Anxiety and depression – new report

The National Clinical Audit of Anxiety and Depression (NCAAD) has published a new report following an audit of psychological therapies provided in secondary mental health care settings.

The audit was carried out by the Royal College of Psychiatrists in partnership with the British Psychological Society between 2018 and 2019.

The report was co-produced with our Service User and Carer Reference Group, clinical advisors, the NCAAD team and the McPin Foundation, an independent mental health research charity.

It evaluates the following key performance areas:

  • Access and waiting times
  • Appropriateness of therapy
  • Service user involvement
  • Outcome measurement
  • Therapist training and supervision

The audit found that most adults who received psychological therapy rated their therapists highly and felt helped by the treatment they received.

However, access was poor with almost half of adults waiting over 18 weeks from referral to the start of treatment.

Many service users also reported a lack of choice in key aspects of their therapy. It was also found that outcome measures were not routinely used to assess change.

Fifty NHS Trusts participated and registered a total of 232 services. 4 ,462 service users’ case notes, 662 service user surveys and 1453 therapist questionnaires were analysed.

The full report, data tables and online appendices can be found on the NCAAD webpages.

NCAAD is a three-year improvement programme focussing on NHS-funded secondary care services provided to service users with anxiety and/or depression in England.

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