Delivering independent intelligence for health and wellbeing National Drug (and Alcohol) Treatment Monitoring System Jill Smith Public Health Liaison Manager North East Public Health Observatory Core Dataset H Changes to NDTMS April 2011

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS In brief Removal of Fields / Responses Sex Worker Category Accommodation Need YP Treatment Interventions YP Sexually Active at Start/Exit Expanded Responses for Existing Fields Nationality YP Interventions Sex

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS In brief/….. New Fields for All (YP, Adult Drug, Adult Alcohol) datasets GP Practice Code Hepatitis C tested New Fields for YP Dataset YP a Looked After Child YP frequency of use of drug 1 at Start/Exit YP treatment being delivered in specific residential placement

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS In brief/….. Additional alterations YP Referral Sources New Geographies Technical Identifiers Local Authority

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS Removal of Fields/Responses Sex Worker Category Now completely removed Accommodation Need Code 32 “CLA – Child Looked After” (NB: This field is describing initial presentation need) YP Treatment Interventions Code 51 YP Psychosocial Code 54 YP Family Work Code 59 YP Access to Residential Rehabilitation

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS Removal of Fields/Responses/…. YP sexually active at Treatment Start/Exit Field replaced with better question!

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS Expanded Responses for Existing Fields Nationality Now includes response “Not Stated” YP Interventions 5 new interventions introduced along similar lines to Adult Drug interventions:  63 YP Psychosocial – counselling  64 YP Psychosocial – cognitive behavioural therapy  65 YP Psychosocial – motivational interviewing  66 YP Psychosocial – relapse prevention  67 YP Psychosocial – family work

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS Expanded Responses for Existing Fields Sex Now includes Code 0 “Not known” and Z “Not specified”** ** Beware as there are implications for analysis

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS New Fields for all YP/Adult Drug/Adult Alcohol datasets GP Practice Code Added for potential use. If data is input, needs to be in the form Z New field for YP/Adult Drug datasets ?Alcohol Hepatitis C Tested Added for clarity around Hepatitis C test Date field. Permissible values are “No”, “Yes” and “Not asked”.

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS New Fields for YP dataset YP a Looked After Child Introduced to make the LAC status more clear. “Yes”, “No” and “Not Known” are permissible values but only if response is “Yes” will it be possible to enter information under the Location of LAC field. YP Frequency of use of drug 1 at Treatment Start/Exit Permissible values of 0-28 referring to the 28 days preceding treatment or in last 28 days of treatment. “Client declined to answer” is also permissible.

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS New Fields for YP dataset/Cont.……… YP treatment being delivered in a specific residential placement Access to Residential Rehabilitation has been removed from YP interventions and replaced with this specific field for greater clarity. Permissible values are: No Yes – Detox CAMHS patient Yes – Detox Adult ward Yes – In reach community detox Yes – In reach psychosocial Yes – Dedicated YP detox and rehab Yes – Paediatric hospital detox Yes - Other

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS New Fields for YP dataset/Cont.……… YP engaged in unsafe sex at Treatment Start/Exit Following consultation, the YP Sexually Active field has been removed and replaced with this field for greater clarity. Permissible values are : “No”, “Yes” and “Not asked”.

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS Additional Changes YP Referral Sources For management and reporting purposes, some codes have been regrouped. Codes 42, 56,52 and 55 (Helpline, Employer (Alcohol Clients only), YP Housing and Website) are placed in a new grouping of “Other”. The codes themselves remain in force and with the same definition as previously.

Delivering independent intelligence for health and wellbeing Core Dataset H Changes to NDTMS Additional Changes New geographies Local Authority lists e.g. for Northumberland have been updated Technical Identifiers Client ID, Episode ID, Modality ID and TOP ID are now compulsory and must not include attributable information. (These are generated by IT system rather than input by administrator.) Local Authority Is now mandatory for all datasets. (NB: LA, PCT, DAT are all fields expected to reflect on client’s current situation)

Delivering independent intelligence for health and wellbeing Recent Clarifications And another thing….. Tier 2 Brief Interventions for primary alcohol episodes. Code 76 – Brief Interventions – only Tier 2 intervention Guidance on what is Brief Intervention in pack