NDTMS Core Dataset ‘F’ Training Regina Lally, Kellie Peters and Michael Wallington Drug Treatment Monitoring Unit
NDTMS Core Dataset ‘F’ Training Regina Lally, Kellie Peters and Michael Wallington Drug Treatment Monitoring Unit.
Apr 01, 2015
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NDTMS Core Dataset ‘F’ Training
Regina Lally, Kellie Peters and Michael Wallington
Drug Treatment Monitoring Unit
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
Aims• Clarify requirements and definitions of
Core Data Set F (CDS-F) • Clarify DAAT care co-ordination pathways
and practicalities surrounding TOP data submission to NDTMS
• Provide updated information around data quality, reporting and monitoring
New for Core Dataset F
• Main additions to YP dataset• Adult dataset changes are:
– 1 new field– Reference data changes
TOP Care Co-ordination
• Options: Yes / No• To be used from 1st April 2009• To support the monitoring of TOPs
completion• Agency is care co-ordinator who has
current responsibility for completing TOP
Parental Status
• Reference Data changing 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
Drug Discharge Reasons
Successful Completions• Treatment completed - drug free• Treatment completed - occasional user
(not opiates or crack)
Drug Discharge Reasons
Transfers• Transferred – not in custody• Transferred – in custody
Drug Discharge Reasons
Incomplete• Incomplete – Dropped Out• Incomplete – Treatment withdrawn
by provider• Incomplete – Retained in Custody• Incomplete – Treatment
Commencement Declined by Client• Incomplete – Client Died
Alcohol Discharge Reasons
Successful Completions• Treatment completed - alcohol free• Treatment completed - occasional user
Alcohol Discharge Reasons
Transfers• Transferred – not in custody• Transferred – in custody
Alcohol Discharge Reasons
Incomplete• Incomplete – Dropped Out• Incomplete – Treatment withdrawn
by provider• Incomplete – Retained in Custody• Incomplete – Treatment
Commencement Declined by Client• Incomplete – Client Died
Adult Alcohol Modalities
Tier 4• ALC - Inpatient Treatment• ALC - Residential
Rehabilitation
Tier 3• ALC - Community
Prescribing• ALC - Structured
Psychosocial Intervention• ALC - Structured Day
Programme• ALC - Other Structured
Treatment
Tier 2 (New)• ALC – Brief Interventions• Will NOT count towards
numbers in Treatment.
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.
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)
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 (NDTMS)– When the confidentiality may be breached
(NTA Confidentiality Toolkit, pending 2009 NTA)
Questions
• Anything NDTMS related!
NTA Quarterly Reports
• Available on NDTMS.net• Providers no longer being given
access to restricted section• DAAT should circulate relevant
report to providers
TOP Care Co-ordination
• Discuss the care pathways and map out the client journey. Look at– Where do they enter Structured Treatment– Which agencies are they likely to be
engaged with– Who should be providing TOPs in each
situation– Think about a variety of scenarios
TOP Feedback
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
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.
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)
Care Planning DomainsCare Plan Start Date: dd/mm/yyyy
Drug & Alcohol UseRoute 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
Care Planning Domains
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.
Care Planning Domains
Social Functioning
Accommodation Need: Housing ProblemEmployment Status: UnemployedChildren: 3Pregnant: YesParental Status: All the children live with client
Parental Status
• Reference Data changing 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
Adult Alcohol Modalities
Tier 4• ALC - Inpatient Treatment• ALC - Residential
Rehabilitation
Tier 3• ALC - Community
Prescribing• ALC - Structured
Psychosocial Intervention• ALC - Structured Day
Programme• ALC - Other Structured
Treatment
Tier 2 (New)• ALC – Brief Interventions• Will NOT count towards
numbers in Treatment.
Modality Data
Referral Date: dd/mm/yyyy
T3/4 Assessment Date: dd/mm/yyyy
Referral Source: Community Alcohol Team
Referral to Modality Date: dd/mm/yyyy
Date of First Appointment Offered: dd/mm/yyyy
Modality: ALC- Community PrescribingModality Start Date: dd/mm/yyyy
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/
Treatment Outcomes Profile
• Validated for clients with Alcohol as main problem substance.
• No initial requirement by NTA to complete TOPs at Alcohol Only agencies.
• Recommended/Encouraged completion of TOP forms.
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.
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.
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
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:
Number in range “0-28”
“NA” if client is unable to or refuses to answer question
Information sought:
Has client shared needles or paraphernalia in last 28 days.
Permissible values:
Y or N
“NA” if client is unable to or refuses to answer question
TOP NDTMS DataSection 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.
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:
Number in range “0-28”
“NA” if client is unable to or refuses to answer question
Information sought:
Has client been involved in each crime in last 28 days.
Permissible values:
Y or N
“NA” if client is unable to or refuses to answer question
TOP NDTMS DataSection 4: Health & Social FunctioningPsychological Health Status: 9
Paid work: 3Education: 1
Information sought:
Self reported score from scale.
Permissible values:
Number in range “0-20”
“NA” if client is unable to or refuses to answer question
Information sought:
Number of days out of last 28 client has had paid work or been in education.
Permissible values:
Number in range “0-28”
“NA” if client is unable to or refuses to answer question
TOP NDTMS DataSection 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:
Number in range “0-20”
“NA” if client is unable to or refuses to answer question
Information sought:
Client has been homeless / risk of eviction in last 28 days.
Permissible values:
“Y” or “N”
“NA” if client is unable to or refuses to answer question
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.
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.
LUNCH
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
Planned Performance Monitoring
• Performance measures for Alcohol Services are being developed now that there is one year of baseline data.– Numbers in Treatment– Waiting Times– Successful completions of treatment
Reporting and Monitoring
• Monthly– www.ndtms.net
• Quarterly– Proposed “Purple Reports”
www.ndtms.net
www.ndtms.net
Quarterly “Purple Reports”
• For Consultation
Potential Reports
• What would Commissioners find useful?
• What would Agency staff find useful?
• Suggestions???
What should you expect from DTMU?• Agency Training and Support: Dedicated
Liaison Officers and Database Administrator providing telephone and in-house training on CDS-F dataset.
• Guidance Documentation: ‘A Rough Guide to the NATMS’ (in development)
• Monthly Validation and Data Quality Reports: Reporting erroneous client records, requiring correction.
• Newsletter• Access to DTMU documents online
– www.dtmu.org.uk
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
• All fields of CDS-F populated.• Files must be in a CSV format.• All agencies must submit via the Drug and
Alcohol Monitoring System (DAMS): https://www.ndtms.org/dams/
SE DTMU Team• Based in Oxford with SEPHO• Team consists of:
– Kellie Peters: Head of Data Management
– Regina Lally: Manager– Michael Wallington: Technical Liaison– Sue Dales: Database
Administrator– Caroline Ridler: Information Analyst– Rachel Johnson: Information Analyst– Laura Kesseboom: DIR Administrator– Lucy Nicholson: DIR Administrator– Jo Frank: Project Administrator
ANY QUESTIONS
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