502 (1,347) 44 (113) 226 (585) 232 (649)

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1 IMS Quarterly Monitoring Report Quarter 4: INTRODUCTION: Issue: 3 Updated: 31/07/2018 Hi everyone. This IMS Quarterly Monitoring Reports includes activity for the full year (1st April st March 2018). Due to changes to Pharmacy systems across several areas there is still some data outstanding from this report; in addition a small number of agency services are still working to complete data entry. Therefore the figures within this report are a preliminary picture of the year and these will be reissued prior to completion of our IMS Annual Report. Please review your data in this and the IMS Activity & Data Quality report to check that the reported figures are a true reflection of the activity you deliver. In the case of any missing data entry there is still an opportunity to update your activity before final figures are produced. *[Update] This 'Issue 3' report has now been updated with additional data. 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. CLIENT COHORT SUMMARY: HALTON Monitoring of NSP, and other harm reduction services. "The number of individuals engaged in structured drug treatment programmes in England has declined over recent years, but this has been a trend which has occurred alongside another development, that of an increasing number of drug related deaths (DRDs), culminating last year with ONS reporting the highest number of DRDs on record. Delivery of needle and syringe programmes (NSP) in England is not monitored in the same way as drug treatment programmes, at least at a national level, but local monitoring systems provide information which points to a different picture than that which national drug treatment programme data might suggest." The above excerpt is taken from our guest article available on the NNEF website: As always thank you for your continued support of IMS. 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. 502 (1,347) 44 (113) 226 (585) 232 (649) 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 1,000 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 East Cheshire West & Chester Knowsley Liverpool Sefton St. Helens Warrington Wirral All Individuals 1,150 Rate per 1,000 popul 3.1 2, , , , , , , , IDU: Psychoactive Drugs , , ,308 1, , Rate per 1,000 popul IDU: Steroid & IPEDs Rate per 1,000 popul BI: Drug or Alcohol , Rate per 1,000 popul Cheshire & Merseyside 26, , , , 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. 100% 90% 80% 70% 59% 54% 43% 26% 43% 34% 41% 47% 33% 60% 50% 40% 30% 10% 0% 25% 43% 8% 40% 24% 39% 53% 38% 41% 45% 48% 49% 37% 36% 25% 29% 15% 0% 1% 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. 100% 90% 80% 70% 59% 55% 51% 31% 45% 46% 63% 56% 46% 60% 84% 50% 40% 30% 10% 0% 69% 41% 45% 49% 55% 54% 54% 44% 37% 16% 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 Q4 Full Year HAL10031 Integrated Recovery Service CGL HAL30031 Aston Dane SES, CGL HAL30053 Runcorn High Street SES, CGL HAL40201 Boots Widnes 0 0 *** *** *** HAL40202 Cooke's Pharmacy Widnes *** HAL40203 Castlefields Medical Centre HAL40204 Lloyds Old Town Runcorn HAL Local Authority , *** 13 HALa1 IDU: Psychoactive Drugs HALa3 IDU: Steroid & IPEDs HALb4 BI: Drug or Alcohol IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol 100% 80% 60% 40% 0% 14% 13% 11% 9% 8% 43% 34% 50% 45% 43% 36% 44% 55% 46% 48% Q Q Q Q4 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 HAL10031 Integrated Recovery Service CGL HAL30031 Aston Dane SES, CGL HAL30053 Runcorn High Street SES, CGL 92 *** HAL40201 Boots Widnes *** 0 *** 0 HAL40202 Cooke's Pharmacy Widnes *** *** *** *** HAL40203 Castlefields Medical Centre HAL40204 Lloyds Old Town Runcorn 12 *** 12 *** HAL Local Authority , HALa1 IDU: Psychoactive Drugs HALa3 IDU: Steroid & IPEDs 223 *** HALb4 BI: Drug or Alcohol Gender split by client cohort group for the last quarter, and full year (rolling 12 months). 16% 0% 32% 2% 33% 84% 100% 68% 80% 98% 67% IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol Male Qtr Female Qtr IDU: Psychoactive Drugs IDU: Steroid & IPEDs BI: Drug or Alcohol 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 HAL10031 HAL30031 HAL30053 HAL40201 HAL40202 HAL40203 HAL40204 HAL Agencies Integrated Recovery Service CGL Aston Dane SES, CGL Runcorn High Street SES, CGL Boots Widnes Cooke's Pharmacy Widnes Castlefields Medical Centre Lloyds Old Town Runcorn Local Authority *** 0 *** *** *** *** *** *** *** *** *** *** *** *** *** *** *** HALa1 IDU: Psychoactive Drugs HALa3 IDU: Steroid & IPEDs HALb4 BI: Drug or Alcohol 0 0 *** *** *** *** *** *** IDU: Psychoactive Drugs IDU: Steroid & IPEDs 30% 25% 15% BI: Drug or Alcohol 10% 5% 0% 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 HAL10031 HAL30031 HAL30053 HAL40201 HAL40202 HAL40203 HAL40204 HAL Agencies Integrated Recovery Service *** Aston Dane SES, CGL Runcorn High Street SES, C Boots Widnes Cooke's Pharmacy Widnes Castlefields Medical Centre Lloyds Old Town Runcorn Local Authority Heroin Methadone & Other Opiates Amphetamines (excl Ecstasy) Cannabis Cocaine (excl Crack) Crack Cocaine Other Drugs *** *** 17 *** *** *** *** *** *** *** *** *** Alcohol Steroids & PIEDS Not Stated IDU: Drugs IDU: Steroids BI: Drug or Alcohol HALa1 IDU: Psychoactive Drugs HALa3 IDU: Steroid & IPEDs HALb4 BI: Drug or Alcohol *** *** *** *** *** *** *** *** *** 13 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 HAL10031 Integrated Recovery Service CGL Not Known HAL30031 Aston Dane SES, CGL *** HAL30053 Runcorn High Street SES, CGL 5 *** HAL40201 Boots Widnes *** HAL40202 Cooke's Pharmacy Widnes *** HAL40203 Castlefields Medical Centre HAL40204 Lloyds Old Town Runcorn HAL Local Authority HALa1 IDU: Psychoactive Drugs HALa3 IDU: Steroid & IPEDs HALb4 BI: Drug or Alcohol *** NFA Urgent Housing Problem Housing Problem 11 % 11 % 0% 2% 3%13 % No Housing Problem 78 % 98 % 84 % *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 Agencies Pupil / Student Regular Employment Unemploy & Retired from seeking work paid work HAL10031 Integrated Recovery *** HAL30053 Runcorn High Street SES, Ha *** *** LT sick or disabled HAL40201 Boots Widnes Other Not Stated HAL30031 Aston Dane SES, CG *** 213 HAL40204 Lloyds Old Town Runcorn *** 0 82 HAL40202 Cooke's Pharmacy Widnes HAL40203 Castlefields Medical Centre HAL HALa1 Local Authority 9 0 *** *** HALa3 IDU: Steroid & IPEDs *** *** *** HALb4 BI: Drug or Alcohol *** IDU: Psychoactive Drugs 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 Agencies 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 HAL10031 Integrated Recovery Service CGL *** HAL30031 Aston Dane SES, CGL *** HAL40201 Boots Widnes HAL30053 Runcorn High Street SES, CGL 13 *** HAL40202 Cooke's Pharmacy Widnes *** HAL40203 Castlefields Medical Centre HAL40204 Lloyds Old Town Runcorn HAL Local Authority Not a parent Not Stated 0 *** HALa1 IDU: Psychoactive Drugs HALa3 IDU: Steroid & IPEDs HALb4 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 24% 0% 76% 0% 1% 99% 19% 2% 79% IMS Monitoring Report Page 9

10 CLIENT CHARACTERISTICS : LOCAL AUTHORITY AREA COMPARISON IDU: PSYCHOACTIVE DRUG CLIENTS GENDER Male Female Cheshire East 75% 25% Cheshire Knowsley Liverpool Sefton St. Helens Warrington 84% 80% 81% 77% 84% 79% 84% 16% 19% 23% 16% 21% 16% Wirral * Includes individuals for the current year (rolling 12 months). 83% IDU: PYSCHOACTIVE DRUG CLIENTS ACCOMMODATION STATUS 17% NFA Urgent Housing Problem Housing Problem 89% No Housing Problem 90% 78% 56% 77% 78% 69% 63% 75% 31% 11% 11% 13% 11% 11% 13% 9% 4% 7% 30% 1% 22% 15% 8% 2% 14% 12% Cheshire East 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 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 95% 100% 93% 76% 75% 75% 75% 87% 21% 5% 0% 0% 0% 0% 3% 17% 8% 0% 0% 13% 13% 19% 6% 7% 5% 8% 0% Cheshire East Cheshire West & Chester 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 10

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: (0151) IMS Monitoring Report Page 12