Incumbent NHS psychological services (IAPT) are characterised by lengthy waiting-lists and poor recovery rates, and these are subject to considerable geographic variation. Increased demand, reductions in real-terms investment in mental health services and increased competition for face-to-face sessions means that despite making the effort to see a GP, many will not receive face-to-face care, with this figure currently reaching one-in-three.
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Dr Julian is an innovative healthcare platform that increases accessibility to mental healthcare. It connects patients securely within days, seven days a week, to vetted mental healthcare professionals. Patients choose the time and type of appointment they want, including options for audio, video, and text, which they can access from anywhere with an internet connection.
Face-to-face IAPT costs the NHS £518 million per year. Dr Julian’s system costs £45 for low intensity IAPT, £60 for high intensity support and £100 per session for secondary care clinical psychology support.
This represents a potential cost saving for the NHS of £296 million at a weighted average, but more realistically £29 million if 10% of treatments were undertaken using Dr Julian.
Having the basic platform and offering therapy on line is only part of a successful digital therapy service. The attention to detail and focus on the patient journey, patient outcomes with the Dr Julian team, made us feel we could definitely forge a creative and productive partnership.
How did the Innovation Exchange help?
As one of the companies on the current Digital Health.London Accelerator cohort, the Innovation Exchange supported Dr Julian through advice, guidance and navigation of the NHS system in South London. As well as the 12 month intensive support from their Health Navigator, Dr Julian participated in the following activities:
- Provided opportunity to pitch at the “Maximising Digital Opportunities in Adult Mental Health” event in January 2019. This event was attended by local mental health trusts and commissioners.
- Pitching to the North West London mental health commissioners to explore a CAMHS model.
Impact & Outcomes
To date commissions to provide digital IAPT services include:
- Oxleas Foundation Trust
- Inclusion Thurrock
- Lancashire Care Foundation Trust
- Milton Keynes IAPT
The Thurrock pilot’s evaluation found that 20 patients had a 70% recovery rate with 5% DNA rate and average of 7 appointments per patient.