Early intervention in psychosis provision (NCAP)

Reports | Published: 13 Feb 2025

This State of the Nation report, based on England and Wales in 2022/23 and 2023/24, found improvements in performance since the start of the audit in 2018/19 on the majority of the NICE quality standards, except Access and Waiting Times (AWT) in England and provision of Cognitive Behavioural Therapy for Psychosis (CBTp) in Wales.

“Good mental health care means…having the support and tools we need to stay well, feel connected, and keep moving forward with confidence and independence”

In addition to a review of performance in each of England and Wales, this report looks at regional variations between the two, finding that there is wide variation in the delivery of EIP NICE concordant care (with East of England returning 93% of teams performing well, compared to 21% in the South West). It also finds that health inequalities exist in many different forms, structuring their findings around gender, ethnicity and age.

In addition to findings, the report includes the following recommendations for improvement:

  • Focus on sustaining performance
  • Improve lipid measurement screening in England
  • Improve referral for blood pressure treatment by an appropriate clinician in response to elevated cardiovascular risk in England and Wales
  • Routinely use standard nationally agreed outcome measures to evaluate EIP outcomes
  • Continue to record and monitor which interventions get offered to whom
  • Ensure that NICE recommended specialists for EIP and ARMS intervention and care are available to children and young people with First Episode Psychosis (FEP) and ARMS.

Read the full report: You can see all key findings and read the report in full by clicking on the link below.

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Early intervention in psychosis provision (NCAP)