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• We found that high fidelity IPS practices were associated with better outcomes for clients. By 2020, all examined services delivered IPS to at least fair (or good) fidelity and had improved over time. Some aspects of good fidelity were in place from the beginning, such as tailored employment support, whereas other aspects of fidelity improved over time, such as integration with clinical teams.
• We identified four potential profiles of likely IPS services in terms of funding sought, prior IPS experience and provider type. Considering and developing this model may help predict and provide appropriate levels of support in the future.
• In IPS, clients are supported through six phases of an employment journey. Our data shows that, throughout the time of support, IPS services were growing and operating this support as intended the time of support, IPS services were growing and operating this support as intended.
• IPS Grow offered wide-ranging support to services across three key workstreams: technical implementation support, workforce development, data tools and performance standards. Support in the form of workshops, informal advice, coaching and training, and use of online resources were frequently used.
• Services were largely positive about the IPS Grow support they had received. The multifaceted support provided by the IPS Grow Regional Leads and attending Communities of Practices were widely considered key assets of this support. Along with IPS Grow online resources, these three types of support were identified as making the most difference to fidelity.
• We found some evidence that previous experience with IPS affected some services' maturities — but little consensus about the influence of other organisational factors emerged.

Individual Placement and Support (IPS) is an evidence-based model which supports people with serious mental illness into employment. In order to increase access to IPS services nationally, NHSE and Improvement has allocated funds to specific sustainability and transformation partnership (STP) areas. A proportion of funding was dedicated to IPS Grow: a national implementation support initiative that aims to speed up the time that services take to deliver high quality IPS and to ensure their sustainability. IPS Grow provides technical implementation support, workforce development support and data tools and performance standards support, through an online platform, networking and events, and support from a dedicated team.

Our evaluation used a theory-based approach and a logic model to examine IPS Grow's impact on funded IPS services. We aimed to answer seven evaluation questions through a combination of methods, including telephone interviews, focus groups, case studies, online surveys and a targeted documentation review (including of reports and plans from services' IPS fidelity reviews).

The study aimed to examine the uptake of support from IPS Grow by IPS services, explore the perceptions of IPS Grow by key audiences, and examine the impact that different elements of support from IPS Grow had on services, depending on their organisational features.

• Chapter One

  Introduction

• Chapter Two

  The intervention (IPS Grow) and its evaluation (approach, questions and methods)

• Chapter Three

  Findings

• Chapter Four

  Conclusions and recommendations