Accessibility Page Navigation
Style sheets must be enabled to view this page as it was intended.
The Royal College of Psychiatrists Improving the lives of people with mental illness


NAPT second round national report was published on 28 November 2013, and launched at the New Savoy Psychological Therapies Conference, London.


Quick links   


What is the National Audit of Psychological Therapies?

The National Audit of Psychological Therapies for Anxiety and Depression (NAPT) aims to promote access, appropriateness, acceptability and positive outcomes of treatment for those suffering from depression and anxiety. The audit is open to all NHS-funded services in England and Wales providing psychological therapies in the community for people with anxiety and depression. It includes adults over the age of 18 who are receiving psychological therapy services in the community. The audit is working with both IAPT and non-IAPT sites.

It engages healthcare professionals in a systematic evaluation of their clinical practice against standards for best practice. Local services are able to benchmark their performance and identify where they are performing well, and where there is potential to improve the quality of treatment and care they provide. Services are also encouraged to engage in action planning to improve their practice or maintain existing good practice. On a national level, wide participation in the audit also creates an overview of the quality of care being provided in England and Wales.

The National Audit of Psychological Therapies is funded by the Healthcare Quality Improvement Partnership (HQIP) and is an initiative of the College Centre for Quality Improvement (CCQI). The project is part of the National Clinical Audit programme and trusts are required by the Department of Health to report their participation in the audit in their Quality Account.



Why focus on Psychological Therapies?

The importance of the provision of psychological therapy services has received increasing attention over recent years and continues to do so. Some of the most significant factors to have influenced policy over the past decade include:


  • Concerns about access to services
  • Recommendations from the National Institute of Health and Clinical Excellence (NICE) on the use of evidence-based psychological therapies
  • The economic argument for improved access (the ‘Layard Report’)
  • The development of the Improving Access to Psychological Therapies (IAPT) Programme.

The growing recognition of the importance of psychological therapy, coupled with concerns about access to services, led to the Healthcare Quality Improvement Partnership (HQIP) requesting the Royal College of Psychiatrists’ Centre for Quality Improvement (CCQI) to conduct a National Audit of Psychological Therapies. The remit of NAPT was to provide the first comprehensive measurement of NHS-funded services providing psychological therapies for people with anxiety and depression in England and Wales. The baseline audit showed that while performance was good overall for most standards, there was considerable variation in performance between services for some standards.

Following the success of the baseline audit therefore, HQIP agreed to fund the National Audit of Psychological Therapies for a re-audit. It is hoped that this will show improvements in performance against the audit standards where this is needed.



The second round of NAPT

Data collection for the second round of the audit took place between 1 July 2012 to 31 January 2013.  The National Report was launched at the New Savoy Partnership: Psychological Therapies in the NHS conference on 28 and 29 November 2013. 

We have also sent out organisational and service level reports to the relevant services. 

A number of regional dissemination and action planning events have also been taking place since December 2013 in various parts of England and Wales.




The baseline audit

Data collection took place between June 2010 and February 2011, and involved 357 psychological therapy services in England and Wales. This included both primary and secondary care, small and large services, and IAPT and non-IAPT services.

The data were then analysed, and the findings published in November 2011. The National Report was launched at the New Savoy: Psychological Therapies in the NHS Conference on 24 November.

For the key findings of the audit, please see the reports in the ‘Baseline Audit Reports’ section at the right of this page.

Services which participated in the audit also received individual service reports and action planning toolkits. Services were encouraged to return completed action plans to the NAPT team. A number of dissemination and action planning events also took place in 2011 - 12 in various regions of England and Wales.





How is the audit organised?


Contact us

If you have any questions, or need more information, then please contact one of the team


FAQ picture


NAPT Disclaimer

Login - Members Area

If you don't have an account please Click here to Register

Make a Donation

New Savoy Conference Logo