NDTMS provider survey February Regional report North West

Transcription

1 NDTMS provider survey February 2014 Regional report North West

2 About Public Health England Public Health England s mission is to protect and improve the nation s health and to address inequalities through working with national and local government, the NHS, industry and the voluntary and community sector. PHE is an operationally autonomous executive agency of the Department of Health. Public Health England Waterloo Road Wellington House London SE1 8UG Tel: Crown copyright 2013 You may re-use this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence v2.0. To view this licence, visit OGL or [email protected]. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. Any enquiries regarding this publication should be sent to [email protected]. You can download this publication from Published June 2014 PHE publications gateway number: This document is available in other formats on request. Please call or [email protected]. 2

3 Contents About Public Health England 2 Contents 3 Table of figures 4 Introduction 5 Overall survey completion rates 6 Provider profiles 7 Information governance 10 Business continuity 14 Frequency of reviews 16 Mutual aid referral 20 Appendix 1 21 Appendix 2 25 Appendix

4 Table of figures Figure 1: Software provider for North West region... 8 Figure 2: DAMS password sharing among staff by North West region Figure 3: DET password sharing among staff by North West region Figure 4: Number of expert NDTMS system users per provider for North West region Figure 5: Frequency of Sub Intervention Review (SIR) completion, for the North West region Figure 6: Frequency of Treatment Outcome Profile (TOP) completion for North West region Figure 7: Frequency of Alcohol Outcome Record (AOR) completion, for the North West region Figure 8: Frequency of Young Person Outcome Record (YPOR) completion, for the North West region

5 Introduction The National Drug Treatment Monitoring System (NDTMS) captures data on the number of people presenting to English services with problematic drug and alcohol misuse. There are eight regional NDTMS teams based across the country supporting the processes required for ensuring that the ongoing primary data collection is maintained and that monthly deadlines and quality targets are met. In January 2014, all drug and alcohol treatment providers in England reporting to NDTMS were requested to complete a national survey relating to topic areas as agreed with the central and regional NDTMS teams. The survey included questions around software providers, information governance, business continuity, the frequency of reviews and mutual aid referrals. It also recorded the respondent s name, contact details, NDTMS region, parent organisation and agency codes. Aims The aim of the survey was to provide information to regional and central NDTMS teams, PHE Alcohol & Drug team colleagues and individual partnerships with regards to the ongoing timely delivery of high quality data around drug and alcohol treatment in England. Objectives To gather information on a national, regional, DAT and organisational level in relation to: Systems: To verify software systems used, how they are accessed and to obtain information in relation to planned migrations of data from or to NDTMS or Case Management systems. Information Governance: To verify awareness and use of the NDTMS Consent and Confidentiality Tool Kit V6.3 and to assess password security. Business Continuity: To verify the presence of a Business Continuity plan for each provider, including a timetable for backups and information in relation to the resilience of data entry. Frequency of Reviews: To verify the frequency of Sub Intervention Reviews and Outcomes Records. Mutual Aid: To verify that agencies are referring clients to mutual aid organisations and that these referrals are being recorded on NDTMS systems. This report will be made available to NDTMS teams, PHE alcohol and drug leads and alcohol and drug commissioners. Unless otherwise stated, this report includes all English alcohol and drug treatment providers in the community, for young people and adults reporting to NDTMS. Please note, percentages may not always add up to 100% due to rounding. Percentages are based on the denominator of the number of providers completing the survey. 5

6 Overall survey completion rates Table 1: National survey completion rates Region Northern & Yorkshire Yorkshire & Humber Northern & Yorkshire North East Number of providers Number of providers with completed surveys Completion rate % North West South East South West London West Midlands East Midlands Eastern Total Where returns have been made, there can be some reassurance to the commissioning local authority that there is less chance of system changes being made or planned without the knowledge and involvement of regional NDTMS teams and any resulting discontinuity in national statistics and monitoring information. This survey has followed on from practice prior to NDTMS transition to PHE of varying degrees of information gathering at regional level and has been the first year that a national survey has been completed. It is hoped that there will be an improvement in completion of this survey next year and teams are continuing to pursue completion for this year outside of this analysis. A full list of North West providers who completed the survey can be found in Appendix 1. 6

7 Provider profiles What client group does your provider treat? Regionally, of the 118 providers who completed the survey, 75% report that they treat adult clients and 25% report that they treat young people. This distribution is generally consistent across other NDTMS regions and nationally there is an 81:19 ratio. What treatment service/s do you provide? Of the providers that completed the survey, 10% offer alcohol only treatment, 8% offer drug only treatment and 81% offer both drug and alcohol treatment. This latter figure is the third highest when compared with other NDTMS regions. Do you have a Care Quality Commission (CQC) registration number? Twenty nine percent of survey respondents stated that they have a CQC registration number, with 15% stating that they did not have a number. Of those that responded, 56% stated that they did not know about their CQC registration. Due to the number of providers who reported that they did not know whether they had a CQC registration number, caution should be exercised when interpreting these results. We will endeavour to improve on this information in next years survey. It should be noted that all residential drug and alcohol treatment providers should be registered and all community-based providers with nurses, doctors, social workers or psychologists employed as such are also required to be CQC registered. 7

8 NDTMS systems What software system does your treatment service use to collect NDTMS data? 35% 30% 25% Percentage (%) 20% 15% 10% 5% 0% Software system Figure 1: Software provider for North West region Nationally, there are at least 12 systems apart from the NDTMS Data Entry Tool (DET) reported as in use to generate a data extract for NDTMS purposes. There was wide variation in the use of these software systems regionally. The DET was used by 32% of respondents, with 18% stating the use of Nebula and 13% using CareNotes. Of those that responded, 14% stating the use of an other software system, which includes ICIS. 8

9 From where can staff access the system that you use to submit your NDTMS data? Regionally, the most common method to access the system that is used to submit NDTMS data was from anywhere over the internet (n=114, please note, respondents could select as many options as applicable for this question, therefore the categories were not mutually exclusive). Where necessary answers have been corrected for DET Users who are able to access DET from anywhere over the internet.. An NDTMS extract system that is able to provide access from anywhere over the internet may be less vulnerable to disruption following certain types of critical incidents requiring the short term relocation of administrators/key workers. Responses from DET users indicated that there are misconceptions about the capabilities of DET, which may in fact be accessed from anywhere over the internet. It would be beneficial for managers of DET system services to understand this and factor it into their own business continuity planning. Are you considering changing your NDTMS systems? Regionally only 10% of providers reported currently considering changing their software system. This is comparable to the figure of 11% nationally, and gives the NDTMS team some confidence that software use remains relatively stable in the North West. Are you considering changing your Case Management System? Only 16% of providers regionally are currently considering changing their case management system (CMS) which is slightly higher than the national percentage of 11%. This gives the North West NDTMS team some confidence that CMS system choice remains relatively stable. 9

10 Information governance Respondents were asked whether staff at their organisation allowed other people to use their login details for the following systems (n/a indicates that the provider does not have access to that system). It is strongly recommended that staff are not permitted to share passwords to any of these systems in the interests of security. Drug and Alcohol Monitoring System (DAMS) 100% 90% 80% 70% Percentage (%) 60% 50% 40% 30% 20% 10% 0% No Yes N/A Share DAMS password Figure 2: DAMS password sharing among staff by North West region Regionally, only 4% of respondents stated that DAMS passwords were shared amongst staff at their organisation. Whilst this figure is low, and comparable with national responses, this practice is not appropriate and should cease as it poses an information governance risk. Those respondents who have stated that they do share passwords have been contacted by the NDTMS team to provide support and guidance if required including the creation of new DAMs accounts where needed. It was also noted that some 1% of services stated that they do not have access to DAMS. As this is the sole way of submitting data to the NDTMS it seems likely that these respondents are mistaken. Again, this may highlight a training need and those respondents who stated N/A to this question have been contacted to see if the NDTMS team is able to provide further training on DAMS. 10

11 A full list of actions from the NDTMS team as a result of responses to the survey can be found in appendix 2. Data Entry Tool (DET) 120% 100% Percentage (%) 80% 60% 40% 20% 0% No Share DET passwords Yes Figure 3: DET password sharing among staff by North West region For the majority of respondents, this question was not applicable as they were on a system other than the DET (please note, for those who stated they were on a system other than DET their responses have been corrected to N/A where necessary, n = 38). Of respondents who are on DET, 97% stated that DET password sharing does not occur within their organisation. Whilst it is positive that this figure is so high, the fact that 3% reported that staff do share their DET password with other staff members is cause for concern as this could become an information governance issue. The NDTMS team has followed up this issue to provide support and guidance if required. A full list of actions from the NDTMS team as a result of responses to the survey can be found in appendix 2. Prison DET The majority of respondents (86%) stated that they did not have access to Prison DET. One hundred percent of respondents who did have access to prison DET stated that passwords were not shared among staff. 11

12 CJIT Data Entry Tool (DIRDET) Similarly, the majority of respondents (78%) reported that this question was not applicable to them as they did not have access to the CJIT DET system as they were not CJIT providers. Of those who did have access to CJIT DET, 98% reported that staff did not share passwords, with 2% stating that they did share passwords. PHE Secure File Transfer System (SFT) (aka DropBox) Thirty one percent of respondents stated that this question was not applicable to them as they did not have access to the SFT. Of those who did have access to the SFT, 98% stated that they did not share their password with other staff members. However, 2% stated that they did. As above, those services where password sharing has been reported have been contacted by the NDTMS team to offer support and guidance. A full list of actions from the NDTMS team as a result of responses to the survey can be found in appendix 2. Needle Exchange Monitoring System (NEXMS) The majority of respondents (74%) reported that they did not have access to NEXMS. One hundred percent of respondents who did have access to NEXMS stated that passwords were not shared among staff. 12

13 Information governance - consent Does your organisation s consent policy include the latest version of the NDTMS Consent and Confidentiality Tool Kit version 6.3? Of those that responded, 94% stated that they included the latest version of the Consent and Confidentiality toolkit. Unlike most health datasets, NDTMS is a consented-to dataset and it is extremely important that clients data on NDTMS is appropriately used according to the consent provided by individuals. The use of the most recent wording for consent is an intrinsic element of the agreement between the NDTMS programme and the Confidentiality Advisory Group (CAG) in granting Section 251 permission for the programme s continued use of the data following transition into PHE. The NDTMS team has followed up this issue, contacting those who stated that they do not include the Consent and Confidentiality Tool Kit in their consent policy to provide support and guidance on the issue. A full list of actions from the NDTMS team as a result of responses to the survey can be found in appendix 2. 13

14 Business continuity Does your organisation have an effective Business Continuity plan covering how your agency will continue to provide NDTMS data if your NDTMS system should fail? Regionally, 25% of services have a potential risk of non submission due to Business Continuity plans either not being in place or not being known to the member of staff who completed the survey. Local authority areas where there is no Business Continuity plan should seek reassurance with regard to the continued capability of these services to provide NDTMS data on behalf of their treatment systems in a timely fashion regardless of the impact of staff absences, power shortage, structural damage to premises, etc. The NDTMS regional team can assist with such planning if required. Organisations which do not currently have a Business Continuity plan have been contacted by the regional NDTMS team. Does your Business Continuity plan incorporate a timetable for taking backups of your NDTMS data? Regionally, 65% of respondents have a timetable for data backups (including DET users. Please note, responses have been corrected for DET users where necessary). Data entered on the DET is backed up nationally, overnight on a daily basis by the NDTMS central team. This may provide some reassurance to service managers using the DET. Those managers, however, might also consider that if their agency operates a paperless office policy, whereby paper forms get shredded after they are input, then the data input during the previous days may risk being lost forever. Such loss might occur if the central team s backup processes were to fail or if they had to restore data back to an earlier point in time. Similar considerations may apply to users of other systems (although those users may have greater control over backup and restoration processes). 14

15 How many people in your organisation are expert system users whose role includes maintaining the NDTMS data extraction system and DAMS, or supporting other system users? Percentage (%) 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Staff number Figure 4: Number of expert NDTMS system users per provider for North West region At least 80% of providers regionally have at least two staff members responsible for NDTMS systems and 17% of providers only have one person responsible for NDTMS systems. This lack of resilience to cover systems in the case of staff sickness and leave means that NDTMS data may be at risk of non-submission from these providers. Is your organisation able to continue to update and submit NDTMS data in the absence of the person(s) usually tasked with doing so? Of particular concern, 14% of respondents stated that in the absence of the person usually responsible for submitting their NDTMS data, they would not be able to continue to submit to NDTMS. As staff absence cannot always be anticipated this means that NDTMS is at risk of non submission from these providers. 15

16 Frequency of reviews Approximately how frequently does your organisation complete Sub Intervention Reviews? 60% 50% Percentage (%) 40% 30% 20% 10% 0% Every month Every three months Every six months On treatment start and exit only Frequency of SIRs Never Figure 5: Frequency of Sub Intervention Review (SIR) completion, for the North West region NDTMS guidance states that Sub Intervention Reviews should be completed at least every six months, but facilitates more frequent reporting. Regionally, 91% of respondents complete SIRs at least every 6 months, and 71% complete them at least every 3 months. Five percent complete them on start and exit only, with 4% stating that they never report this information. It should be noted that due to individual treatment system configuration, some services may not be completing SIRs due to arrangements for their completion by peer services. 16

17 Approximately how frequently does your organisation complete TOP? Percentage (%) 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% Every month Every three months Every six months On treatment start and exit only Frequency of TOP Not applicable Figure 6: Frequency of Treatment Outcome Profile (TOP) completion for North West region (n=94) NDTMS guidance states that Treatment Outcome Profiles (TOPs) should be completed at least every six months but facilitates more frequent reporting. Twenty percent of respondents stated that TOP are not applicable for their service (suggesting they use AOR or YPOR instead). Of those who do use TOP 87% stated that they complete them at least every six months whilst 65% reported that they submit TOPs at least every three months. It should be noted that due to individual treatment system configuration, some services may not be completing TOPs due to arrangements for their completion by peer services. 17

18 Approximately how frequently does your organisation complete AOR? 45% 40% 35% 30% Percentage (%) 25% 20% 15% 10% 5% 0% Every month Every six months Every three months On treatment start and exit only Never Frequency of AOR Figure 7: Frequency of Alcohol Outcome Record (AOR) completion, for the North West region (n=35) NDTMS guidance states that Alcohol Outcome Records (AORs) should be completed at treatment start and exit and more frequently if required. They are required for adult clients whose primary problematic substance is alcohol. Seventy percent of respondents in the North West region stated that the AOR form is not applicable to them (suggesting that they use TOP or YPOR instead). Of those who do use the AOR form (n = 35), 55% of services reported completing them on at least a six month basis, with 11% completing these at treatment start and exit only. Thirty-four percent of services stated they never completed them. It should be noted that due to individual treatment system configuration, some services may not be completing TOPs due to arrangements for their completion by peer services. 18

19 Approximately how frequently does your organisation complete YPOR? 60% 50% Percentage (%) 40% 30% 20% 10% 0% Every month Every six months Every three months On treatment start and exit only Frequency of YPOR Never Figure 8: Frequency of Young Person Outcome Record (YPOR) completion, for the North West region (n=47) NDTMS guidance states that Young Person Outcome Records (YPOR) should be completed at treatment start and exit, and more frequently if required. Sixty percent of respondents from the North West region stated that the YPOR was not applicable to them (suggesting that they use TOP or AOR instead). Of those who do use the YPOR 49% complete them at start and exit and only 2% reported never completing them. 19

20 Mutual aid referral Do you refer clients to mutual aid organisations? Regionally, 75% of services reported that they refer clients to mutual aid. Seventeen percent of respondents reported that they are not referring to mutual aid organisation and 8% reported that there were no mutual aid services to refer to locally.. Do you record mutual aid referrals on NDTMS? Of those that responded to this question, 43% reported that they do record this on NDTMS systems. Of concern, 41% reported that they do not record mutual aid referrals on NDTMS systems as they are unable to do so. It is possible that respondents misinterpreted this question and were referring to not being able to record the date and where the referral was made to, however, given that the numbers are so high this highlights a general training need which the NDTMS regional teams will look to address. Given the priority applied to the national Drug Recovery agenda and the intrinsic part that mutual aid is expected to play, regional NDTMS teams will be prioritising discussions with those services who are unable to report this activity to provide support and guidance either to the service or to the system supplier as appropriate. A full list of actions from the NDTMS team as a result of responses to the survey can be found in appendix 2. 20

21 Appendix 1 Table 2: North West agencies who completed the NDTMS provider survey 2014 DAT area Parent organisation Agency Blackburn with Greater Manchester West NHS Mental W0004 GMW Blackburn CDT Darwen Health Trust Blackburn with Darwen Greater Manchester West NHS Mental Health Trust W1001 GMW Blackburn Criminal Justice Team Blackburn with Lifeline W0036 Lifeline E Lancs Darwen Blackburn with Darwen TTP Communties Ltd M1072 TTP Recovery Communities - Blackburn Blackpool Addaction W0065 Addaction Blackpool Blackpool ADS W0047 ADS Blackpool Blackpool Drugline M0121 Drugline Coast Blackpool Drugline W0057 Drugline Blackpool Blackpool Lancashire Care NHS W0002 LCT Blackpool CDT Blackpool The Hub M0267 The hub â Young People under 18 Blackpool The Hub M0265 The hub â Adult 18+ Blackpool The Hub M0266 The hub â Adult Alcohol Blackpool Unspecified M0280 Springboard Blackpool Unspecified M0281 Springboard YP Bolton Project 360 W0037 Project 360 Bury Early Break W0076 Early Break Bury Unspecified M0319 ADS Bury Drug & Alcohol Service Cheshire East UA Addaction M0109 Addaction Cheshire Cheshire East UA Cheshire and Wirral Partnership NHS M0123 CWP South Cheshire YP Service Cheshire East UA Cheshire and Wirral Partnership NHS M0006 CWP Macclesfield CDT East Cheshire Cheshire East UA Cheshire and Wirral Partnership NHS M0008 CWP South Cheshire Drug Service Cheshire East UA Cheshire and Wirral Partnership NHS M0161 East Cheshire Alcohol Services Cheshire East UA Cheshire and Wirral Partnership NHS M0263 CWP South Cheshire Alcohol Service Cheshire East UA Cheshire and Wirral Partnership NHS M0283 CWP Vale Royal Community Drug Team Cheshire East UA Cheshire and Wirral Partnership NHS M0094 CWP East Cheshire YP Cheshire East UA Cheshire East Council M0299 Cheshire East Youth Offending Service Cheshire East UA TTP Communities M0295 TTP Communities Cheshire Cheshire East UA Addaction M0268 Addaction Cheshire Alcohol 21

22 Cumbria Cheshire and Wirral Partnership NHS Cheshire and Wirral Partnership NHS Cheshire and Wirral Partnership NHS Cheshire and Wirral Partnership NHS Cheshire and Wirral Partnership NHS Cheshire and Wirral Partnership NHS Turning Point W0027 CWP Ellesmere Port CDT M0178 Chester Alcohol Service M0192 CWP Chester YP M0193 CWP Ellesmere Port YP M0179 Ellesmere Port Alcohol Service M0032 CWP Chester CDT M0036 Turning Point Chester Residential M0290 GMW Cumbria Community Greater Manchester West NHS Mental Health Trust Cumbria Unspecified M0083 Turning Point Stanfield House Halton Addaction W0096 Addaction Halton YP Halton CRI M0278 Halton Recovery Service Knowsley CRI M0313 ENGAGE Knowsley Knowsley CRI M0312 Knowsley Integrated Service Knowsley Knowsley Youth Offending Service M0087 Knowsley Youth Offending Service Lancashire Addaction M0050 Young Addaction South Lancashire Lancashire Addaction M0182 Young Addaction North Lancashire Lancashire CRI M0251 Inspire â Community Lancashire CRI M0314 Inspire North Lancs Lancashire CRI M0252 Inspire â Criminal Justice Lancashire Greater Manchester West Mental Health M0296 Discover Central Lancs NHS Lancashire Harvey House Social Enterprises M0285 Harvey House Social Enterprise Limited Lancashire Holgate House M0119 Holgate House Lancashire Shardale St.Annes M0310 Shardale St Annes Limited Liverpool Action on Addiction W0083 Sharp Liverpool Liverpool Addaction M0236 Liverpool Gateway Addaction Liverpool Addaction M0234 Liverpool Primary Care Addaction Liverpool Addaction M0235 Liverpool Croxteth Addaction Liverpool Addaction M0264 Addaction Croxteth Alcohol Project Liverpool Addaction W0074 Young Addaction Liverpool Liverpool Addaction M0237 Liverpool Criminal Justice Addaction 22

23 Liverpool Liverpool YOS W0089 Liverpool YOT Liverpool Mersey Care NHS Trust M0010 MERC North Liverpool CDT Liverpool Mersey Care NHS Trust M0052 MERC Kevin White Unit Liverpool Mersey Care NHS Trust M0092 MERC DRR Liverpool Mersey Care NHS Trust M0001 MERC DART Liverpool Mersey Care NHS Trust M0168 Windsor Clinic Liverpool Merseyside Youth Association M0045 OK UK Liverpool Park View Project M0062 Park View Project Liverpool The Social Partnership M0071 Transit Manchester ADS M0141 ADS Residential Service Bennet House Manchester ADS M0142 ADS Residential Service Bridge House Manchester CRI M0288 RISE Manchester Clinical Service Manchester Greater Manchester West NHS Mental M0243 The Chapman-Barker Unit Health Trust Manchester Greater Manchester West NHS Mental Health Trust M0146 Manchester Community Alcohol Team Manchester Lifeline W0062 Eclypse Manchester Lifeline M0291 Lifeline Project Ltd Manchester Manchester Mental Health and Social M0159 Brian Hore Unit Care Trust Manchester Manchester Mental Health and Social Care Trust M0248 Manchester Dual Diagnosis Service Manchester Turning Point W0444 Turning Point Smithfield Detox Oldham ADS W0067 ADS Oldham Oldham Pennine Care NHS W0068 Oldham Alcohol Oldham Pennine Care NHS W0014 PENC Oldham CDT Oldham Positive Steps M0211 ACCE Oldham Oldham Positive Steps W0058 OASIS Rochdale ADS W0055 ADS Rochdale Rochdale CRI M0282 CRI Rochdale Recovery Service Rochdale CRI M0214 Rochdale Cri Rochdale Highlevel M0027 Highlevel Rochdale Pennine Care NHS W0015 PENC Rochdale CDT Rochdale Turning Point M0289 Turning Point Leigh Bank Rochdale Turning Point M0200 Turning Point Richards House Salford Greater Manchester West M0311 Salford Drug & Alcohol Service Salford Lifeline W0222 Salford YP Salford THOMAS M0297 THOMAS Community Recovery Salford Sefton Independence Initiative M0070 Independence Initiative 23

24 Sefton Lifeline Project Ltd M0318 Sefton Treatment and Recovery Service (South) Sefton Lifeline Project Ltd M0317 Sefton Treatment and Recovery Service (North) St Helens Addaction M0284 Addaction St Helens St Helens St Helens YP W0030 St Helens YP Stockport ADS W0111 ADS Stockport Stockport MOSIAC W0052 Stockport YP Stockport Pennine Care NHS M0155 Stockport Community Alcohol Team Stockport Pennine Care NHS W0017 PENC Stockport CDT Tameside ADS W0050 ADS Tameside Tameside Lifeline Project Ltd W0073 TP Branching Out - Lifeline Tameside Pennine Care NHS W0018 PENC Tameside CDT Trafford Cheshire and Wirral Partnership NHS M0255 Trafford Drug Intensive Treatment Service Trafford Phoenix Futures M0287 Trafford Young Peoples Service Trafford Turning Point M0260 Turning Point Community Detox Service Trafford Unspecified M0293 Trafford Youth Offending Service Warrington Warrington Borough Council W0051 Warrington YP Wigan Addaction M0308 Addaction Wigan Case Coordination & Recovery Wigan Greater Manchester West NHS Mental Health Trust M0307 GMW Wigan & Leigh Intake & Clinical Wigan THOMAS M0298 THOMAS Community Recovery Wigan Wigan WIGAN CHILDREN AND YOUNG PEOPLES W0069 Wigan YP SERVICES Wirral Cheshire and Wirral Partnership NHS W0063 Wirral CAHMS Wirral Cheshire and Wirral Partnership NHS M0181 Wirral Alcohol Service Wirral Cheshire and Wirral Partnership NHS M0030 CWPT Drug Service Wirral Wirral Youth Service, Children and Young People's Department M0555 Response 24

25 Appendix 2 The following tables provide information on North West agencies requiring follow-up as a result of responses to questions relating to information governance and mutual aid. Table 3: North West Agency answered yes or N/A to question regarding sharing DAMS log in and password DAT area Agency DAMS access Actions M0036 Turning Point Chester Residential Yes Oldham M0211 ACCE Oldham Yes Halton M0278 Halton Recovery Service Yes Lancashire M0285 Harvey House Social Enterprise Limited Yes Oldham W0058 OASIS N/A 02/04/2014 question completed incorrectly, verified DAMS passwords are not shared 02/04/2014 question completed incorrectly, verified DAMS passwords are not shared 08/04/2014 question completed incorrectly, verified DAMS passwords are not shared 02/04/2014 Training has been provided by NDTMS team and each staff member now has its own log in details 03/04/2014 question completed incorrectly, verified DAMS passwords are not shared Table 4: North West Agency answered yes or N/A to question regarding sharing DET log in and password DAT area Agency DET access Actions Lancashire M0285 Harvey House Social Enterprise Limited Yes 02/04/2014 Training has been provided by NDTMS team and each staff member now has its own log in details 25

26 Table 5: North West Agency answered yes or N/A to question regarding sharing Secure Transfer Portal (aka dropbox) log in and password DAT area Cheshire East UA Cheshire East UA Agency M0006 CWP Macclesfield CDT East Cheshire M0008 CWP South Cheshire Drug Service Dropbox access N/A N/A Wirral M0030 CWPT Drug Service N/A M0032 CWP Chester CDT N/A M0036 Turning Point Chester Residential N/A Liverpool M0045 OK UK N/A Cumbria M0083 Turning Point Stanfield House N/A Cheshire East UA M0094 CWP East Cheshire YP N/A Lancashire M0119 Holgate House N/A M0123 CWP South Cheshire YP Cheshire East UA Service N/A Cheshire East UA M0161 East Cheshire Alcohol Services N/A M0178 Chester Alcohol Service N/A M0179 Ellesmere Port Alcohol Service N/A Wirral M0181 Wirral Alcohol Service N/A M0192 CWP Chester YP N/A Actions 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 02/04/2014 question completed 03/04/2014 question completed 29/04/2014 question completed 29/04/2014 Call back on Holiday till 2nd May 29/04/2014 question completed 29/04/2014 Call back on Holiday till 2nd May 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details 29/04/2014 question completed 26

27 M0193 CWP Ellesmere Port YP N/A Oldham M0211 ACCE Oldham Yes Manchester Trafford Trafford Cheshire East UA 29/04/2014 question completed 02/04/2014 question completed 08/04/2014 NDTMS team spoke to new contact for the service, who now has login details for the drop box M0243 The Chapman-Barker Unit N/A M0255 Trafford Drug Intensive Treatment Service N/A 29/04/2014 Code deactivated M0260 Turning Point N/A 29/04/2014 Code deactivated Community Detox Service M0263 CWP South Cheshire N/A Alcohol Service 07/04/2014 Service has its own procedure in place whereby the main data contact in the head office has drop box account details Halton M0278 Halton Recovery Service Yes 08/04/2014 question completed Blackpool M0280 Springboard N/A 29/04/2014 question completed Blackpool M0281 Springboard YP N/A 29/04/2014 question completed Lancashire Trafford Wigan Blackburn with Darwen M0283 CWP Vale Royal Community Drug Team M0285 Harvey House Social Enterprise Limited M0293 Trafford Youth Offending Service M0307 GMW Wigan & Leigh Intake & Clinical M1072 TTP Recovery Communities - Blackburn N/A N/A N/A N/A N/A 07/04/2014 Service has a procedure in place where Jane Kerr is the main data contact and has login details to the drop box 02/04/2014 question completed 29/04/2014 question completed 29/04/2014 Call Back 29/04/2014 question completed Oldham W0014 PENC Oldham CDT N/A 29/04/2014 question completed Tameside W0018 PENC Tameside CDT N/A 29/04/2014 question completed W0027 CWP Ellesmere Port CDT N/A 07/04/2014 Service has a procedure in place where Jane Kerr is the main data contact and has login details to the drop box Stockport W0052 Stockport YP N/A 29/04/2014 question completed Oldham W0058 OASIS N/A 03/04/2014 question completed 27

28 Wirral W0063 Wirral CAHMS N/A 29/04/2014 Service has been made aware of the drop box by NDTMS team and login accounts have been created for all contacts in service Oldham W0068 Oldham Alcohol N/A 29/04/2014 question completed Liverpool W0089 Liverpool YOT N/A 08/04/2014 question completed Manchester W0444 Turning Point Smithfield Detox N/A 29/04/2014 Call Back Table 6: North West Agency answered no to the inclusion of the latest version of the NDTMS confidentiality toolkit in their consent procedures DAT area Agency Toolkit V6.3 Actions Stockport M0155 Stockport Community Alcohol Team No 08/04/2014 question completed incorrectly, verified the service does use the up to date toolkit Manchester M0243 The Chapman-Barker Unit No 08/04/2014 question completed incorrectly, verified the service does use the up to date toolkit Lancashire M0251 Inspire â Community No 08/04/2014 question completed incorrectly, verified the service does use the up to date toolkit Lancashire M0252 Inspire â Criminal Justice No 08/04/2014 question completed incorrectly, verified the service does use the up to date toolkit 02/04/2014 Call back to speak with Manager Lancashire M0285 Harvey House Social Enterprise Limited No Stockport W0017 PENC Stockport CDT No 08/04/2014 question completed incorrectly, verified the service does use the up to date toolkit Liverpool W0089 Liverpool YOT No 08/04/2014 question completed incorrectly, verified the service does use the up to date toolkit 28

29 The following agencies were contacted to offer support in relation to the recording of mutual aid. These services stated that they did provide referral to mutual aid but that they did not have the ability to record this activity. Table 7: North West agency answered yes to referral to mutual aid but stated that they could not record this activity within their NDTMS system DAT area Agency Mutual aid referral Mutual aid recorded NDTMS Cheshire East UA M0006 CWP Macclesfield CDT East Cheshire Yes No - cannot record on system M0008 CWP South Cheshire Drug Service Yes No - cannot record on system Wirral M0030 CWPT Drug Service Yes No - cannot record on system M0032 CWP Chester CDT Yes No - cannot record on system M0036 Turning Point Chester Residential Yes No - cannot record on system Cheshire East UA M0161 East Cheshire Alcohol Services Yes No - cannot record on system M0178 Chester Alcohol Service Yes No - cannot record on system M0179 Ellesmere Port Alcohol Service Yes No - cannot record on system Wirral M0181 Wirral Alcohol Service Yes No - cannot record on system Lancashire M0251 Inspire â Community Yes No - cannot record on system Lancashire M0252 Inspire â Criminal Justice Yes No - cannot record on system Trafford M0255 Trafford Drug Intensive Treatment Service Yes No - cannot record on system M0263 CWP South Cheshire Alcohol Service Yes No - cannot record on system Halton M0278 Halton Recovery Service Yes No - cannot record on system M0283 CWP Vale Royal Community Drug Team Yes No - cannot record on system Trafford M0287 Trafford Young Peoples Service Yes No - cannot record on system Manchester M0288 RISE Manchester Clinical Service Yes No - cannot record on system Lancashire M0296 Discover Central Lancs Yes No - cannot record on system Salford M0311 Salford Drug & Alcohol Service Yes No - cannot record on system Sefton M0317 Sefton Treatment and Recovery Service (North) Yes No - cannot record on system Sefton M0318 Sefton Treatment and Yes No - cannot record on system Recovery Service (South) W0027 CWP Ellesmere Port Yes No - cannot record on system CDT St Helens W0030 St Helens YP Yes No - cannot record on system 29

30 Blackpool M0121 Drugline Coast Yes No - cannot record on system Blackpool W0057 Drugline Blackpool Yes No - cannot record on system Liverpool W0083 Sharp Liverpool Yes No - cannot record on system Lancashire M0285 Harvey House Social Yes No - cannot record on system Enterprise Limited M0295 TTP Communities Cheshire Yes No - cannot record on system Appendix 3 The following agencies did not submit / only partially completed the user survey. All providers have been contacted by the NDTMS team to encourage them to complete the survey. Table 8: North West agencies who did not submit/ partially submitted the provider survey DAT area Agency Status Actions Wirral M0037 Phoenix Futures Incomplete Wirral Adult Services M0178 Chester Alcohol Incomplete Service M0179 Ellesmere Port Incomplete Alcohol Service Warrington M0004 Warrington CRI Did not submit Wirral M0014 Arch-Argyle HC Did not submit Wirral M0022 Arch Balls Road Did not submit Knowsley M0029 Knowsley CAHMS Did not submit undelivered Lancashire M0051 Littledale Hall Did not submit Rochdale M0066 York House Did not submit Deactivated agency Surgery Manchester M0083 Turning Point Stanfield House Did not submit Service ed on 24/04/14 to verify they had now completed the survey Sefton M0089 SMASH Did not submit Blackpool M0106 TTP Recovery Did not submit Communities Blackpool Halton M0189 TTP Communities Did not submit Runcorn Blackpool M0198 Blackpool Community Alcohol Team Did not submit M0206 Open Minds Lancashire M0270 TTP Chorley - Withnell House Did not submit Did not submit 30

31 Lancashire M0273 TTP Lancaster - Did not submit Walter Lyon House Lancashire M0274 ADS Preston Detox Did not submit Bury M0275 Shardale Ltd Did not submit Liverpool M0277 LCAS Did not submit Tameside M0279 Tameside Did not submit Recovery & Reintegration Service Trafford M0286 Trafford Did not submit Recovery Management Manchester M0291 RISE Manchester Did not submit Recovery Service Cumbria Manchester Oldham Cheshire East UA Bolton Bolton Manchester M0292 Cumbria Partnership Trust M0294 ADS Cheshire West DIP M0300 Chapman Barker Unit RADAR Ward M0301 Therapeutic Environments Ltd M0302 ADS East Cheshire DIP M0303 BIDAS Bolton Integrated Drug Service M0304 BIDAS Bolton Integrated Alcohol Service M0305 Vale Royal Young Persons Service M0306 Vale Royal Alcohol Service M0309 Cyngor Alcohol Information Service (CAIS) M0315 ADS Addiction Dependency Solutions Did not submit Did not submit Did not submit Did not submit Did not submit Did not submit Did not submit Did not submit Did not submit Did not submit Did not submit Trafford M0320 GMW Trafford Did not submit Drug Intensive Treatment Service Halton W0032 Halton YOT Did not submit Stockport W0053 ACORN Did not submit Wirral W0056 Wirral YOT Did not submit Wirral W0063 Wirral CAMHS Did not submit Salford W0064 Thomas Project Did not submit Blackpool W0065 Addaction Did not submit Deactivated agency Service ed on 25/04/14 to verfify they had now completed the survey Service ed on 24/04/14 to verfify they had now completed the survey Service ed on 28/04/14 to verfify they had now completed the survey Service ed on 24/04/14 to verfify they had now completed the survey Service ed on 24/04/14 to verfify they had now completed the survey 31

32 Blackpool 32