Delivering independent intelligence for health and wellbeingDelivering independent intelligence for health and wellbeing
National Drug (and Alcohol) Treatment Monitoring System
Jill SmithPublic Health Liaison Manager
North East Public Health Observatory
Core Dataset H Changes to NDTMSApril 2011
Delivering independent intelligence for health and wellbeing
Core Dataset H Changes to NDTMS
In brief
Removal of Fields / ResponsesSex Worker CategoryAccommodation NeedYP Treatment InterventionsYP Sexually Active at Start/Exit
Expanded Responses for Existing FieldsNationalityYP InterventionsSex
Delivering independent intelligence for health and wellbeing
Core Dataset H Changes to NDTMS
In brief/…..
New Fields for All (YP, Adult Drug, Adult Alcohol) datasetsGP Practice CodeHepatitis C tested
New Fields for YP DatasetYP a Looked After ChildYP frequency of use of drug 1 at Start/ExitYP treatment being delivered in specific residential placement
Delivering independent intelligence for health and wellbeing
Core Dataset H Changes to NDTMS
In brief/…..
Additional alterationsYP Referral SourcesNew GeographiesTechnical IdentifiersLocal Authority
Delivering independent intelligence for health and wellbeing
Core Dataset H Changes to NDTMS
Removal of Fields/Responses
Sex Worker CategoryNow 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 WorkCode 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/ExitField replaced with better question!
Delivering independent intelligence for health and wellbeing
Core Dataset H Changes to NDTMS
Expanded Responses for Existing Fields
NationalityNow includes response “Not Stated”
YP Interventions5 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
SexNow 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 CodeAdded for potential use. If data is input, needs to be in the form Z12345.
New field for YP/Adult Drug datasets ?Alcohol
Hepatitis C TestedAdded 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 ChildIntroduced 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 placementAccess 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/ExitFollowing 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 SourcesFor 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 geographiesLocal 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
