What information is there on cost?

  • For depression and anxiety the Number Needed to Treat using CBT is under 3 (indicating a strong positive effect).
  • The total annual cost of the common mental disorders in the UK may amount to £6 billion, of which two-thirds arises from lost productivity 29.
  • The overall annual spending on the NHS in Englandwas approximately £105 billion. In 2009.30 Of this spend, around eight per cent is allocated to (all) primary care services31 and around 12% to secondary and tertiary mental health services 32.
  • However 23% of the overall burden of disease is due to mental disorder and self-inflicted injury 28.
  • Antidepressants had the largest increase in cost of any section in the BNF in 2011: £49.8m (22.6 per cent).
  • A 10 session course of CBT costs approximately £750: an increase in access to psychological therapies would largely pay for itself by reducing other depression- and anxiety-related public costs (welfare benefits and medical costs) and increasing revenues (taxes from return to work, increased productivity etc.)33.

The Department of Health financial settlement in the Spending Review 2010:

  • Includes around £433 million for psychological therapies over the period to April 2015.
  • Funding will continue to increase to enable SHAs to realise this commitment, on top of the annual allocation of £173m from the first phase of the programme34.
  • The Multi Professional Education and Training (MPET) service level agreement will fund the expansion of an IAPT workforce by regional commissioning of Cognitive Behavioural Therapy High Intensity, Psychological Wellbeing Practitioners (PWPs) and additional High Intensity training places in NICE-approved interventions [Counselling for Depression (CfD), Interpersonal Therapy (IPT), Dynamic Interpersonal Therapy (DIT) and Couple Therapy for Depression (CofD)] to a national total of approximately 800 per year for three years.
  • The total 2012-13 MPET allocation for IAPT totals £32.597m.