using natms to support effective commissioning helen willey alcohol information analyst national...
TRANSCRIPT
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)
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
ALCOHOL TREATMENT INFORMATION
Treatment typeALC - Inpatient
treatment
ALC - Residential
rehabilitation
ALC - Community prescribing
ALC - Structured
psychosocial intervention
ALC - Structured day programmes
ALC - Other structured treatment
Number of valid waiting timesAverage waiting times
Longest wait per intervention
Number Receiving an Alcohol-Specific Intervention YTD, Alcohol not Primary Drug
0
Number of clients with a new presentation into treatment (YTD)
Numbers in treatment year to date YTD - Alcohol as Primary Drug
PCT, Region or National [SELECT] CODE
NTA REGION SHA
If you have saved this file locally, opened it from that location and have selected PCT, Region or National,
click this button
0
Waiting Time (wks) All Interventions (Current Quarter)
Treatment System Exits (YTD)
Overall Waiting Times - First Treatment Intervention - 3 Weeks and Under (Current Quarter)
Number of valid waiting timesNumber of waiting times – 3
weeks and under% waiting times – 3 weeks
and under
Number exiting the treatment system
Number referred on
Percent completed - care planned dischargeNumber completed - care planned dischargePercent unplanned dischargeNumber unplanned discharge
Save Your Report
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+)
NTA Region
PCT Name
PCT Code
Treatment Entry 09/10 (New Presentations to Treatment, All Client Types)
Agency n % n % n % n % n % n % n % n %Agency AAgency BAgency CPCT TotalRegional TotalNational Total
Referral Source
Alcohol is the primary drug
All
OtherCommunity Based Care
Services
Binge Drinkers
Higher Risk Drinkers
South East
West Sussex
5P6
Client Type
Client Gender
Increasing Risk Drinkers
Dependent Drinkers
No Referral Source
Recorded
West Sussex , 5P6% Number
Total new presentation
s
Health & Mental Health
Services
Criminal Justice System
Substance Misuse
Services
Self, Family & Friends
Children & Family
Services
In Treatment 09/10 ( Primary Alcohol Clients Only)
Agency< 3
months3-5
months6-11
months12
months + 1 2 3 4+Agency AAgency BAgency C
Agency
ALC-Inpatient treatmen
t
ALC-Resident
ial rehabilita
tion
ALC-Commun
ity prescribi
ng
ALC-Structured psychoso
cial interventio
n
ALC-Structured
day programm
es
ALC- Other
structured treatment
3 weeks and
under> 3 weks
3 weeks and under
> 3 weks
FirstSubseq
uentTotal
Agency A 0Agency BAgency C
Prior Contact (number of previous journeys)
Structured Treatment - Tier 3 and 4 Activity
Intervention Type
Intervention Waiting TimesTier 2 Activity
Time in Contact with Treatment
Total Number of InterventionsFirst Intervention
Total number in treatment
Subsequent Interventions
ALC - Brief Interventions
Alcohol Needs Assessment 2009/10 - Format
Agency Transfers 09/10 (Primary Alcohol Clients Only)
Ag
en
cy A
Ag
en
cy B
Ag
en
cy C
To
tal
Agency Transfer ToAgency AAgency BAgency CPCT Total
Treatment Exits 09/10
Agency n % n % n % n % n % n % n %Agency AAgency BAgency CPCT Total
Free
Total Successful
Completions
Agency Transfer From
Total Exits (Including
Successful Completions)
Planned Successful CompletionsReferred On
Unplanned Discharges
Treatment Exit Reason
Occasional User
Total Still In Treatment
Alcohol Needs Assessment 2009/10 - Format
Alcohol Needs Assessment 2009/10 - FormatClient Profile: Treatment Entry
NTA Region
PCT
Agency
2009/10
n % n % n % n % n % n % n % n % n %Age
181920 – 2425 – 2930 – 3435 – 3940 – 4445 – 4950 – 5455 – 5960 – 6465+Ethnic GroupWhiteMixedAsianBlackOtherRecorded Alcohol Type7000 Alcohol (Unspecified)7001 Beer or Cider7002 Wines And Fortified Wines7003 Spirits7004 Mixture of AlcoholAccomodation StatusUrgent ProblemHousing ProblemNo problemOtherNot stated/missingTotal
Total new presentation
Referral SourceSubstance Criminal Self, Family & No Referral Other Community Children & Health &
SELECT NTA REGION FIRST
SELECT PCT SECOND
SELECT AGENCY
Alcohol is an adjunctive drug
All
Client Type
Client Gender
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
Information Analyst - Alcohol and Needle Exchange
National Treatment Agency
6th Floor, Skipton House
80 London Road
London SE1 6LH
020 7972 1943
Kevin Shelton
Treatment Information Manager
National Treatment Agency
6th Floor, Skipton House
80 London Road
London SE1 6LH
020 7972 1953