1. Core Data Set N Adult community dataset
February 2017

2. Overview
CDS-N to be implemented on 1st April 2017 for new and existing clients regardless of age.
New clients – immediately implement CDS-N from 1st April 2017.
Existing clients – use new outcome form at next review and, where applicable, implement new sub-interventions and Client Information Review (CIR).
Stakeholder Consultation 25th Jul to 2nd Sep 2016.
First CDS-N submission will be in early May and contain NDTMS data from 1st April 2017.
The first reports to contain the new CDS-N data items will be in Quarter 1, 2017/18.
NDTMS CDS N

3. Removed data items Primary Care Trust of residence GP practice code
Local agency details (local field)
Client is a PbR client
Complexity at LASAR assessment
Referred to hepatology (local field)
Injected in last 28 days (local field)
Ever shared (local field)
Previously Hep B infected (local field)
Hep C positive (local field)
Are any of your children/the children living with you
Dual diagnosis
NDTMS CDS N

4. Removed reference data items
Referral source
DIP
Probation
Interventions
Needle exchange
Outreach
Advice and information
LASAR assessment
NDTMS CDS N

5. Additional data items at episode level
Adult drug and adult alcohol dataset
Employment status (removed from local to episode level field)
Time since last paid employment
Does the client have a mental health treatment need?
Is the client receiving treatment for their mental health need(s)?
What is the client’s SADQ score?
Are the client’s children (biological, step, foster, adoptive, guardian) or any of the children living with the client receiving early help or are they in contact with children’s social care?
Adult drug dataset
Hep C test result antibody status
Hep C test result PCR (RNA) status
NDTMS CDS N

6. Employment status Episode level field.
Applicable to adult drug and adult alcohol datasets.
Field heading – ‘EMPSTAT’.
Permissible responses:
Code
Text 1
Regular employment 14
Unpaid voluntary work 2
Pupil / student 15
Retired from paid work 9
Long term sick or disabled 99
Not stated 10
Homemaker 5
Other 12
Unemployed and seeking work 6
Not known 13
Not receiving benefits
The current employment status of the client. If a client declines to answer then ‘not stated’ should be used.
NDTMS CDS N

7. Time since last paid employment
Episode level field.
Applicable to adult drug and adult alcohol datasets.
Field heading – ‘TSLPE’.
Permissible responses:
Code
Text
Less than a year 1
1-2 years 2
2-3 years n*
n years since paid employment 97
Never employed 98
Currently employed 99
Client declined to answer
How long has it been (in years) since the client was last in paid employment? This includes cash in hand work. If a client declines to answer then ‘client declined to answer’ should be used.
Less than a year - Less than 1 year since paid employment
1-2 years - Between 1 and 2 years since last paid employment
2-3 years - Between 2 and 3 years since last paid employment
n years since paid employment - n is defined as an integer between 3 and 75
Never employed - Client has never been in paid employment
NDTMS CDS N

8. Does the client have a mental health treatment need?
Episode level field.
Applicable to adult drug, adult alcohol and YP datasets.
Field heading – ‘MTHTN’.
Permissible responses:
Code
Text 1
Yes 2 No
Does the client have a mental health treatment need? Mental health treatment need includes:
 common mental illness (eg anxiety, depression) either current diagnosis or currently experiencing symptoms/ behaviours consistent with (where the symptoms are not considered to be simply due to acute psychoactive effects of substances consumed or due to current withdrawals)
 serious mental illness (eg psychosis, schizophrenia, personality disorder) – either current diagnosis, or currently experiencing symptoms/ behaviour consistent with
 mental health crisis (person is currently suicidal or indicating a risk of harm to self or others, history of self-harm/suicide attempts/harm to others)
This is determined by either the client’s self-report or by formal assessment.
NDTMS CDS N

9. Is the client receiving treatment for their mental health need(s)?
Episode level field.
Applicable to adult drug, adult alcohol and YP datasets.
Field heading – ‘CRTMHN’.
Permissible responses:
Code
Text 1
Already engaged with the community mental health team/ Other mental health services 2
Engaged with IAPT 3
Receiving mental health treatment from GP 4
Receiving any NICE-recommended psychosocial or pharmacological intervention provided for the treatment of a mental health problem 5
Has an identified space in a health-based place of safety for mental health crises 6
Treatment need identified but no treatment being received.
Engaged with IAPT - IAPT: Improved Access to Psychological Therapy.
Already engaged with the community mental health team/ other mental health services - To include secondary mental health services (CMHT, Inpatient mental health services) or other mental health service (eg other talking therapies delivered in third or private sector)
Engaged with IAPT - IAPT: Improved Access to Physiological Therapy. To include IAPT or other primary care based mental health service.
Receiving mental health treatment from GP - To include any pharmacological treatment for mental health condition received from GP.
Receiving any NICE-recommended psychosocial or pharmacological intervention provided for the treatment of a mental health problem - This could include pharmacological interventions delivered by alcohol/drug services for the mental health problem, or  existing psychosocial interventions and recovery support interventions:
Existing psychosocial sub- intervention “Evidence-based psychological interventions for co-existing mental health problems”
Existing recovery support sub-intervention “Evidence-based mental health focused psychosocial interventions to support continued recovery” NB this as currently defined should follow completion of structured substance misuse treatment.
Has an identified space in a health-based place of safety for mental health crises - Awaiting NHSE publication of their evidence based treatment pathway for 24/7 community MH crisis response for further definition.
NDTMS CDS N

10. Client’s SADQ Score Episode level field.
Applicable to adult drug and adult alcohol datasets.
Field heading – ‘SADQ’.
Only required if delivering SADQ.
Permissible responses:
Code
Text
0 - 60
The client’s SADQ score 98
Information not available 99
Client declined to answer
The Severity of Alcohol Dependence Questionnaire (SADQ) is a short, self-administered, 20-item questionnaire designed by the Addiction Research Unit, Maudsley Hospital to measure severity of dependence on alcohol. The score of the questionnaire (0-60) should be recorded if the service uses this tool.
If the score is unknown or another tool is used please complete with 98 information not available and use 99 when a client declines to answer. For further information on SADQ please see:
NDTMS CDS N

11. Are the client’s children (biological, step, foster, adoptive, guardian) or any of the children living with the client receiving early help or are they in contact with children’s social care?
Episode level field.
Applicable to adult drug, adult alcohol, YP, adult and YP secure setting datasets.
Field heading – ‘EHCSC’. Permissible responses:
Code
Text 1
Early Help 2
Child in need 3
Has a child protection plan 4
Looked after child 5 No
Early Help - Early Help - the needs of the child and family have been assessed and they are receiving targeted early help services as defined by Working Together to Safeguard Children 2015 (HM Govt.).
Child in need - Child in need – the needs of the child and family have been assessed by a social worker and services are being provided by the local authority under Section 17 of the Children Act 1989.
Has a child protection plan - Has a child protection plan - social worker has led enquiries under Section 47 of the Children Act A child protection conference has determined that the child remains at continuing risk of ‘significant harm’ and a multi-agency child protection plan has been formulated to protect the child.
Looked after child - Looked after child - arrangements for the child have been determined following statutory intervention and care proceedings under the Children Act Looked after children may be placed with parents, foster carers (including relatives and friends), in children's homes, in secure accommodation or with prospective adopters.
No - Children are not receiving early help nor are they in contact with children’s services.
NDTMS CDS N

12. Hep C test result antibody status
Episode level field.
Applicable to adult drug dataset.
Field heading – ‘HCVAS’.
If not tested, leave blank.
Permissible responses:
Code
Text 1
Positive 2
Negative 3
Unknown
What is the result of the client’s hep C antibody test? This is the first test (before PCR test) which looks for hep C antibodies in the client’s blood.
For further information on recording BBV details please refer to the ‘Recording NDTMS data about blood-borne virus interventions’ document:
NDTMS CDS N

13. Hep C test result PCR (RNA) status
Episode level field.
Applicable to adult drug dataset.
Field heading – ‘HCVPCR’.
If not tested, leave blank.
Permissible responses:
Code
Text 1
Positive 2
Negative 3
Unknown
What is the result of the client’s hep C PCR test? The PCR test is usually the second test (after antibody test) which looks at whether the hep C virus is reproducing in the client’s body.
For further information on recording BBV details please refer to the ‘Recording NDTMS data about blood-borne virus interventions’ document:
NDTMS CDS N

14. Additional data items at SIR level
Applicable to recovery support sub-interventions
Client provided with take home Naloxone and training information
Referred to Hep C treatment
Client provided with domestic abuse / violence support
NDTMS CDS N

15. Client provided with take home Naloxone and training information
Sub-Intervention Review (SIR) level field.
Applicable to adult drug and adult alcohol datasets.
Field heading – ‘RECTHNAL’.
Only applicable where treatment intervention is / was recovery support.
Permissible responses:
Code
Text Y
Yes N No
Provision of take home naloxone and training to reduce overdose deaths from heroin and similar drugs.
NDTMS CDS N

16. Client referred to Hep C Treatment
Sub-Intervention Review (SIR) level field.
Applicable to adult drug and adult alcohol datasets.
Field heading – ‘RECHEPC’.
Only applicable where treatment intervention is / was recovery support.
Permissible responses:
Code
Text Y
Yes N No
Client referred to a specialist (directly or through a GP) for treatment of hepatitis C, ideally supported to attend appointment(s) but regardless of whether treatment is agreed and provided
NDTMS CDS N

17. Has there been facilitation to domestic abuse/violence support?
Sub-Intervention Review (SIR) level field.
Applicable to adult drug and adult alcohol datasets.
Field heading – ‘RECDOMV’.
Only applicable where treatment intervention is / was recovery support.
Permissible responses:
Code
Text Y
Yes N No
Staff have assessed service user needs in relation to domestic abuse/ violence as part of the comprehensive assessment or on-going recovery care planning process. There are agreed goals that include support actions by the treatment service, and/or active referral to a specialist domestic abuse service.
These services may include MARAC; community or refuge support providing safety planning, legal advice, advocacy and therapeutic interventions for victims/survivors and their children. Perpetrators of domestic abuse/violence may attend a perpetrator programme.
NDTMS CDS N

18. Prescribed medication
Prescribed medication and supervised consumption
Additional data items at pharmacological sub-intervention review level Permissible responses – Yes or No
Supervised consumption
Unsupervised consumption
Methadone
Buprenorphine
Buprenorphine and naloxone
(eg Suboxone)
Prescribed medication
Diamorphine
Nalmefene
Naltrexone
Disulfiram
Chlordiazepoxide
Acamprosate
Other medication
NDTMS CDS N

19. New reference data items
Hep B and Hep C intervention status (Adult drug dataset only)
Offered and accepted but refused at a later date
Deferred due to clinical reasons
Referral source
Self- referred via health professional
Pupil referral unit
Community Rehabilitation Company (CRC)
National Probation Service
Liaison and diversion
Children’s Social Services
‘CARAT/ Prison’ changed to ‘Prison’
NDTMS CDS N

20. Client Information Review (CIR)
Update at regular intervals throughout the episode if data item responses have changed.
Should be completed at least annually but is recommended to be completed following each care plan review and any information updates reported to NDTMS.
If nothing changes then no CIR required.
If only one data item requires changing, just complete a CIR with that data item updated.
The child safeguarding questions are particularly important to keep up-to-date as the latest information will be used to inform ministerial reports.
NDTMS CDS N

21. Client Information Review (CIR) - adult drug dataset
Client information review date
CIR ID
CIR Pregnant
CIR Parental status
CIR Children living with the client
CIR Are the client’s children (biological, step, foster, adoptive, guardian) or children living with the client receiving early help or are they in contact with children’s social care?
CIR Does the client have a mental health treatment need?
CIR Is the client currently receiving treatment for their mental health need(s)?
CIR Hep B intervention status
CIR Hep B vaccination count
CIR Hep C intervention status
CIR Hep C tested
CIR Hep C antibody status
CIR Hep C (PCR) RNA status
NDTMS CDS N

22. Client Information Review (CIR) – adult alcohol dataset
Client information review date
CIR ID
CIR Pregnant
CIR Parental status
CIR Children living with the client
CIR Are the client’s children (biological, step, foster, adoptive, guardian) or children living with the client receiving early help or are they in contact with children’s social care?
CIR Does the client have a mental health treatment need?
CIR Is the client currently receiving treatment for their mental health need(s)?
NDTMS CDS N

23. Outcome Records TOP introduced in secure settings
Additional data items at TOP level
Days in unpaid structured work placement - Between 0 and 28 or NA
Days in volunteering - Between 0 and 28 or NA
Unsuitable housing – Yes, No or NA
New questions not peer reviewed or piloted as per the original questions.
Unpaid work - Number of days in previous 28 days that client has participated in an unpaid structured work placement eg internships or work.
Days volunteered - Number of days in previous 28 days that client has volunteered. Volunteering is unpaid time that the client has chosen to spend helping, for example, the environment or others.
Unsuitable housing - Has the client been in unsuitable housing in the previous 28 days? Unsuitable housing can be a housing situation that is likely to have a negative impact on health and wellbeing and / or on the likelihood of achieving recovery.
NDTMS CDS N

24. Documentation Reference data Business definitions
Technical definitions
Lists all NDTMS data items and all possible answers
Describes all items in dataset
Guidance to IT managers
NDTMS CDS N

25. Any Questions?
If you have any questions, please contact your local NDTMS team, the contact details of which are on next slide.
NDTMS CDS N

26. Regional Contacts Region Contact Details Yorkshire and the Humber
North East
North West
West Midlands
Eastern (East Midlands and East)
South East
South West
London
The NDTMS fair processing notice can be found at:
NDTMS CDS N