Background to NDTMS & TOP - a context for data collection

1. National Drug (and Alcohol) Treatment Monitoring System Background to NDTMS & TOP- a context for data collection Jill Smith Public Health Liaison Manager North East Public Health Observatory

2. What is NDTMS? National Data Collection system 9 Regional NDTMS teams in England Performance managed through Service Level Agreements Overseen by The National Treatment Agency (NTA) Scotland, Wales and Northern Ireland UK dataset provided to the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA), and for the United Nations.

3. 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)

4. What is NDTMS? National Data Collection system All publicly funded provider services for structured drug or alcohol treatment to clients of any age are required to submit information through NDTMS. Non publicly-funded or non-structured providers may choose to submit data. Relates to process of Collecting Collating Analysing Information and obtaining Accurate Good quality Timely information for those involved in specialist drug (and alcohol) treatment

5. 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 1st April 2006 YP data included 1st April 2008 Adult Alcohol treatment data included 1st April 2009 Dataset ‘F’ – major changes to YP dataset….

6. 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 (+400) c.13,000 per year Adult (all drugs) in effective treatment (+600) c.5000 Adults (all drugs) started an effective treatment journey 74% Male to 26% Female 25-29 age group is largest (and 30-34) 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. USED TO……… 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. Still evidences effective use of public funds today. 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 Supports service delivery and client care Preserve budgets funding treatment Evidence for effective/innovative practices

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

9. 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/core-data-set.aspx Documentation: Business Definitions, Technical Definitions and Reference Data Beware revisions!