1. Delivering independent intelligence for health and wellbeing NDTMS Core data set G ADULT SERVICES Jill Smith Public Health Liaison Manager North East Public Health Observatory National Drug (and Alcohol) Treatment Monitoring System

2. Delivering independent intelligence for health and wellbeing Regional National Treatment Agency Welcome and Opening Remarks Session 1: Background to NDTMS & TOP Context for data collection Quiz Session 2: Core Data Set G Revisions to Data Set (Part 1) Quiz Session 3: Core Data Set G Revisions to Data Set (Part 2) Quiz Session 4: TOP – Guidance for Key workers Revised guidance documentation Quiz Training Session Agenda

3. Delivering independent intelligence for health and wellbeing What is NDTMS? National Data Collection system 9 Regional NDTMS teams Performance managed through a Service Level Agreement Overseen by The National Treatment Agency (NTA) - Special health authority (2001) tasked with improving the availability, capacity and effectiveness of drug treatment. Targeted to double numbers in effective treatment from 1998-2008; succeeded, focus now to maximise the benefit to individuals, families and communities – the recovery & re-integration agenda

4. Delivering independent intelligence for health and wellbeing National Drug (and Alcohol) Treatment Monitoring System North East Regional Team Jill Smith – Public health Liaison Manager Christopher Barzey– Systems Integration Manager Michelle Cook – Data Manager Jan Wearmouth – NDTMS Coordinator Gayle Haswell – Health Information Analyst (YP, Tier 4, Hep C) Darren Anderson – Health Information Analyst (Ad hoc, Trends, Annual Reports)

5. Delivering independent intelligence for health and wellbeing What is NDTMS? HISTORY and FOCUS OF DRUG DATA COLLECTION 60s/70s – Health & Welfare of Individual’s addiction 1973 Home Office maintain an Addicts Index (defunct) 80s/90s - Public Health, Welfare and HIV prevalence Specialist Drug treatment data started to be collected via Regional drug misuse databases (RDMDs) through DH (100+ fields) 90s/00s - Crime Reduction and Community Safety 2001 NTA given responsibility for data collection, etc 2004 Electronic data transfer of NDTMS rolled out 1 st April 2006 YP data included 1 st April 2008 Adult Alcohol treatment data included 1 st April 2009 Dataset ‘F’ – major changes to YP dataset….

6. Delivering independent intelligence for health and wellbeing What is NDTMS? North East NDTMS (2008/09):- Drugs Data Currently 150 agencies reporting c.10,000 per year PDU (all ages) in effective treatment c.13,000 per year Adult (all drugs) in effective treatment c.5000 Adults (all drugs) started an effective treatment journey 74% Male to 26% Female 25-29 age group is largest NE has the highest proportion of <25s in England 63% had primary drug of Heroin Alcohol Data Currently 130 agencies reporting alcohol c. 8000 receiving specialist alcohol treatment per year

7. Delivering independent intelligence for health and wellbeing Why do we need NDTMS? Government Drives PSA 14 and 25 (numbers in treatment include YP aged 16-18 in specialist drug or alcohol treatment) as part of the delivery for National Drug Strategy 2008-2011. Supports National Alcohol Strategy. NTA view More treatment, better treatment, fairer treatment Effective Treatment, Changing Lives DAT/PCT view Essential to Needs Analysis process Informs & facilitates planning & commissioning Hidden Harm: ineffective if sparse data input Treatment Service view Preserve budgets funding treatment Evidence for effective/innovative practices

8. Delivering independent intelligence for health and wellbeing Who needs NDTMS? Provider Agencies NDTMS Core Data Set NEPHO DAT Partnerships Interested Regional Partners (NTA (SHA/PCTs (GONE (Probation (Prisons (NAO NTA HQ Home Office DH PMDU PM Stocktake Accountability Review Non-identifiable data Identifiable data only shared between NTA/NEPHO/Data provider DSCF MoJ

9. Delivering independent intelligence for health and wellbeing Treatment Outcome Profile (TOP) Validated, Peer-reviewed, and Published Tool of 20 Questions about Illegal substance use Injecting Behaviour Crime Social Health and Well-being Information Collected for all Drug treatment clients aged 16=/+ Collected at Treatment Start, 6 monthly reviews, Exit and Post Exit Outcome measured by change in scores e.g. NE has very high abstinence figures for those receiving a first Review for Crack Treatment, has better than national figures for housing problems but has similar levels of clients in paid work or education

10. Delivering independent intelligence for health and wellbeing Treatment Outcome Profile (TOP) – Start TOPs

11. Delivering independent intelligence for health and wellbeing Treatment Outcome Profile (TOP) – Review TOPs

12. Delivering independent intelligence for health and wellbeing Treatment Outcome Profile (TOP) – Exit TOPs

13. Delivering independent intelligence for health and wellbeing National Drug (and Alcohol) Treatment Monitoring System NDTMS : Where to find help:- NE NDTMS website:- http://www.NEPHO.org.uk/ndtms NTA Website:- http://www.nta.nhs.uk/areas/ndtms/core_data_set_page.aspx Documentation: Business Definitions, Technical Definitions and Reference Data Beware revisions!

14. Delivering independent intelligence for health and wellbeing National Drug (and Alcohol) Treatment Monitoring System Questions In your local Drug Action Team area 1.Who Needs NDTMS data? 2.Why?