“The efficiency of stepped care systems partly relies on systematic monitoring of patient outcomes and timely decisions to “step up” patients without any clear therapeutic gains to the next level of treatment. Qualitative evidence has suggested that this does not occur consistently, nor always congruently with clinical guidelines.”

This report was compiled by Jaime Delgadillo (Leeds Community Healthcare NHS Trust); Judith Gellatly (University of Manchester) and Simone Stephenson-Bellwood (Touchstone)
Download the report