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DTMU is delivered by Solutions for Public Health Proprietary, Copyright 2010, Solutions for Public Health NDTMS Core Dataset G Training for Treatment Providers.

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Presentation on theme: "DTMU is delivered by Solutions for Public Health Proprietary, Copyright 2010, Solutions for Public Health NDTMS Core Dataset G Training for Treatment Providers."— Presentation transcript:

1 DTMU is delivered by Solutions for Public Health Proprietary, Copyright 2010, Solutions for Public Health NDTMS Core Dataset G Training for Treatment Providers and Commissioners Drug Treatment Monitoring Unit March 2010

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

3 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, October 10, 2014 Aims Clarify the changes in Core Data Set ‘G’ Clarify consent and confidentiality Review Data Quality and TOP compliance Provide information around current reporting and monitoring Clarify numbers in effective treatment, successful completions and waiting times calculations

4 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Essential Elements of Treatment Provision The needs of all drug misusers should be assessed across the four domains of drug and alcohol misuse health social functioning and criminal involvement. All drug misusers entering structured drug treatment should have a care or treatment plan which is regularly reviewed. A named individual should manage and deliver aspects of the patient’s care or treatment plan. (Source: Drug Misuse and Dependence: UK guidelines on clinical management‚ 2007) October 10, 2014

5 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Why is information needed for NDTMS? The drug and alcohol treatment information that you provide to the NDTMS is used for several purposes. Primarily used for: Assess the number of individuals attending drug and alcohol services in order to monitor the progress of the national drug and alcohol strategies; Evaluate the efficiency and effectiveness of drug and alcohol treatment provision‚ including treatment outcomes for clients. Monitor the use of resources. This helps ensure equitable funding of drug and alcohol services nationally. Provide a local and regional picture of drug and alcohol clients and their needs‚ which will assist service commissioners such as DAATs‚ PCTs and local authorities in planning and developing better drug and alcohol treatment services that are more appropriate to their geographical area. Produce statistics and to support research on drug and alcohol use‚ treatment or general public. October 10, 2014

6 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, DAAT Profile: Profiles html October 10, 2014

7 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Changes with Core Data Set G One new data item Modalities updated in line with Orange Book clinical guidance Reference data items updated in line with NHS data dictionary YP outcomes updated October 10, 2014

8 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, New data item: Local agency details Field to be reviewed by regional team Collected at Modality start Intended to be used to report prescribing on behalf of another agency Possible values: GP, Pharmacist, NDTMS agency code, GP practice code October 10, 2014

9 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, CDS ‘G’ Treatment Interventions Updated options October 10, 2014

10 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Updated treatment interventions Modalities updated in line with Orange Book clinical guidance “The SCAN consensus document on inpatient treatment (SCAN, 2006) defined the core work of an inpatient unit as comprising assessment, stabilisation and detoxification (or assisted withdrawal). Although these may be combined during a patient’s stay, the patient’s plan of care should usually identify one task as the principal purpose of administration” Proposals to modify the codes used to record the types of drug treatment being provided on the National Drug Treatment Monitoring System – July 2009 October 10, 2014

11 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Tier 2 Adult Drug Modalities Outreach Advice and Information Needle Exchange Aftercare Clients receiving these Tier 2 interventions will NOT count for performance targets

12 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Tier 3 Adult Drug Modalities Specialist Prescribing GP Prescribing Behavioural Couples Therapy Family Therapy Contingency Management (drug specific) Psychosocial Intervention to address common mental disorders Other Formal Psychosocial Therapy Structured Day Programme Other Structured Intervention Clients receiving these Tier 3 interventions will count for performance targets

13 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Psychosocial interventions Behavioural couples therapy Family therapy Contingency management (drug specific) Psychosocial interventions to address common mental disorders Other formal psychosocial therapy (e.g. community reinforcement approach or social behaviour network therapy) October 10, 2014

14 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Behavioural couples therapy Behavioural couples therapy is a specific psychosocial intervention that should only be available for use with clients who have an established relationship and a drug-free partner willing to engage in treatment. The focus is on the client’s drug use and should consist of at least twelve weekly sessions. October 10, 2014

15 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Family therapy Family therapy is a structured psychosocial intervention that is delivered by a competent clinician. The focus is on discussion with families relating to the sources of stress associated with drug misuse and aims to support and promote the family in developing more effective coping behaviours. Family therapy should only be recorded under this code when the client is actively involved in the intervention. This does not reflect family work that is done where the service user is not engaged in the intervention. October 10, 2014

16 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Contingency management (drug specific) Structured behavioural programmes using incentives to reinforce changes in behaviour. Behaviour changes incentivised for people receiving methadone maintenance treatment include reduced illicit drug use and/or increased engagement with services. Behaviour changes incentivised for people who primarily misuse stimulants include reduced illicit drug use, abstinence and/or increased engagement with services. October 10, 2014

17 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Psychosocial interventions to address common mental disorders Many drug users also have considerable co-morbid problems, particularly common mental health problems such as anxiety and depression. There is evidence that a range of evidence-based psychosocial interventions can be beneficial for a wide range of mental disorders. Such disorders may include: depression (NICE, 2007b); anxiety (NICE, 2007c); post traumatic stress disorder (NICE, 2005a); eating disorders (NICE, 2004); obsessive compulsive disorder (NICE, 2005b); antenatal and postnatal mental health (NICE, 2007d) Psychosocial interventions to address these disorders range from, for example, guided self help and brief interventions for mild forms of problems to cognitive behavioural therapy and social support for more moderate forms. All psychosocial intervention to address common mental disorders should be recorded using this code regardless of their intensity. October 10, 2014

18 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Other formal psychosocial therapy (e.g. community reinforcement approach or social behaviour network therapy) This includes other psychosocial therapies that are used in drug treatment and beneficial for some clients as they are practical and broad-based techniques. Psychosocial therapies recorded under this category will include the Community Reinforcement Approach and Social Behaviour Network Therapy. October 10, 2014

19 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Tier 4 Adult Drug Modalities Inpatient Treatment Assessment Only Inpatient Treatment Stabilisation Inpatient Treatment Detoxification (assisted withdrawal) Residential Rehabilitation Clients receiving these Tier 4 interventions will count for performance targets

20 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Inpatient treatment Inpatient treatment Assessment Only Inpatient treatment Stabilisation Inpatient treatment Detoxification October 10, 2014

21 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Inpatient treatment Assessment Only Individuals with drug and alcohol dependence present with a wide range of psychiatric, physical and social problems. Substance misuse services provide a comprehensive assessment of these needs and formulate a treatment care plan to tackle them. A hospital setting permits a higher level of medical observation, supervision and safety for service users needing more intensive forms of care. Specific tasks of the IPU may include: Assessment of substance use Assessment of mental health Assessment of physical health Assessment of social problems These should be undertaken as described in the Inpatient Treatment of Drug and Alcohol Misusers in the National Health Service – Scan consensus project (2006). This document is available at using the following link. October 10, 2014

22 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Inpatient treatment Stabilisation There is considerable evidence that the number of service users with more complex problems (coexisting physical and mental illness, dependence on more than one substance) is increasing. Such cases can be managed in a community setting, but the IPU setting permits a high level of medical observation, supervision and safety for service users needing more intensive forms of care. The IPU should have care pathways, clinical protocols, and sufficient human and physical resources to offer the following range of stabilisation procedures: 1. Dose titration 2. Dose titration on injectable opioid medication 3. Stabilisation on maintenance therapy 4. Combination assisted withdrawal/stabilisation October 10, 2014

23 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Inpatient treatment Detoxification Assisted withdrawal should only be encouraged as the first step in a longer treatment process, and needs to be integrated with relapse prevention or rehabilitation treatment programmes which can be provided in the NHS or independent/non-statutory sector. Withdrawal in an IPU setting offers better opportunities for clinicians to ensure compliance with medication and to manage complications. IPU admission also offers a major opportunity to recruit service users into longer-term treatment to reduce the risk of relapse back into regular drug or alcohol use. The IPU should have care pathways, clinical protocols, and sufficient human and physical resources to offer assisted withdrawal for a wide range of single and poly- drug and alcohol misuse problems. October 10, 2014

24 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, 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 ALC – Brief Interventions Will NOT count towards numbers in Treatment.

25 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Young People Modalities Tier 2 YP Non-structured intervention Tier 4 YP Access to residential treatment for substance misuse Tier 3 YP Psychosocial Intervention YP Harm Reduction Services YP Family Work YP Specialist Pharmacological Interventions Young People receiving these Tier 3/4 interventions will count towards performance targets

26 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Question: Are you all reporting treatment modalities against individual clients episode of treatment? October 10, 2014

27 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, CDS ‘G’ Reference Data Changes to reference values in line with NHS Data Dictionary

28 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Employment status Regular Employment Pupil/Student Long term sick or disabled Homemaker Retired from work October 10, 2014 Unemployed and seeking work Not receiving benefits Unpaid voluntary work Retired from paid work Not stated Other Not known

29 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Sexuality Gay: renamed to Homosexual Not Disclosed: renamed to Not Recorded October 10, 2014

30 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Consent Yes the person consented No the person has not consented October 10, 2014

31 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Previously Hep B Infected Yes has had a previous Hepatitis B infection diagnosed; No has never had a previous Hepatitis B infection diagnosed; Not Known October 10, 2014

32 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Hepatitis C Positive Yes is Hepatitis C Positive No is not Hepatitis C Positive Not Known October 10, 2014

33 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Injecting Status Previously Injected (but not currently) Currently Injecting Never Injected Client Declined to Answer October 10, 2014

34 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Referral Sources (Drug & Alcohol) Arrest Referral / DIP is now: Arrest Referral DIP Custody Service has been removed October 10, 2014

35 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Referral Sources (Alcohol Only) Employer ATR (Alcohol Treatment Requirement) Peer October 10, 2014

36 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Drug Codes Methylone Mephedrone No Second Drug No Third Drug October 10, 2014

37 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, CDS ‘G’ Young People Changes to YP Outcomes October 10, 2014

38 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Changes to YP outcomes There are some changes to the YP outcomes. These apply to all young people seen at a Young People’s treatment provider and should only be completed by these agencies. YP outcomes have been collected since April YP NDTMS Event: 31 st March‚ YMCA Guildford October 10, 2014

39 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, October 10, 2014 Information Management

40 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Information Management Clinicians need to: Keep patient records; Ensure appropriate information sharing‚ confidentiality and data protection; Collect and analyse data; and Make effective use of information and data; (Drug Misuse and Dependence: UK guidelines on clinical management‚ 2007)

41 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Information Sharing “Information sharing can be of great value to the direct care of individual patients and may also contribute indirectly to the delivery and effectiveness of the drug treatment system. Information sharing protocols should be consistent with guidance from local Caldicott Guardian and any national guidance‚ and acknowledge that patient consent to disclosure is key in most situations where identifiable information is shared.” (Drug Misuse and Dependence: UK guidelines on clinical management‚ 2007)

42 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Data Sharing Protocols Having data sharing protocols in place‚ that outline how and why data is shared within and between organisations‚ is good practice. Scenarios: DAT Wide Systems: this will necessitate information sharing across treatment services and/or Drug and Alcohol Action Teams; Multi-site service provider software (e.g. Addaction use one system nationally): Multiple service providers delivering simultaneous treatment to a client‚ irrespective of the software used. This is relevant to TOP data where a service provider should‚ subject to permissions and data sharing protocols‚ send copies of the TOP information to other agencies.

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

44 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, 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, 2009 NTA)

45 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Discharge Data

46 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Discharge Data 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 calculate In treatment Rates. Modality End Date (s) must be populated for discharged clients.

47 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Drug Discharge Reasons Successful Completions Treatment completed - drug free Treatment completed - occasional user (not opiates or crack)

48 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Drug Discharge Reasons Transfers Transferred – not in custody Transferred – in custody

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

50 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Planned Discharge Project The DTMU are currently providing support to a national exercise around Planned and Unplanned Discharges being undertaken by the Regional NTA Teams. The number of unplanned discharges is rising, a trend which the NTA is keen to address immediately. In order to enable the agencies to investigate individual unplanned discharges, the DTMU have made available a spreadsheet which contains the attributable level data for unplanned discharges only for your service, thus the total number of discharges will be less than the summary sheet, which includes planned discharge reasons.

51 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Alcohol Discharge Reasons Successful Completions Treatment completed - alcohol free Treatment completed - occasional user

52 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Alcohol Discharge Reasons Transfers Transferred – not in custody Transferred – in custody

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

54 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, October 10, 2014 Treatment Outcomes Profile Refresher

55 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, What is the TOP? Treatment Outcomes Profile An instrument to measure treatment outcomes A simple, short set of questions To plot clients’ progress through structured treatment - a measure of how well clients do in treatment Reported to NDTMS

56 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, All clinicians using the TOP should know the following 5 key messages TOP: Key facts Clinical usefulness Validation

57 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, TOP: Key facts Clinical usefulness Validation The TOP is a clinically useful tool for monitoring progress and identifying change during treatment How is TOP useful clinically?  A means of identifying and understanding change for an individual client (comparing TOP scores)  Allows the keyworker to feedback the progress a client has made. The client can see these changes visually (using TOP Progress Tracker). Visual feedback may be more effective than verbal feedback alone  Assistance given in the care planning process; highlighting areas of difficulty that may need addressing to increase the potential treatment gains  Helps summarise the clients current situation and stimulates discussions in clinical meetings and supervision  Provides the keyworker with an additional source of information/evidence that could be used when discussing a specific care plan

58 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, TOP: Key facts Clinical usefulness Validation How to complete the Treatment Outcomes Profile (TOP) Client identifiers required to prevent double counting in the NDTMS Record the number of days in which the client has used each drug. A number should always be used (0- 28) except when a client declines to answer which should be recorded as ‘NA’ Record the number of days that the client has injected. If the client does not inject record ‘0’. Do NOT use ‘NA’. Also record whether the client has shared by marking the box with a ‘Y’ or ‘N’ Some clients commit crime in order to fund their drug use. An obvious treatment goal is to reduce this activity. Record the number of days (0-28) for section 3a & b and ‘Y’ or ‘N’ if the client has committed crimes (c,d,e,f) in the last 28 days Circle the rating scales for Psychological, Physical & Quality of Life in accordance to where the client indicates. Record the number of days paid work and college between (0-28) and only use ‘NA’ if the client declines to answer

59 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Three types of questions Yes and no a simple tick for yes or no Timeline the client recalls the number of days in each of the past four weeks on which they did something, e.g. the number of days they used heroin Rating scale a 20-point scale from poor to good. Together with the client, mark the scale in an appropriate place

60 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Completion and non-responses Ask every question, complete every blue box Enter "NA" in the blue box: if client refuses to answer a question or if, even after prompting, client cannot recall

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

62 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, When should the TOP be completed? At start of new treatment journey to capture pre-treatment snapshot of client behaviour and situation And then every three months usually as part of a care plan review - to compare with pre-treatment snapshot and previous quarterly TOP results (Also on existing clients every three months) At Treatment Exit

63 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, This is a very brief introduction to the TOP: more information is available at This section is a very brief introduction to the TOP and covers only the very basic information that is required to start using the TOP with clients All the above information is available at or complete the online order form at Alternatively, or telephone and quote product codehttp://www.nta.nhs.uk/areas/outcomes_monitoring/default.aspx Further Information & clinical tools Guidance TOP reporting protocol: A keyworkers guide TOP completing TOP as a clinical interview TOP Progress Tracker guide (DET) TOP Service user guide NDTMS practice guide TOP Managers guide Clinical Tools TOP form TOP form (low ink version) TOP Progress tracker Calendar TOP training pack TOP: Key facts Clinical usefulness Validation

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

65 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Post discharge if feasible or desirable for service won’t be performance managed by NTA When should the TOP be completed?

66 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, TOP and Confidentiality TOP data submitted via NDTMS will have the same safeguards in relation to confidentiality as any other NDTMS data This should be carefully explained to the client and local confidentiality agreements should be modified as appropriate to take into account the introduction of TOP into clinical and reporting systems

67 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, TOP: Key facts Clinical usefulness Validation The benefits of the TOP continue to be recognised in clinical settings with its application in the UK and abroad having increased Over the last 12 months the NTA has received several requests from European and International colleagues to use the TOP to measure outcomes in their clinics and countries. validated tool clinically useful tool short & easy to complete captures a wide range of substances broadly covers all other relevant treatment domains Wales Scotland Northern Ireland Italy Taiwan Iran Australia Chile Russia Finland Canada Malta Finland Spain New Zealand Requests received fromIt’s recognised that the TOP benefits from being Why?

68 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, TOP: Key facts Clinical usefulness Validation See the NTA website for more information on the use of TOP internationallywww.nta.nhs.org.uk

69 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, TOP Exceptions Let’s review the January TOP Exceptions that were released on DAMS on 5 th March What action needs to be taken forward? October 10, 2014

70 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, ANY QUESTIONS

71 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Performance Management

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

73 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, DAT/AGENCY Quarterly Reports

74 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Data Quality & Data Completeness

75 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Objectives Focus on Data Quality Data Completeness NDTMS Year End Review ( ) Regional Data Quality Initiatives How to address monthly data quality reports

76 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Improving Service Provision “Drug treatment services are managed using close to “real-time” data provided from the NDTMS and client satisfaction and client outcome data” (Models of Care: Update 2005, Consultation)

77 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, DTMU Data Quality Strategy As part of SLA with NTA‚ an annual data quality strategy has to be produced and signed off by regional and central NTA. Covers the entire NDTMS dataset. Sets the data quality targets‚ which are based upon NTA HQ Monthly DQ Metrics. October 10, 2014

78 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, NTA Data Completeness Drivers NTA National Requirements Percentage completion rate for Parental Status Percentage completion rate for Children Living With Hidden Harm PSA 14 – To prevent substance misuse amongst young people helping to reduce links with crime, disorder, truancy, school failure, physical and mental health problems. Hep B Vaccination Status responses versus Hep B Intervention status responses Route of Administration Inject versus Injecting Status Health Interventions/BBV PSA 18 – To promote better health and wellbeing of all citizens of society. Completion of Modality Start PSA 25 – to deliver a sustained 1% per annum increase (of people held in effective treatment) on baseline during Completion of Accommodation Need & Employment Status PSA 16 – to increase the proportion of socially of socially excluded adults in settled accommodation, employment education and trainings.

79 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, DTMU Data Completeness Analysis DTMU release quarterly data completeness reports by partnership and by agency. Analysis is based on new presentations only. Quarterly /10 to be released in March.

80 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, Q2 Data Completeness Analysis Let’s review the Q2 completeness that was released in early February. What action needs to be taken forward?

81 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, What data quality issues are you facing? October 10, 2014

82 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, How can you improve your agency’s overall data quality and data completeness?

83 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, DTMU Answers Before submitting the monthly data submission check to see if all errors/warnings that could have occurred‚ have been addressed; Where amendments to client details have been made on your database‚ it is very important to notify Sue Dales to ensure that these changes are replicated on the regional NDTMS database. Ensure that all the fields that can be completed‚ are completed. October 10, 2014

84 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, DTMU Data Quality Standards All monthly agency submissions must contain at least 100% valid records. All monthly agency submissions must reach 99.5% data quality All fields of CDS-F populated, if appropriate. Files must be in a CSV format. All agencies must submit via the Upload Portal: https://www.ndtms.org/dams/

85 DTMU is delivered by Solutions for Public Health (SPH). © Copyright SPH, ANY QUESTIONS

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


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