Psychological Therapies
Debate between James Morris and Angela Watkinson(11 years, 2 months ago)
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James Morris
The hon. Gentleman makes an important point. The fundamental nature of my argument is that the current system, while it has made some progress, is not utilising the capacity that we should be able to develop in order to cope with the increasing problems that we face. IAPT needs to be tailored to older people and to be more flexible to meet their needs.
As I said, IAPT has made some progress, but we need to go further. Improving access is one thing; guaranteeing it is another. The NHS constitution provides a right to treatments recommended by NICE. The handbook to the constitution explains that that relates to any treatment that is
“recommended by a NICE technology appraisal.”
I am sorry to get a bit technical here, but I think the point is an important one. Technologies appraised by NICE include devices, medicines, diagnostic methodology, surgical procedures, health promotion activities and other therapeutic technologies. Regarding technologies, computerised CBT for depression and anxiety is the only NICE-approved psychological therapy, which, on the basis of the constitution, patients should have a right to. Psychological therapies have been excluded from the rights embedded in the NHS constitution, and we need to address that gap.
Also, there is no 28-week or any other waiting time target for psychological therapies. If I have a serious physical illness, for example cancer, I will be seen and treated within a particular time frame, and I will know my pathway of care, if that is the right way of describing it. However, if I have a mental illness, there is neither a guarantee nor a waiting time target.
Dame Angela Watkinson (Hornchurch and Upminster) (Con)
Does my hon. Friend agree that that is similar to what happens during the perinatal period? If a woman has a premature baby, thousands of pounds—if not hundreds of thousands—will be spent on neonatal intensive care; whereas if she has a full-term baby, but has a psychotic episode and requires in-patient mental health care, it is a complete postcode lottery as to whether she receives any help at all?
James Morris
I thank my hon. Friend for that intervention. She has done a tremendous amount of work in that area. I totally agree with her point; we need to shift our emphasis towards much more early intervention and ensure that the issue she identifies is addressed.