Transcript Slide 1

Using NATMS to support effective
commissioning
Helen Willey
Alcohol Information Analyst
National Treatment Agency
Introduction
 Short presentation on NATMS and current reporting outputs (5/10
mins)
 Structured question and discussion session (in small groups),
followed by brief feedback from each group (20/25 mins).
 Presentation on the new needs assessment data (5 mins).
 General Q&A/discussion session
What is NATMS?
 The National Drug Treatment Monitoring System (NDTMS)
 April 2001
 Tier 3 and 4 (structured) treatment
 The National Alcohol Treatment Monitoring System (NATMS)
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April 2008
Subset of NDTMS
28 data items – reports on primary alcohol clients
DH commissioned
NTA managed
Enables national, regional and local level reporting on alcohol treatment
Accessing the data
 NDTMS.net publicly available data http://www.ndtms.net/
 NDTMS.net restricted statistics – Quarterly Reporting
 NATMS Annual Statistical Reports (08/09 available, 09/10 to be
released)
http://www.nta.nhs.uk/uploads/natms_annual_statistics_report_2008_2009.pdf
 Needs Assessment Data (09/10 to be released)
Publicly Available Data http://www.ndtms.net/
Quarterly (Purple) Reports
 NDTMS.net - http://www.ndtms.net/ login to access restricted
statistics. Also posted onto DAMS.
 3 reports:
 Alcohol PCT
 Alcohol Agency (all activity)
 Alcohol Agency (PCT of residence)
 Alcohol treatment information: In treatment YTD, new presentations, non primary alcohol clients
receiving alcohol interventions, exits, waiting times, exit status, referral source, recorded alcohol type.
 Alcohol user profile: gender, age group, ethnicity, presenting substances (second and third drugs)
 Guidance documents also on NDTMS.net
Restricted Data: Quarterly Reports
PCT, Region or National
[SELECT]
CODE
NTA REGION
0
SHA
ALCOHOL TREATMENT INFORMATION
If you have saved this file locally, opened it from that
location and have selected PCT, Region or National,
click this button
Save Your Report
Numbers in treatment year to date YTD - Alcohol as Primary Drug
Number of clients with a new presentation into treatment (YTD)
Number Receiving an Alcohol-Specific Intervention YTD, Alcohol not Primary Drug
0
Treatment System Exits (YTD)
Number exiting the treatment system
Number completed - care planned discharge
Number unplanned discharge
Number referred on
Percent completed - care planned discharge
Percent unplanned discharge
Overall Waiting Times - First Treatment Intervention - 3 Weeks and Under (Current Quarter)
Number of waiting times – 3
Number of valid waiting times
weeks and under
% waiting times – 3 weeks
and under
Waiting Time (wks) All Interventions (Current Quarter)
Treatment type
Number of valid waiting times
Average waiting times
Longest wait per intervention
ALC - Inpatient
treatment
ALC Residential
rehabilitation
ALC Community
prescribing
ALC ALC ALC - Other
Structured
Structured day structured
psychosocial
programmes
treatment
intervention
Questions
 Knowledge/understanding of the reports and access
 Current use of the reports
 Suitability of the associated guidance
 Improvements to the current reports
Alcohol Needs Assessment 2009/10
 Currently under development – November release
 First year of implementation – will be updated annually
 Reports on 2009/10 ‘frozen’ data
 Distributed through DAMS and via Regional Alcohol Managers
 Provides the number and case mix of clients at each stage of the
treatment journey (Entry, In Treatment, and Exit).
 Reports on one full years worth of data and provides more detail than
the quarterly performance reports
Intended to inform the JSNA process
Alcohol Needs Assessment 2009/10
 2 components
 Treatment Map Summary
 Detailed Client/Agency Profiles
 Key differences from drug treatment data:
 Select client type (Primary alcohol, or adjunctive alcohol)
 Reports on Tier 2 activity (separate data item)
Alcohol Needs Assessment 2009/10 - Format
Treatment Map Summary
PCT Synthetic estimates of existing drinkers
(population aged 16+)
West Sussex , 5P6
%
Number
NTA Region
South East
PCT Name
West Sussex
PCT Code
5P6
Client Type
Increasing Risk Drinkers
Alcohol is the primary drug
Higher Risk Drinkers
Client Gender
Dependent Drinkers
Binge Drinkers
All
Treatment Entry 09/10 (New Presentations to Treatment, All Client Types)
Referral Source
Other
Agency
Agency A
Agency B
Agency C
PCT Total
Regional Total
National Total
n
%
Community
Based Care
Services
n
%
Children &
Family
Services
n
%
Health &
Mental Health
Services
n
%
Substance
Misuse
Services
n
%
Criminal
Justice
System
n
%
Self, Family &
Friends
n
%
No Referral
Source
Recorded
n
%
Total new
presentation
s
Alcohol Needs Assessment 2009/10 - Format
In Treatment 09/10 ( Primary Alcohol Clients Only)
Prior Contact (number of
previous journeys)
Time in Contact with Treatment
Total number in
treatment
Agency
<3
months
3-5
months
6-11
months
12
months +
1
2
3
4+
Agency A
Agency B
Agency C
Structured Treatment - Tier 3 and 4 Activity
Intervention Waiting Times
Intervention Type
Agency
Agency A
Agency B
Agency C
First Intervention
Subsequent
Interventions
ALCALCALCALCALCStructured
ALCResident Commun
Structured
3 weeks
Inpatient
psychoso
Other
3 weeks
ial
ity
day
and
> 3 weks
treatmen
cial
structured
and under
rehabilita prescribi
programm
under
t
interventio
treatment
tion
ng
es
n
>3
weks
Tier 2 Activity
Total Number of
Interventions
First
Subseq
Total
uent
0
ALC - Brief
Interventions
Alcohol Needs Assessment 2009/10 - Format
Agency Transfers 09/10 (Primary Alcohol Clients Only)
Agency Transfer From
Total
Agency C
Agency B
Agency A
Agency Transfer To
Agency A
Agency B
Agency C
PCT Total
Treatment Exits 09/10
Treatment Exit Reason
Planned Successful Completions
Referred On
Occasional User
Free
Agency
Agency A
Agency B
Agency C
PCT Total
n
%
n
%
n
%
Unplanned
Discharges
n
%
Total Exits
(Including
Successful
Completions)
n
%
Total
Successful
Completions
n
%
Total Still In
Treatment
n
%
Alcohol Needs Assessment 2009/10 - Format
Client Profile: Treatment Entry
NTA Region
PCT
SELECT NTA REGION FIRST
SELECT PCT SECOND
Agency
Client Type
Client Gender
Alcohol is an adjunctive drug
All
SELECT AGENCY
2009/10
n
Age
18
19
20 – 24
25 – 29
30 – 34
35 – 39
40 – 44
45 – 49
50 – 54
55 – 59
60 – 64
65+
Ethnic Group
White
Mixed
Asian
Black
Other
Recorded Alcohol Type
7000 Alcohol (Unspecified)
7001 Beer or Cider
7002 Wines And Fortified Wines
7003 Spirits
7004 Mixture of Alcohol
Accomodation Status
Urgent Problem
Housing Problem
No problem
Other
Not stated/missing
Total
Other
%
Community
n
%
Children &
n
%
Referral Source
Health &
Substance
n
%
n
%
Criminal
n
%
Self, Family &
n
%
No Referral
n
%
Total new
presentation
n
%
Future Steps
 Release of the needs assessment data (Nov)
 The production of an outcomes measure for alcohol treatment
 Filling data ‘black-holes’:
 Tier 2 Brief Interventions – now reported on in NA
 ‘Other structured treatment’ – why so many falling into this category?
 The production of a summary sheet for purple reports (if this is felt to
be of use)
Summary
 Currently 3 quarterly reports produced
 New comprehensive needs assessment data to be released soon
 09/10 annual statistical report to updated soon
 Looking to improve current purple reports
Any further questions?
Contact Details
Helen Willey
Kevin Shelton
Information Analyst - Alcohol and Needle Exchange
Treatment Information Manager
National Treatment Agency
National Treatment Agency
6th Floor, Skipton House
6th Floor, Skipton House
80 London Road
80 London Road
London SE1 6LH
London SE1 6LH
[email protected]
[email protected]
020 7972 1943
020 7972 1953