498 (1,288) 241 (527) 257 (761) 0 (0)

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1 IMS Quarterly Monitoring Report Quarter 2: INTRODUCTION: Issue: 1 Updated: 2/1/217 Hi everyone. We hope you had a good summer with Christmas not far away we are already over halfway through the year, although you don t need to panic shop just yet. This IMS Quarterly Monitoring Report includes activity for the second quarter for year and all activity for the last four quarters, covering the 12 month period 1st October 216 3th September 217. Figures shown for previous quarters have also been updated where retrospective data has been entered. This report shows your IMS data in three distinct cohort groups: 'Injecting Drug Users' (IDU) using Psychoactive drugs, 'Injecting Drug Users' using Steroids or IPEDs (Image & Performance Enhancing Drugs), and NonInjecting 'Brief Intervention' (BI) clients using either Alcohol or Other Drugs. The IMS Activity & Data Quality Report, which is published alongside this monitoring report, details activity recorded each quarter together with the completion of the data items included within client assessments. We are keen to hear your feedback. As you will be aware drug related deaths are currently at their highest level since records began both across England and in all nine Cheshire and Merseyside Local Authority areas. hsandmarriages/deaths/bulletins/deathsrelatedtodrugpoisoninginen glandandwales/216registrations An additional module of IMS has now been rolled out to five Local Authority areas which enables drug and alcohol related death (DRD) monitoring. The DRD module facilitates collaboration between the various organisations involved in providing care and support to an individual in the period prior to their death, and provides data which contributes to the DRD review process. More information can be found in our quick guide: DataEntryGuidev1..pdf As always thank you for your continued support of the Integrated Monitoring System. CLIENT COHORT SUMMARY: CHESHIRE EAST Number of individuals who accessed syringe exchange services and nonstructured interventions in the last quarter, and for the full year to date (rolling 12 months). Shown for all individuals combined and separately for 'Injecting Drug Users' (IDU) using Psychoactive drugs, 'Injecting Drug Users' using Steroids or IPEDs (Image & Performance Enhancing Drugs), and for NonInjecting 'Brief Intervention' (BI) clients using either Alcohol or Other Drugs. 498 (1,288) 241 (527) 257 (761) () All Individuals IDU: Psychoactive Drug IDU: Steroid & IPEDs BI: Drug or Alcohol CLIENT NUMBERS & PREVALENCE ESTIMATES: LOCAL AUTHORITY AREAS Comparison of client numbers and estimated prevalence (per 1, population) by each Local Authority area for the full year (rolling 12 month period). Shown for all individuals combined and separately for each client cohort group. Cheshire West & Chester Halton Knowsley Liverpool Sefton St. Helens Warrington Wirral All Individuals 1,288 Rate per 1, popul 3.4 2, , , , , , , , IDU: Psychoactive Drugs Rate per 1, popul 3.5 1, IDU: Steroid & IPEDs , , , ,33 Rate per 1, popul 3.2 BI: Drug or Alcohol , Rate per 1, popul Cheshire & Merseyside 25, , , , IMS Monitoring Report Page 1

2 CLIENT COHORT SPLIT: LOCAL AUTHORITY AREAS ALL INDIVIDUALS SEEN THIS YEAR (ROLLING 12 MONTHS): SPLIT BY COHORT GROUP Client split shown as stacked bar graph for comparison. 1% 9% 8% 7% 6% 5% 4% 3% 2% 1% % 24% 23% 43% 42% 37% 35% 44% 47% 59% 56% 2% 9% 47% 43% 29% 41% 38% 54% 55% 47% 41% 44% 3% 27% 19% 15% 24% % % 4% CHE CHW HAL KNW LIV SEF SHL WAR WIR ALL IMS BI: Drug or Alcohol IDU: Drug IDU: Steroid INJECTING DRUG USERS (IDUs) SEEN THIS YEAR (ROLLING 12 MONTHS): SPLIT BY COHORT GROUP Client split shown as stacked bar graph for comparison, IDUs clients only. 1% 9% 8% 7% 59% 56% 54% 33% 44% 46% 6% 56% 46% 6% 82% 5% 4% 3% 2% 41% 44% 46% 67% 56% 54% 4% 44% 54% 1% % 18% CHE CHW HAL KNW LIV SEF SHL WAR WIR ALL IDU IDU: Drug IDU: Steroid IMS Monitoring Report Page 2

3 CLIENTS SUMMARY: BY AGENCY NUMBER OF INDIVIDUALS SEEN BY QUARTER: The number of individuals reported for all agencies each quarter, and the total number of individuals seen during the current year to date. The local authority figures are the total unique individuals. All Individuals by service IMS Agencies Q Q Q Q2 Full Year CHE329 Catherine House, Crewe CHE33 Barnabas Centre, Macclesfield *** 124 CHE522 Boots Nantwich *** *** CHE5175 Clear Pharmacy Crewe CHE534 Andrews Pharmacy Macclesfield CHE5632 Rowlands Middlewich CHE583 Boots Sandbach *** *** 5 CHE585 Mannings Chemist, Knutsford CHE5816 Well (224193) Park Lane, Maccle CHE5819 Well (224537) Handforth CHE5822 Well (22332) Sunderland St, Macclesf CHE584 Assan Pharmacy Ltd T/A Cohens Chemist CHE5849 The Weston Pharmacy (R H Swinn Ltd) CHE5874 Lloyds Lawton Road, Stoke CHE5876 Lloyds Wilmslow CHE5877 Lloyds Charlotte St, Macclesfield 1 1 CHE5878 Lloyds Congleton CHE5883 AJ Hodgson T/A London Road pharmacy CHE5661 Boots Grand Junction, Crewe CHE576 Salus Pharmacy Congleton CHE Local Authority , CHEa1 IDU: Psychoactive Drugs CHEa3 IDU: Steroid & IPEDs CHEb4 BI: Drug or Alcohol IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol 1% 8% 6% 4% 2% % 48% 44% 44% 48% 41% 52% 56% 56% 52% 59% % % % % % Q Q Q Q2 Full Year IMS Monitoring Report Page 3

4 CLIENTS SUMMARY: BY AGENCY GENDER: Number of individuals by gender for the last quarter, and during the current year to date. IMS Agencies Male Qtr Female Qtr Male Full Year Female Full Year CHE329 Catherine House, Crewe CHE33 Barnabas Centre, Macclesfield *** CHE522 Boots Nantwich *** 6 CHE5175 Clear Pharmacy Crewe CHE534 Andrews Pharmacy Macclesfield 7 15 *** CHE5632 Rowlands Middlewich 14 *** 17 5 CHE583 Boots Sandbach 9 *** CHE585 Mannings Chemist, Knutsford 7 *** 12 *** CHE5816 Well (224193) Park Lane, Maccle CHE5819 Well (224537) Handforth CHE5822 Well (22332) Sunderland St, Macclesf CHE584 Assan Pharmacy Ltd T/A Cohens Chemist CHE5849 The Weston Pharmacy (R H Swinn Ltd) 8 22 *** CHE5874 Lloyds Lawton Road, Stoke 19 *** 59 1 CHE5876 Lloyds Wilmslow CHE5877 Lloyds Charlotte St, Macclesfield 7 *** CHE5878 Lloyds Congleton CHE5883 AJ Hodgson T/A London Road pharmacy 9 *** 23 9 CHE5661 Boots Grand Junction, Crewe *** CHE576 Salus Pharmacy Congleton 12 *** 41 9 CHE Local Authority , CHEa1 IDU: Psychoactive Drugs CHEa3 IDU: Steroid & IPEDs *** CHEb4 BI: Drug or Alcohol Gender split by client cohort group for the last quarter, and full year (rolling 12 months). 26% % 27% % 74% 1% 73% 1% % IDU: Psychoactive IDU: Steroid & BI: Drug or Alcohol Drugs IPEDs Male Qtr Female Qtr % IDU: Psychoactive IDU: Steroid & BI: Drug or Alcohol Drugs IPEDs Male Full Year Female Full Year IMS Monitoring Report Page 4

5 CLIENTS SUMMARY: BY AGENCY AGE GROUPS: Total individuals for the current year to date, shown by age group. IMS CHE329 CHE33 CHE522 CHE5175 CHE534 CHE5632 CHE583 CHE585 CHE5816 CHE5819 CHE5822 CHE584 CHE5849 CHE5874 CHE5876 CHE5877 CHE5878 CHE5883 CHE5661 CHE576 CHE Agencies Catherine House, Crewe Barnabas Centre, Macclesfield Boots Nantwich Clear Pharmacy Crewe Andrews Pharmacy Macclesfield Rowlands Middlewich Boots Sandbach Mannings Chemist, Knutsford Well (224193) Park Lane, Maccle Well (224537) Handforth Well (22332) Sunderland St, Macclesf Assan Pharmacy Ltd T/A Cohens Chemist The Weston Pharmacy (R H Swinn Ltd) Lloyds Lawton Road, Stoke Lloyds Wilmslow Lloyds Charlotte St, Macclesfield Lloyds Congleton AJ Hodgson T/A London Road pharmacy Boots Grand Junction, Crewe Salus Pharmacy Congleton Local Authority *** *** *** *** *** *** *** *** *** *** *** *** *** *** *** 6 *** *** *** *** *** *** *** *** 6 *** *** *** 6 *** *** *** *** *** *** *** *** *** *** *** 7 7 *** *** *** *** *** *** *** *** *** *** *** *** *** 5 12 *** *** *** *** *** *** *** *** *** *** CHEa1 IDU: Psychoactive Drugs CHEa3 IDU: Steroid & IPEDs CHEb4 BI: Drug or Alcohol *** *** IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol 4% 35% 3% 25% 2% 15% 1% 5% % IMS Monitoring Report Page 5

6 CLIENT REVIEW DATA: BY AGENCY PRIMARY SUBSTANCE: Total individuals for the current year to date, shown by the last recorded primary substance. IMS CHE329 CHE33 CHE522 CHE5175 CHE534 CHE5632 CHE583 CHE585 CHE5816 CHE5819 CHE5822 CHE584 CHE5849 CHE5874 CHE5876 CHE5877 CHE5878 CHE5883 CHE5661 CHE576 CHE Catherine House, Crewe Barnabas Centre, Macclesfield Boots Nantwich Agencies Clear Pharmacy Crewe Andrews Pharmacy Macclesfield Rowlands Middlewich Boots Sandbach Mannings Chemist, Knutsford Well (224193) Park Lane, Maccle Well (224537) Handforth Well (22332) Sunderland St, Mac Assan Pharmacy Ltd T/A Cohens Ch The Weston Pharmacy (R H Swinn L Lloyds Lawton Road, Stoke Lloyds Wilmslow Lloyds Charlotte St, Macclesfield Lloyds Congleton 44 *** *** *** *** *** *** *** *** *** AJ Hodgson T/A London Road pharm Boots Grand Junction, Crewe Salus Pharmacy Congleton Local Authority Heroin Methadone & Other Opiates Amphetamines (excl Ecstasy) Cannabis Cocaine (excl Crack) Crack Cocaine Other Drugs *** *** 235 1, Alcohol Steroids & PIEDS Not Stated IDU: Drugs IDU: Steroids BI: Drug or Alcohol CHEa1 IDU: Psychoactive Drugs CHEa3 IDU: Steroid & IPEDs CHEb4 BI: Drug or Alcohol 24 *** *** IMS Monitoring Report Page 6

7 CLIENT REVIEW DATA: BY AGENCY ACCOMMODATION NEED: Total individuals for the current year to date, shown by the last recorded accommodation status. IMS Agencies NFA Urgent Housing Problem Housing Problem No Housing Problem CHE522 Boots Nantwich 6 CHE5819 Well (224537) Handforth CHE5876 Lloyds Wilmslow Not Known CHE329 Catherine House, Crewe *** CHE33 Barnabas Centre, Macclesfield CHE5175 Clear Pharmacy Crewe 153 CHE534 Andrews Pharmacy Macclesfield 17 CHE5632 Rowlands Middlewich 22 CHE583 Boots Sandbach 1 CHE585 Mannings Chemist, Knutsford 14 CHE5816 Well (224193) Park Lane, Maccle 76 CHE5822 Well (22332) Sunderland St, Macclesf 152 CHE584 Assan Pharmacy Ltd T/A Cohens Chemist 153 CHE5849 The Weston Pharmacy (R H Swinn Ltd) 25 CHE5874 Lloyds Lawton Road, Stoke 69 CHE5877 Lloyds Charlotte St, Macclesfield 1 CHE5878 Lloyds Congleton 125 CHE5883 AJ Hodgson T/A London Road pharmacy 32 CHE5661 Boots Grand Junction, Crewe 41 CHE576 Salus Pharmacy Congleton 5 CHE Local Authority *** *** 84 1,198 CHEa1 IDU: Psychoactive Drugs CHEa3 IDU: Steroid & IPEDs CHEb4 BI: Drug or Alcohol *** *** *** NFA Urgent Housing Problem % % % Housing Problem No Housing Problem 67 % 96 % *For those clients where accommodation status recorded: IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol IMS Monitoring Report Page 7

8 CLIENT REVIEW DATA: BY AGENCY EMPLOYMENT STATUS: Total individuals for the current year to date, shown by the last recorded employment status. IMS CHE Local Authorit CHEa1 Agencies Pupil / Student Regular Employment Unemploy & Retired from seeking work paid work CHE522 Boots Nantwich CHE583 Boots Sandbach CHE585 Mannings Chemist, Knutsfor CHE5816 Well (224193) Park Lane, M CHE5819 Well (224537) Handforth CHE5822 Well (22332) Sunderland CHE584 Assan Pharmacy Ltd T/A Coh CHE5849 The Weston Pharmacy (R H 152 CHE5874 Lloyds Lawton Road, Stoke 69 CHE5876 Lloyds Wilmslow CHE5877 Lloyds Charlotte St, Maccle CHE5878 Lloyds Congleton CHE5883 AJ Hodgson T/A London Roa 32 CHE5661 Boots Grand Junction, Crew 41 CHE576 Salus Pharmacy Congleton 5 IDU: Psychoactive Drugs 527 *** 1,287 CHEa3 IDU: Steroid & IPEDs *** 76 CHEb4 BI: Drug or Alcohol LT sick or disabled CHE329 Catherine House, Crewe CHE33 Barnabas Centre, Macclesfie *** *** 121 CHE5175 Clear Pharmacy Crewe 6 CHE534 Andrews Pharmacy Maccle 153 CHE5632 Rowlands Middlewich 22 Other Not Stated For those clients where an employment status was recorded: IMS Monitoring Report Page 8

9 CLIENT REVIEW DATA: BY AGENCY PARENTAL STATUS: Total individuals for the current year to date, shown by the last recorded parental status. IMS CHE Agencies Local Authority All of the children live with client Some of the children live with client None of the children live with client Client declined to answer CHE33 Barnabas Centre, Macclesfield *** *** CHE5175 Clear Pharmacy Crewe CHE5632 Rowlands Middlewich CHE585 Mannings Chemist, Knutsford CHE5819 Well (224537) Handforth CHE584 Assan Pharmacy Ltd T/A Cohens Chemist CHE5874 Lloyds Lawton Road, Stoke CHE5877 Lloyds Charlotte St, Macclesfield CHE5883 AJ Hodgson T/A London Road pharmacy CHE576 Salus Pharmacy Congleton Not a parent *** 121 CHE522 Boots Nantwich 6 CHE534 Andrews Pharmacy Macclesfield CHE583 Boots Sandbach 1 14 CHE5816 Well (224193) Park Lane, Maccle 76 CHE5822 Well (22332) Sunderland St, Macclesf CHE5849 The Weston Pharmacy (R H Swinn Ltd) CHE5876 Lloyds Wilmslow 1 CHE5878 Lloyds Congleton CHE5661 Boots Grand Junction, Crewe 41 5 Not Stated CHE329 Catherine House, Crewe 467 *** 1, CHEa1 IDU: Psychoactive Drugs CHEa3 IDU: Steroid & IPEDs CHEb4 BI: Drug or Alcohol *** Where clients stated that they are a parent (of children under 18) All children live with the client Some children live with the client No children live with the client IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol % % 1% IMS Monitoring Report Page 9

10 CLIENT CHARACTERISTICS : LOCAL AUTHORITY AREA COMPARISON IDU: PSYCHOACTIVE DRUG CLIENTS GENDER Male Female 73% 27% Cheshire Halton Knowsley Liverpool Sefton St. Helens Warrington 82% 79% 82% 78% 82% 78% 86% 18% 21% 18% 22% 18% 22% 14% Wirral * Includes individuals for the current year (rolling 12 months). 85% IDU: PYSCHOACTIVE DRUG CLIENTS ACCOMMODATION STATUS NFA Urgent Housing Problem Housing Problem No Housing Problem 1% 1% 1% 93% 85% 15% 98% 1% 98% 66% 33% 7% % % % % % % % 14% % 1% % 1% 1% % % 2% Cheshire West & Chester * Includes individuals for the current year (rolling 12 months), percentages are of those clients where an accommodation status was recorded. IDU: PYSCHOACTIVE DRUG CLIENTS PARENTAL STATUS Halton Knowsley Liverpool Sefton St. Helens Warrington Wirral All of the children live with client Some of the children live with client None of the children live with client 1% 79% 82% 71% 59% 53% 47% 67% 84% % % % % 21% 8% 1% 3% 25% 24% 17% % 7% 27% % % 2% 13% Cheshire West & Chester Halton Knowsley Liverpool Sefton St. Helens Warrington Wirral * Includes individuals for the current year (rolling 12 months), percentages are of those clients who stated that they are a parent (of children under 18). IMS Monitoring Report Page 1

11 CLIENTS COHORT SUMMARY: BY POSTCODE AREA OF RESIDENCE IDU: PSYCHOACTIVE DRUG CLIENTS POSTCODE AREA Number of clients in each cohort group by postcode area of residence. Postcode area as recorded at clients latest assessment. Excludes any clients who do not have a postcode recorded. Maps are available for IMSonline users here: IDU: STEROID & IPEDs POSTCODE AREA BI: DRUG OR ALCOHOL POSTCODE AREA Map Key: IMS Monitoring Report Page 11

12 ADDITIONAL NOTES The figure for those accessing services includes all individuals who had an intervention, an onward referral, a well being review, a health screening, or a syringe exchange transaction during the quarter. The number of individuals shown Year to Date (YTD) is not necessarily a sum of the quarterly figures as the same individual may have presented in more than one quarter, but they will only be counted once in the YTD number. Likewise the Local Authority total is less than a sum of the agency figures where an individual has presented at multiple services during the period. The activity summary shows the number of activities delivered by each service. The Year to Date (YTD) activity figure is cumulative and should represent the sum of each quarterly figure, unless any retrospective changes are made to the data by the agency following their quarterly data submission. The client review data section includes all clients who have accesses services at any time during the current year to date, and details information that is collected in the client assessment review, such as Primary Substance of use, Accommodation status, Employment Status, and Parental status. Where the client has multiple assessments completed, only the last completed assessment has been used. Needle and syringe programme data includes all clients who have had a needle and syringe exchange transaction or exchange return recorded at any time during the quarterly period or current year to date. Report prepared by the PHI Monitoring Team, Public Health Institute, Liverpool John Moores University, Henry Cotton Building, 1521 Webster Street, Liverpool, L3 2ET. Tel: (151) IMS Monitoring Report Page 12