The CBRT NHS QIPP Initiatives



The CBRT NHS Initiatives are about ’Putting People First’ and ‘making time for Compassionate Care’ in the NHS and Social Care. depression image

CBRT™ – Colour Breathing Relaxation Technique® – is a practical, safe, simple and effective way to help patients relax naturally. Being able to relax is beneficial to many health conditions and can improve patient’s outcomes. Since March 2011, CBRT has attended many meetings throughout the UK with Senior Management within the NHS, NHS England and Department of Health. A British innovation, NHS providers using CBRT in primary and secondary care will quickly be able to provide Patients with an easy to learn relaxation technique.

Between March – May 2012, CBRT completed the NHS National Innovation Centre (NIC) Technology Scorecard Process and received a 92.53% score.

Over a period of 18 months, three CBRT NHS QIPP Initiatives were written and put forwards in NHS due diligence undertaken by the Innovation Manager of NHS South Of England.

i) for Depression and Anxiety; ii) for Older People and Dementia; iii) for Children and Young People.

The two day CBRT Training Programme provides all nursing staff, allied healthcare staff, healthcare assistants and Social Care staff with the necessary skills and tools to deliver structured and guided Mindfulness based CBRT Relaxation Support Sessions which provide measurable outcomes.

A QIPP focused initiative, CBRT is a non-pharmaceutical led relaxation intervention – which fully supports the findings of the Francis Report in “Putting Patients First”, “Compassion in Practice”, staff training and improving standards for healthcare assistants. Designed to deliver high quality, guided and structured relaxation support sessions, CBRT initiatives will enable immediate localism, scale and pace diffusion for large scale adoption.

CBRT is also designed to be used as a self-care kit for patients, which will help the NHS teams provide a ‘better value, better outcomes’ service and meet the health needs of the local patient population.

Colour Breathing Kit® includes easel of seven Colour Breathing DisksThe Colour Breathing Relaxation Technique® uses seven Colour Breathing Disks® (the device) to enable more health enhancing behaviours and benefits of Mindfulness, Relaxation and Positive Thinking –  to benefit patients in an easy to use, visual and simple format.

  • CBRT Relaxation Support Sessions are structured and guided by trained staff for individuals and groups; making time to relax together provides a valuable time for patient-staff interface.
  • CBRT is ideal in integrated patient care, rehabilitation, self care, health prevention and wellbeing programmes.
  • Learning how to relax deeply, breathe properly and positive thinking – can assist patients in their daily self-management of many conditions, including mild to moderate depression.
  • NHS Improvement Programmes will be supported such as Heart (hypertension), long term conditions, Stroke, Lung/COPD, Cancer.
  • CBRT is very suitable for use in antenatal, dementia, rehabilitation, enhanced recovery and peer support strategies, such as the CALM Programme –
  • The two day CBRT Training Programme is suitable for all nursing staff, allied healthcare staff and Healthcare assistants.Being trained to deliver practical, safe, simple, and effective CBRT Relaxation Support Sessions will enhance nursing communication skills with patients – either as individuals or in group settings of up to 20 patients – and promote active care and compassion.
  • Upon successful completion of papers, staff will each receive a certificate of training and be able to deliver structured and guided relaxation support sessions for patients – as individuals or within a group setting – whenever required.nurses

An NHS IAPT Psychological Therapies Commissioner who reviewed the CBRT NHS Training Initiative has written:

  • “The principles of building confidence and socialisation are good, as commissioners we understand how important this is for a patient’s recovery.”
  • “The proposal is very good and well presented, with a good evidence base and clinical outcomes.”
  • “On paper, the savings are good, a reduction in primary care presentations, and this is similar to IAPT where we also know there are reductions in referrals to secondary care.”


The following document NICE – Quality Standards Programme – Cost impact and commissioning assessment: quality standard for depression in adults (March 2011) was provided by the NHS South of England Innovation Manager as a prime example of how CBRT Relaxation Support Sessions relate in a similar way to the total expected saving per IAPT patient being £340.00  in a two year period.

The Colour Breathing Disks apparatus have a UK Patent and are soon to become registered as a Class 1 Medical Device.

Innovation Health and Wealth promotes the obligation to promote innovation; CBRT provides NHS providers with a quick to action, value for money, patient-centred solution.

Join our next Practitioner Training Programmeee

  • The CBRT book kit (which includes an audio CD, 138 page full colour book and easel card set of seven Colour Breathing Disks) is a high quality full colour, practical, long lasting, non-pharmaceutical and non-invasive product /intervention. Patients can be provided with or allowed to borrow their own CBRT kit for use at home.
  • CBRT are publishing the “CBRT Daily Observations Diary” for individuals to use daily to record their use of CBRT at home as part of their patient choice self-care programme.
  • “All allied healthcare, nursing and social care staff should be allowed to attend a two day CBRT Training Programme. CBRT underpins the 6 C’s. The provision of structured CBRT Relaxation Support Sessions for patients – whether used once-only or as a series of 6 – 8 sessions – provides communication between patient and staff and a positive contribution towards enhancing patients’ wellbeing. CBRT is an active interface for all patient care and compassion programmes and is suitable for all to learn.”

The CBRT Training Programme has successfully become a CPD accredited Training Programme with the CPD Standards Office. Also invited to apply for CPD Accreditation with The Royal College of Nursing and ’Endorsement process’ with The College of Occupational Therapists.

Training Programme participants are required to have a basic PC ability to be able to complete an online 40 question Assessment Paper and 5 Case Studies (individual and group settings) following their Two day Training Programme within a twelve week period before receiving a Certificate of Training.

CBRT showcased at the NHS Healthcare Innovation Expo

Since our successful showcasing of CBRT at the first Healthcare Innovation Expo, the CBRT NHS Training Initiative has been developed and written for NHS entry with consultation, support and leadership provided by many individuals and teams within the CBRT was said to be one of the most popular stands at the Healthcare Innovation Expo 2011NHS and DH, including the Innovation Promotion Manager of NHS South of England.

CBRT are grateful for support received since 2011 from NHS Directors in PCTs, Trusts and HIEC, the DH Innovation Procurement Commercial Division Team, DH Innovation Policy Team, NHS NIC (National Innovation Centre), NHS Institute of Innovation and Improvement, NHS NTAC National Technology Adoption Centre, NHS Confederation Networks (Mental Health Team), MHRN Mental Health Research Network, NHS NIHR CLRN (Manchester), NHS NIHR Research Design Team South West (Bournemouth University Team), NICE, MHRA (Medicines and Healthcare Products Regulatory Agency).

In 2012 CBRT met the Managing Director of “Action for Happiness” Mark Williamson after sending the CBRT NHS Training Initiative to Lord Richard Layard. “Mental illness ‘under-treated by NHS’ ” (18.06.12) is a report carried in the NHS Choices website . The report was written by the London School of Economics Centre for Economic Performance Mental Health Policy Group Think Tank. The report, How Mental Illness Loses Out in the NHS was produced by a distinguished team of economists, psychologists, doctors and NHS managers convened by Professor Lord Layard of the LSE Centre for Economic Performance.


2019 Research Programme

The CBRT Research Team and NHS NIHR Research Design Team South West will work together towards NICE approval as both a technique and technology. CBRT Practitioners in Belfast 14 15 October

With a minimum print run of only 3,000 units, CBRT can publish bespoke version(s) and different language(s) editions of CBRT Relaxation Kits, Affirmation Cards and Observation Diaries for NHS Trusts wishing to provide customised CBRT kits (including 10 full colour print pages for local information) for their Patients.

CBRT are developing new sets of CBRT Affirmation Cards for specific conditions e.g. smoking cessation, healthy eating, insomnia.

Some further background information:

CBRT - 193 GROUP Case study Feedback Evidence June 2014 copyright 2019


CBRT CASE STUDIES NHS clinician - Life Responses - 3 Groups - 15 people total - 2 sessions each


NEW CBRT 45 GROUP users - Case studies Feedback Evidence - 7 Jan 2016


CBRT - 28 Individual users feedback - MH + GAD-7 questionnaires.July 2014


CALM Programme - Combating Anxiety through Lifestyle Management & CBRT