HealthTech NHS IAPT Digital Mental Health Platform

IAPT Digital Patient Pathway

• 1Referral (NHS eRS or self-referral),
• 2assessment (PHQ-9, GAD-7 at intake, problem descriptor, step allocation),
• 3waiting list management (clinical urgency, 18-week tracking),
• 4treatment (Step 2 low intensity vs Step 3 high intensity),
• 5outcome collection (PHQ-9 and GAD-7 every session via GOV.UK Notify). NHS Login P5 for patient self-service. Mental health data in separate encrypted schema -- PostgreSQL RLS per therapist.

NHSE recovery definition

patient moves from above PHQ-9/GAD-7 clinical threshold to below, or shows 50% improvement.

Platform

• 1digital PHQ-9 sent before each session,
• 2digital GAD-7 same workflow,
• 3automated reliable improvement tracking,
• 4recovery detection (alert to therapist when patient crosses threshold),
• 5NHSE benchmark-ready recovery data per therapist. Session-by-session PHQ-9/GAD-7 trend visible to therapist -- enables earlier step-up decisions.

NHSE MHSDS Automated Submission

• MHSDS v6.0: service/provider details, referral records, care contacts, care activities (PHQ-9/GAD-7 scores), care plans.
• IAPT DDS additional fields on top of MHSDS.

ClickMasters

• automated MHSDS XML monthly, validated against NHS Digital schema, submitted via NHS MESH.
• Every submission validated before sending -- errors returned to data quality manager.

Article 9 special category

• 1healthcare treatment lawful basis (Article 9(2)(h)),
• 2data minimisation (scores stored, not verbatim therapy content),
• 3additional encryption at rest (separate AWS KMS key),
• 4RLS per therapist (only allocated therapist and clinical supervisor can access),
• 58-year retention (NHSE mental health records standard).

ICO mental health guidance

clinical notes can be withheld from Subject Access Request if disclosure would harm patient.