DTMU is delivered by Solutions for Public Health Confidential & Proprietary, Copyright 2010, Solutions for Public Health March 2 nd 2010 NATMS Core Dataset.

DTMU is delivered by Solutions for Public Health Confidential & Proprietary, Copyright 2010, Solutions for Public Health

March 2nd 2010

NATMS Core Dataset Training for Alcohol Treatment Providers and Commissioners

Michael Wallington & Regina Lally

Drug Treatment Monitoring Unit

DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, 2010

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April 11, 2023

Ground Rules

• Please respect those around you by not holding individual conversations whilst the sessions are in progress

• Please put mobiles on silent/vibrate• Please take any calls outside of the meeting• Today will focus on Alcohol Only. Discussions

in relation to NDTMS will be covered at local DAAT Training.


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April 11, 2023

Aims

• Clarify situation with regards to alcohol specific data items within Core Data Set G (CDS-G)

• Clarify requirements and definitions of Core Data Set in relation to Alcohol Treatment Providers

• Review Data Quality and uptake of TOP• Provide information around current reporting

and monitoring• Clarify numbers in treatment, successful

completions and waiting times calculations


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April 11, 2023

NATMS Core Dataset G

• Four proposed new data items:– Audit Score– Smoking Status– Treatment Goal– Days drinking above the binge limit

• Data items not approved by Department of Health– Discussions continuing, but no final decision reached– Therefore, not required for completion or submission

from 1st April 2010


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April 11, 2023



• DH want to consider– Relevance to providers– Relevance to commissioners– Impact of collection on providers


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April 11, 2023



• Group discussion– Benefit of collecting these items– Implications of collecting these items– Impact of collecting these items


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April 11, 2023



• Feedback to DH– DTMU will take the summary of this session and

provide as feedback to DH, to inform their discussions.


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April 11, 2023



• Do not submit these fields to NATMS until further notice

• Liaise with software suppliers to ensure fields are hidden in the front end of your system


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April 11, 2023

NATMS Referral Sources

• Updated alcohol specific referral sources from 1st April 2010

• Applicable to primary alcohol clients only:– Employer– Alcohol Treatment Requirement (ATR)– Peer


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April 11, 2023

NATMS Data Items

• Four groupings of items– Client Information– Episode Information– Modality Information– [Treatment Outcome Profile (TOP) Information]


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April 11, 2023

NATMS Data Items

TOPInformation

Client Information

Episode Information

Modality Information

Episode Information






TOPInformation

TOPInformation

TOPInformation

TOPInformation

TOPInformation


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April 11, 2023

Client Information

Agency ID: P0000First Initial: ASecond Initial: WDOB: 22/10/1973Gender: MaleReferral Date: dd/mm/yyyyT3 Assessment Date: dd/mm/yyyyMain Problem Substance: Alcohol

PCT of residence: KentDAT of residence: Kent

Postcode: ME14 1HH

Referral Source: SelfClient Ref: 123Previously Treated: NoConsent for NATMS: Yes

Sexuality: Heterosexual

Ethnicity: WhiteLocal Authority: MaidstoneNationality: GBR


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April 11, 2023

Referral Date Definition

• Referral date– (referral to agency date) date agency becomes aware that

the client is waiting. – Date of receipt of phone-call, letter, client walks through

door asking to be seen etc.


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April 11, 2023

Consent

Clients should give written consent to share information about their care plan. This consent should specifically state which agencies the client consents to have information received about them and which they do not. A form recording the client’s consent should be kept in the notes. Consent should be reviewed at the time of reviewing the care plan.


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April 11, 2023

NTA Confidentiality Toolkit

• Confidentiality policy should be clearly explained to client (verbally and written form), before assessment for treatment.

• Should cover:– What information will be collected by the agency– When and what information will be shared with other

services and organisations– Who information will go to and why (NATMS)– When the confidentiality may be breached

– (NTA Confidentiality Toolkit, September 2009 NTA)


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April 11, 2023

Confidentiality

• Agencies should have clear policies about how assessment information and care plans are shared.

• Good information sharing protocols help the care planning process to be smoother and prevent the hold-ups and misunderstandings that might arise if all the relevant information for the client was not available to practitioners and keyworkers in different agencies.

(Good practice in care planning, July 2007 NTA)


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April 11, 2023

Care Planning

“As soon as possible, the allocated keyworker will ensure that the client undergoes a comprehensive assessment of needs. Following this a comprehensive care plan is drawn up”.

(Care Planning Practice Guide, August 2007, NTA)

“…service user involvement [is] an integral part of the development of care plans, with the users as the central focus of care planning, review and ongoing treatment.”

(Good Practice in Care Planning, July 2007, NTA)


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April 11, 2023

Care Planning Domains

Care Plan Start Date: dd/mm/yyyy

Drug & Alcohol Use

Route of Administration of Primary Substance: OralAge of first use of Primary Substance: 23Problem Substance Two: CannabisProblem Substance Three: Amphetamines UnspecifiedInjecting Status: NeverInjected in last 28 Days: NoEver shared: NoDrinking Days: 28Units of Alcohol: 17

If “Drinking Days” completed, “Units of Alcohol” MUST be completed as well

“Units of Alcohol” is typical number of units consumed on a drinking day


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April 11, 2023


Physical & Psychological Health

Hep C Latest Test Date: dd/mm/yyyyHep C Intervention Status: Offered and acceptedHep C Positive: NoHep B Intervention Status: Offered and acceptedHep B Vaccination Count: One vaccinationPreviously Hep B Infected: No

Referred to Hepatology: No

Dual Diagnosis: No

Not likely to be as relevant for Alcohol only clients. Report if it is relevant for the client.


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April 11, 2023


Social Functioning

Accommodation Need: Housing ProblemEmployment Status: Regular EmploymentChildren: 3Pregnant: YesParental Status: All the children live with client


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April 11, 2023

Parental Status

• Priority for many Partnership areas• Reference Data from 1st April 2009:

– All the children live with the client– Some of the children live with the client– None of the children live with client– Not a parent– Client declined to answer

• Data Completeness being monitored, along with “Children Living with” field.


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April 11, 2023

Adult Alcohol Modalities

Tier 4ALC - Inpatient TreatmentALC - Residential Rehabilitation

Tier 3ALC - Community PrescribingALC - Structured Psychosocial InterventionALC - Structured Day ProgrammeALC - Other Structured Treatment

Tier 2ALC – Brief InterventionsWill NOT count towards numbers in Treatment.

• Modalities being delivered should be reported against the client episode• Do not use the old “Structured Alcohol Intervention”. This is monitored by

data quality reports and should be amended to a new code as above


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April 11, 2023

Modality Data

Referral Date: dd/mm/yyyy

T3/4 Assessment Date: dd/mm/yyyy

Referral Source: Employer

Referral to Modality Date: dd/mm/yyyy

Date of First Appointment Offered: dd/mm/yyyy

Modality: ALC- Community PrescribingModality Start Date: dd/mm/yyyy


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April 11, 2023

Treatment Outcomes Profile

• No requirement by DH or NTA to complete TOPs at Alcohol Only agencies.

• Validated for clients with Alcohol as main problem substance

• No central NTA analysis on TOP completed for primary Alcohol clients

• How is TOP being used across the region in relation to Alcohol Treatment?


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April 11, 2023

Treatment Outcomes Profile• Short, validated outcome monitoring tool released by the NTA

June 2007• Intended for implementation in all Drug services that provide

structured Tier 3 & Tier 4 treatments• Data to be reported to NDTMS from 1st October 2007• Should be completed at:

– Modality Start– Care Plan Review– Discharge – Post Discharge [Optional]

• www.nta.nhs.uk/areas/outcomes_monitoring/


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April 11, 2023

TOP NDTMS Data

• You should aim to ask and complete every question.

• Do not leave any of the blue boxes blank

• Enter “NA” if a client refuses to answer a question or cannot recall.


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April 11, 2023

TOP NDTMS Data

Modality Start Date: dd/mm/yyyy [Trigger for first TOP]

TOP Date: dd/mm/yyyyTOP Treatment Stage: Treatment StartTOP Care Co-ordination: Yes

When multiple agencies are providing treatment, it is envisaged that responsibility for reporting TOP data will lie with the agency responsible for care co-ordination.

DAATs should have agreed care co-ordination pathways locally.


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April 11, 2023

TOP NDTMS Data

Section 1: Substance UseAlcohol Use: 15Opiate Use: 0Crack Use: 0Cocaine Use: 15Amphetamine Use: 4Cannabis Use: 10Other drug use: 0

Information sought:

Number of days out of last 28 client has used each drug.

Permissible values:

Number in range “0-28”

“NA” if client is unable to or refuses to answer question


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April 11, 2023

TOP NDTMS DataSection 2: Injecting Risk BehaviourIV Drug Use: 0

Sharing: N

Information sought:

Number of days out of last 28 client has injected non-prescribed drugs.

Permissible values:



Information sought:

Has client shared needles or paraphernalia in last 28 days.

Permissible values:

Y or N



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April 11, 2023

TOP NDTMS Data

Section 3: Crime

• No details of specific crimes should be shared by client with keyworker.

• General information about type of crimes funding drug or alcohol habit should be shared and recorded to address all client needs and evidence improvement in lifestyle.

• The information shared with NDTMS is subject to the same confidentiality as all client information currently / previously received.

• Data is used for performance / outcome monitoring only.


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April 11, 2023

TOP NDTMS DataSection 3: CrimeShop Theft: 18Drug Selling: 6

Other theft: YAssault / Violence: N

Information sought:

Number of days out of last 28 client has been involved in each crime.

Permissible values:



Information sought:

Has client been involved in each crime in last 28 days.

Permissible values:

Y or N



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April 11, 2023

TOP NDTMS DataSection 4: Health & Social FunctioningPsychological Health Status: 9

Paid work: 3Education: 1

Information sought:

Self reported score from scale.

Permissible values:



Information sought:

Number of days out of last 28 client has had paid work or been in education.

Permissible values:




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April 11, 2023

TOP NDTMS Data

Section 4: Health & Social FunctioningPhysical Health Status: 5Quality of Life: 4

Acute Housing Problem: NHousing Risk: Y

Information sought:

Self reported score from scales.

Permissible values:



Information sought:

Client has been homeless / risk of eviction in last 28 days.

Permissible values:

“Y” or “N”



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April 11, 2023

Modality End / Discharge Data

• Modality End Date• Modality Exit Status

– Can be entered as modalities are completed, client episode remains open

– MUST be entered for all modalities on discharge from agency

• Discharge Date • Discharge Reason

– If a Discharge Date is entered, then a Discharge Reason must be given and vice versa.

– Discharge information must be reported accurately and in a timely fashion as it is used to monitor successful completions.


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April 11, 2023

Alcohol Discharge Reasons

Successful Completions•Treatment completed - alcohol free•Treatment completed - occasional user


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April 11, 2023


Transfers• Transferred – not in custody• Transferred – in custody


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April 11, 2023


Incomplete• Incomplete – Dropped Out• Incomplete – Treatment withdrawn by

provider• Incomplete – Retained in Custody• Incomplete – Treatment Commencement

Declined by Client• Incomplete – Client Died


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April 11, 2023

Discharge Data and TOP

• Complete TOP at discharge from treatment system.– This should be done face-to-face between keyworker

and client where possible– May be done over telephone where no other option

available (i.e in unplanned discharges).– NOT acceptable to complete on clients’ behalf

without client present.


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April 11, 2023

LUNCH


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April 11, 2023

Data Collection Purpose

• Enables national, regional and local-level reporting on alcohol treatment.

• Supports the National Alcohol Strategy and needs analysis

• Facilitate policy formulation• Supports development of efficient

commissioning systems at local level


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April 11, 2023

Performance Monitoring

• Key areas of performance for Alcohol Services are.– Numbers in Treatment– Waiting Times– Successful completions of treatment


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April 11, 2023

Reporting and Monitoring

• Monthly: www.ndtms.net– Numbers in treatment (YTD)

• Quarterly: “Purple Reports”– PCT level reports– Agency level reports


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April 11, 2023

www.ndtms.net


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April 11, 2023

www.ndtms.net


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April 11, 2023

Numbers In TreatmentPCT Number in Treatment YTD Dec 2009

Berkshire East PCT 625

Berkshire West PCT 259

Brighton & Hove PCT 676

Buckinghamshire PCT 604

East Sussex Downs and Weald PCT 375

Eastern & Coastal Kent PCT 1033

Hampshire PCT 1459

Isle of Wight PCT 163

Medway PCT 588

Milton Keynes PCT 211

Oxfordshire PCT 726

Portsmouth Teaching PCT 470

Southampton PCT 358

Surrey PCT 1900

West Kent PCT 715

West Sussex PCT 1283


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April 11, 2023

Quarterly “Purple Reports”

• Explanation / Discussion• Who accesses / uses these reports

regularly?


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April 11, 2023

What should you expect from DTMU?Agency Training and Support: Dedicated

Liaison Officers and Database Administrator providing telephone and in-house training on Current Core Datasets.

Monthly Validation and Data Quality Reports via DAMS: Reporting erroneous client records, requiring correction.

NewsletterAccess to DTMU documents online

www.dtmu.org.uk


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April 11, 2023

DTMU Data Quality Standards

• All monthly agency submissions must contain at least 100% valid records.

• All monthly agency submissions must reach 99.9% data quality

• Files must be in a CSV format.• All agencies must submit via the Drug and Alcohol

Monitoring System (DAMS): https://www.ndtms.org/dams/


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April 11, 2023

SE DTMU Team

Based in Oxford with SEPHOTeam consists of:

Kellie Peters: Head of Data ManagementRegina Lally: ManagerMichael Wallington: Technical Liaison Project ManagerDami Omole: Project ManagerSue Dales: Database & QA Administrator

(NDTMS)Caroline Ridler: Information AnalystRachel Johnson: Information AnalystJo Frank: Project AdministratorLucy Nicholson: Database & QA Administrator (Prisons)Laura Kesseboom: DIR Administrator


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April 11, 2023

ANY QUESTIONS

DTMU is delivered by Solutions for Public Health Confidential & Proprietary, Copyright 2010, Solutions for Public Health March 2 nd 2010 NATMS Core Dataset.

Documents

copyright sph

public health sph

information slide

natms data items

dh dtmu

proposed new data items

alcohol specific data

binge limit data items