Male doctor wearing stethoscope

Welcome to Let’s Talk

Gloucestershire Health and Care NHS Foundation Trust’s Improving Access to Psychological Therapy (IAPT) service offers Step 2 and 3 stepped care help to people with common mental health problems in Gloucestershire. Our aim is to offer assessment and NICE (National Institute for Health and Care Excellence) evidence-based psychological treatment to residents over 18 years of age, who have mild to moderate anxiety and depression. Patients must be registered with a Gloucestershire GP.

For people whose presentations are more complex or severe, or where there is significant risk, please refer to your primary mental health nurse or, for secondary care referrals, to the Contact Centre.

Please note: Herefordshire IAPT services have rebranded to Herefordshire Healthy Minds and are now provided by Worcestershire Health and Care NHS Trust – for more information visit their new website:

Referrals to Let’s Talk

Many of our patients self-refer; however Primary Health Care Professionals can refer patients to our service on their behalf. You can refer to the Let’s Talk therapy team by completing the online secure and confidential Health Professionals’ referral form, or by sending a written referral form to us by fax, email or in the post.

Once your referral has been received, we will contact your patient as soon as possible to arrange a telephone assessment, care if appropriate, and we will write to let you know the outcome.

If you have any queries about a specific referral or the service we offer, please contact us on 0800 073 2200 and ask to speak to the Day Supervisor.

Service Model

We offer a stepped care service based on NICE guidance and use the NICE diagnostic criteria and PHQ9 and GAD7 as a guide to measure the severity of anxiety and depression (see the quick self-assessment tool).

Diagnostic criteria and NICE guidelines

Below you will find a list of the mental health problems currently seen within Let’s Talk.