENTIFIER
R	CARE PERSONNEL LOCAL IDENTIFIER
R	CLINICAL CONTACT DURATION OF CARE ACTIVITY
R	CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
R	FINDING SCHEME IN USE (MENTAL HEALTH)
R	CODED FINDING (CODED CLINICAL ENTRY)
R	CODED OBSERVATION (SNOMED CT)
R	OBSERVATION VALUE
R	UCUM UNIT OF MEASUREMENT

Mandation	Internet Enabled Therapy Care Professional Activity Log To carry details of the summarised activity during a specified time period for the Care Professional supporting Internet Enabled Therapy for a patient.One occurrence this group is permitted for each activity log.
M	SERVICE REQUEST IDENTIFIER
M	START DATE (INTERNET ENABLED THERAPY ACTIVITY LOG)
M	END DATE (INTERNET ENABLED THERAPY ACTIVITY LOG)
M	INTERNET ENABLED THERAPY PROGRAMME
M	DURATION OF INTERNET ENABLED THERAPY IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE PROFESSIONAL CLINICAL TIME
R	CARE PERSONNEL LOCAL IDENTIFIER
R	INTERNET ENABLED THERAPY INTEGRATED SOFTWARE ENGINE USED INDICATOR


CLINICALLY CODED TERMINOLOGY
Mandation	Medical History (Previous Diagnosis) To carry details of any previous diagnoses for a patient which are stated by the patient or recorded in medical notes.One occurrence of this group is permitted for each previous diagnosis.
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DIAGNOSIS SCHEME IN USE (MENTAL HEALTH)
M	PREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Mandation	Long Term Physical Health Condition To carry details of any Long Term Physical Health Conditions for a patient which are stated by the patient or recorded in medical notes.One occurrence of this group is permitted for each Long Term Physical Health Condition.
M	SERVICE REQUEST IDENTIFIER
M	FINDING SCHEME IN USE (MENTAL HEALTH)
M	LONG TERM PHYSICAL HEALTH CONDITION (CODED CLINICAL ENTRY)

Mandation	Presenting Complaints To carry details of the primary and any secondary presenting complaints recorded for a patient, made by the service that the patient was referred or admitted to.One occurrence of this group is permitted for each presenting complaint.
M	SERVICE REQUEST IDENTIFIER
M	FINDING SCHEME IN USE (MENTAL HEALTH)
M	PRESENTING COMPLAINT (CODED CLINICAL ENTRY)
R	PRESENTING COMPLAINT CODING SIGNIFICANCE
R	PRESENTING COMPLAINT RECORDED DATE

Mandation	Coded Scored Assessment (Referral) To carry details of scored assessments that are issued and completed as part of a Service Request, but do not take place at a specific contact.One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a Care Contact.
M	SERVICE REQUEST IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
M	ASSESSMENT TOOL COMPLETION DATE
R	ASSESSMENT TOOL COMPLETION TIME

Mandation	Coded Scored Assessment (Care Activity) To carry details of scored assessments that are issued and completed as part of a specific Care Activity.One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a specific Care Activity.
M	CARE ACTIVITY IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE


CARE CLUSTERS To carry details of the Care Cluster resulting from a clustering tool assessment.One occurrence of this group is permitted for each period of time that a patient was allocated to a Care Cluster.
Mandation	Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ADULT MENTAL HEALTH CARE CLUSTER CODE (FINAL)
M	START DATE (CARE CLUSTER ASSIGNMENT PERIOD)
R	START TIME (CARE CLUSTER ASSIGNMENT PERIOD)
R	END DATE (CARE CLUSTER ASSIGNMENT PERIOD)
R	END TIME (CARE CLUSTER ASSIGNMENT PERIOD)


CARE PERSONNEL QUALIFICATION To carry details of each qualification attained or planned to be attained by the Care Personnel.One occurrence of this group is permitted for each qualification.
Mandation	Data Elements
M	CARE PERSONNEL LOCAL IDENTIFIER
M	QUALIFICATION ATTAINMENT LEVEL (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
R	EMPLOYEE QUALIFICATION AWARDED DATE
R	EMPLOYEE QUALIFICATION PLANNED COMPLETION DATE

Also Known As

This data set is also known by these names:

Context	Alias
Schema	IAPT
Short name	Improving Access to Psychological Therapies