PEOPLE IN SPECIALIST TREATMENT FOR ALCOHOL AS RECORDED BY NDTMS -
2011/12 QUARTER 4 UPDATE
Executive Summary
� At the end of 2011/12 in the North East, 6.2% of estimated dependent drinkers were in contact
with (accessing) specialist treatment services for main substance alcohol. This figure was similar to
the national total of 6.8%. At a local Primary Care Trust (PCT) level, Darlington had the highest
estimated percentage of dependent drinkers having accessed specialist treatment services at
13.8% whereas North Tyneside had the lowest percentage at 2.9%.
� Throughout 2011/12 the North East has seen a decrease of 5.9% in numbers in treatment (a drop
from 9,456 in 2010/11 to 8,898 currently). However, the current level of numbers in treatment has
managed to remain above the 2009/10 total of 8,531 and hopefully this can be maintained
throughout the 2012/13 totals.
� The 2011/12 Q4 data shows that there has been overall decrease in numbers accessing specialist
alcohol treatment in the North East compared to the same time last year. At the PCT level, there
were five areas experiencing increases in the numbers in treatment and seven areas experiencing
decreases; County Durham, Darlington, Hartlepool, North Tees and Northumberland had
respective increases of 0.2%, 0.4%, 8.4%, 3.4% and 7.5% compared to 2010/11 Q4.
Numbers in Treatment
� Figure 1 below shows the estimated percentage of dependent drinkers1 accessing specialist
treatment for alcohol across the North East. The overall percentage as at the end of 2010/11 Q4
(annual figure) is shown at the top of each bar in the chart whilst the 2011/12 Q4 percentage is
shown at the bottom of each bar.
� Please note that the rates in Figure 1 are only comparable to the 2011/12 Q3 release of this
report as the dependent populations have been updated to take into account new NWPHO risk
group estimates and 2010 ONS population estimates. The net effect in the North East being an
increase from 141,200 to 143,000 dependent drinkers with significant variation across some
localities, for more information please see Appendix A.
1 Estimates of dependent population are only available for 16+ whilst NDTMS data includes all people aged 9-75 in treatment.
� These rates have been calculated as a proxy measure by using as a denominator the estimated 16+
dependent population at PCT level (as calculated in the Department of Health Ready Reckoner
Tool V5.2) and all numbers in treatment have been taken from www.ndtms.net as the numerator.
� The numbers accessing treatment taken from NDTMS include those aged under 16 and are
therefore out of line with the estimated dependent population. Their exclusion would however
disclose by deduction part of the restricted NDTMS dataset. Keeping the under 16 cohort in the
calculation only has a marginal impact, for 2010/11, changing the numerator (of people accessing
treatment) in this way only reduced the rate by 0.2% for the entire North East.
Figure 1: Percentage of dependent drinkers in treatment
� Please note that not all treatment agencies within a given area report data into NDTMS,
therefore percentages for different areas in the above chart may not be directly comparable.
� At the end of 2011/12 Q4 in the North East 6.2% of estimated dependent drinkers had accessed
specialist treatment services for main substance alcohol, this figure was just below the national
total of 6.8%.
� In the Department of Health’s 2009 ‘Signs for Improvement’ document2 under High Impact
Change, there is a highlight to "Improve the effectiveness of and capacity of specialist treatment:
Ensure the provision and uptake of evidence-based specialist treatment for at least 15% of
estimated dependent drinkers in the PCT area”. At the end of 2011/12 the best performing area in
this respect was Darlington achieving an estimated 13.8% of dependent drinkers accessing
treatment over the period of the financial year.
2 http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_104854.pdf
2010/11 Q4 -
2011/12 Q4 -
9.9%
13.8%
5.4%
9.4%
12.5%
4.8% 4.6%
3.1%3.2%
14.0%
8.1%
5.5%
6.6%7.1%
10.0% 13.8% 5.2% 10.2% 12.3% 4.0% 4.8% 2.9% 3.5% 12.7% 6.9% 4.3% 6.2% 6.8%
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� Figure 2 shows the percentage change in numbers of people accessing specialist treatment
services for alcohol between the last complete financial years of 2009/10 and 2010/11 and also
the annual percentage change between the four quarters of 2010/11 and 2011/12.
Figure 2: Annual change in numbers in treatment at 2010/11 year end and 2011/12 Q1 – Q4
� Caveats: Please refer to Table 1 below for the scale of the numbers accessing treatment used to
produce the above figure. Also make sure to consider trend data for quarters with caution given
that fluctuations will be seen throughout the course of the year.
� At the end of 2010/11 the numbers accessing treatment in the North East had increased by 10.8%
to 9,456 from a total of 8,531 at the end of 2009/10. Nationally, the overall percentage change
between the two financial years decreased by 0.6%. However, by 2011/12 Q4 the numbers
2009/10-10/11 Annual Change 2010/11-11/12 Q1 Change
2010/11-11/12 Q1-Q2 Change 2010/11-11/12 Q1-Q3 Change
2010/11-11/12 Q1-Q4 Change
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accessing treatment in the North East were actually 5.9% lower than in 2011/12 Q4, whilst the
national total was slightly better than the North East with a drop of 4.7%.
� As of 2011/12 Q4 there were only five PCT areas in the region that had experienced an annual
increase in the numbers in treatment since this time last year, these were; County Durham,
Darlington, Hartlepool, North Tees and Northumberland with respective increases of 0.2%, 0.4%,
8.4%, 3.4% and 7.5% compared to 2010/11 Q4.
Table 1: Numbers in specialist treatment for alcohol
Area
Number in Specialst Treatment for Alcohol
2009/10 2010/11 2011/12
Year End Year End Year End
County Durham 1,461 1,883 1,887
Darlington 398 511 513
Gateshead 651 710 679
Hartlepool 349 443 480
Middlesbrough 795 891 879
Newcastle 964 946 788
North Tees 459 476 492
North Tyneside 503 440 408
Northumberland 608 517 556
Redcar and Cleveland 573 700 634
South Tyneside 854 849 722
Sunderland 916 1,090 860
North East 8,531 9,456 8,898
England 115,246 114,508 109,164
Background to the NDTMS Dataset3
The National Drug Treatment Monitoring System (NDTMS) records information about people receiving
Tier 3 or 4 treatment for drug and alcohol misuse in England (i.e. structured, community-based services,
including residential and inpatient services). There is full compliance with provision of data from these
services in the North East which is a Department of Health requirement for all community-based,
publicly funded specialist alcohol treatment services. Provision of data from community-based,
residential rehabilitation units, however, is less complete (50-70%) due to significant provision from
private funding and the issue of ‘spot-purchase’ commissioning.
NDTMS was introduced for specialist drug treatment provision on 1 April 2001; however, formal
collection of structured alcohol treatment data was not incorporated until 1st April 2008 when the
Department of Health commissioned the National Treatment Agency (NTA) to collect and analyse
specialist alcohol treatment data on its behalf. They established a subset of the NDTMS Data Set,
3 http://www.alcohollearningcentre.org.uk/_library/natms_annual_statistics_report_2009_2010.pdf
consisting of 28 data items and known as the National Alcohol Treatment Monitoring System (NATMS)
Data Set.
Data is collected via a system whereby treatment services submit a core data set of their clients’
information. Code sets for the core data set can be found in the NDTMS Business Definitions and
Reference data documents (see http://www.nta.nhs.uk/core-data-set.aspx).
Appendix A: Net effect of update to dependent population estimates to North East localities
Area Estimated dependent population
% dependent pop in treatment
2010/11
Previous Current Previous Current
County Durham 28,038 18,946 6.7% 9.9%
Darlington 4,989 3,710 10.2% 13.8%
Gateshead 10,467 13,178 6.8% 5.4%
Hartlepool 5,412 4,713 8.2% 9.4%
Middlesbrough 8,508 7,118 10.5% 12.5%
Newcastle 17,077 19,884 5.5% 4.8%
North Tees 10,320 10,247 4.6% 4.6%
North Tyneside 10,349 14,072 4.3% 3.1%
Northumberland 14,033 15,948 3.7% 3.2%
Redcar and Cleveland 7,800 4,982 9.0% 14.0%
South Tyneside 8,419 10,434 10.1% 8.1%
Sunderland Teaching 15,763 19,812 6.9% 5.5%
North East 141,176 143,053 6.7% 6.6%
England 1,582,562 1,608,059 7.2% 7.1%
Dependent population estimates have been derived using:
� NWPHO risk group estimates - http://www.lape.org.uk/downloads/alcoholestimates2011.pdf
� ONS 2010 mid-year population estimates - http://www.ons.gov.uk/ons/publications/re-reference-
tables.html?edition=tcm%3A77-231847
� DH Ready Reckoner dependent drinker methodology -
http://www.alcohollearningcentre.org.uk/Topics/Browse/Data/Datatools/?parent=5113&child=51
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