Interim High Level Outcome Update

Transcription

1 1 Background 1.1 This interim high level comparative outcome report is presented as a prelude to the issue of a detailed analysis of progress against the ADPs Delivery Plan at the next ADP Committee meeting. 2 Aim 2.1 The purpose of this paper is to provide a high level snapshot of Aberdeenshire s alcohol and drug outcome performance compared to other areas of Scotland. 3 High Level Outcomes 3.1 The data shown is the latest available covering all areas of Scotland. The vertical line displays the Scottish average. The greyed out bar represents Aberdeenshire. More up-to-date information is available for Aberdeenshire but not in comparison with the rest of Scotland. Pto...

2 Alcohol-related hospital stays 3.2 General acute inpatient & day case stays with a diagnosis of alcohol misuse age-sex standardised per 100,000 population. Alcohol-related mortality 3.3 Alcohol related deaths age-sex standardised rate per 100,000 population.

3 Child protection with parental alcohol misuse 3.4 Rate of Child Protection Case Conference where parental alcohol misuse has been identified for children on the register at 31st July per 10,000 population aged under 18 years. 3.5 Rate of Child Protection Case Conference where parental drug and/or alcohol abuse has been identified for children on the register at 31st July per 10,000 population aged under 18 years. 2

4 Neighbourhood safety 3.6 % people perceiving rowdy behaviour very/fairly common in their neighbourhood. Licensed premises 3.7 Number of on-sales premise licences in force per 10,000 population

5 Alcohol treatment waiting times 3.8 Number of off-sales premise licences in force per 10,000 population Percentage of clients waiting for more than 3 weeks between referral to a specialist drug and alcohol service and start of treatment. 4

6 Weekly drinkers (pupils age 15) 3.10 Percentage of 15 year old pupils drinking on a weekly basis. Drug use last year (pupils age 15) 3.11 Percentage of 15 year old pupils who used illicit drugs in the last year. 5

7 Children being offered drugs (pupils age 15) 3.12 Percentage of 15 year old pupils who have ever been offered drugs. Drug-related hospital stays 3.13 General acute inpatient & day case stays with a diagnosis of drug misuse age sex standardised per 100,000 population. 6

8 Drug-related mortality 3.14 Number of drug-related deaths age sex standardised rate per 100,000 population. Hepatitis-C positives among injectors 3.15 Percentage of tested injecting drug users testing positive for HVC antibody. 7

9 Population prevalence of problem drug use 3.16 Estimated prevalence of problem drug use (ages 15 to 64) 2012/13 financial year. Maternities with drug use 3.17 Numbers & Rates of maternities (per 1,000 maternities) recording drug misuse (3-yr rolling average). 8

10 Child protection with parental drug misuse 3.18 Rate of Child Protection Case Conference where parental drug misuse has been identified for children on the register at 31st July, per 10,000 population aged under 18. Drug use funded by crime 3.19 Percentage of new patients/clients at specialist drug treatment services who report funding their drugs through crime. 9

11 Perception of drug misuse in neighbourhood 3.20 Percentage of people perceiving drug misuse or dealing to be very or fairly common in their neighbourhood. Drug treatment waiting times 3.21 Percentage of clients waiting for more than 3 weeks between referral to a specialist drug and alcohol service and start of treatment. 10

12 SDMD initial completeness 3.22 Number of individuals with initial assessment record on SDMD divided by number of individuals with drug wait on DATWT (as percentage). SDMD follow-up completeness 3.23 Percentage of individuals with a follow-up assessment weeks after initial assessment. 11

13 4 Benchmark Comparison 4.1 For the purposes of comparison, Aberdeenshire chose East Dunbartonshire to benchmark against within the ADP Delivery Plan. According to the latest data: Indicator Aberdeenshire Rate East Dunbartonshire Rate Aberdeenshire is...* Alcohol-related hospital stays (n=736) (n=481) Better Alcohol-related mortality 13.4 (n=36) 11.4 (n=12) Same Weekly drinkers (pupils age 15) 11.5 (n=82) 10.8 (n=60) Same Child protection with parental alcohol misuse 1.6 (n=9) 7.5 (n=16) Better Attempted murder & Serious assault 3.7 (n=97) 3.9 (n=42) Same Common assault 76.5 (n=2005) 46.4 (n=496) Worse Vandalism 54.8 (n=1436) 49.1 (n=525) Same Breach of the Peace 39.5 (n=1036) 52.0 (n=556) Better % people perceiving rowdy behaviour very/fairly common in 5.5 (n=17) 5.2 (n=11) Same their neighbourhood Premise licences in force - On trade 21.1 (n=435) 13.4 (n=115) Worse Premise licences in force - Off trade 9.6 (n=198) 8.1 (n=69) Same Alcohol treatment waiting times 8.0 (n=52) 7.9 (n=22) Same Drug-related hospital stays 39.7 (n=100) 62.9 (n=61) Same Drug-related mortality 5.3 (n=14) 9.6 (n=9) Same Hepatitis-C positives among PWID 51.6 (n=94) 73.2 (n=71) Better Population prevalence of problem drug use 0.7 (n=1100) 0.6 (n=390) Same Male prevalence of problem drug use 1.0 (n=820) 0.9 (n=310) Same Female prevalence of problem drug use 0.4 (n=300) 0.2 (n=80) Worse Drug use last year (pupils age 15) 14.2 (n=92) 15.1 (n=79) Same Maternities with drug use 10.7 (n=27) 2.6 (n=2) Same Child protection with parental drug misuse 4.2 (n=23) 6.6 (n=14) Same* Drug use funded by crime 18.0 (n=55) 24.1 (n=13) Same Children being offered drugs (pupils age 15) 29.3 (n=196) 40.8 (n=209) Better

14 Indicator Perception of drug misuse in neighbourhood Drug treatment waiting times SDMD initial completeness SDMD follow-up completeness Aberdeenshire Rate Interim High Level Outcome Update East Dunbartonshire Rate Aberdeenshire is...* 4.7 (n=14) 3.5 (n=8) Same 5.6 (n=41) 6.0 (n=9) Same 63.2 (n=307) 65.5 (n=78) Same 20.2 (n=61) 0.0 (n=0) Better * The assessment is same where confidence intervals overlap. 5 Conclusions 5.1 For most of the 22 indicators listed, Aberdeenshire compares favourably with most areas of Scotland with the exception of: Alcohol treatment waiting times 15 year olds drinking weekly (similar to the Scottish average although recent unpublished SALSUS data suggests a significant decline in our performance) Hep-C positives (similar to the Scottish average) Maternities with drug use (similar to the Scottish average but Aberdeenshire has been increasing since 2005/08 whilst Scotland decreasing since 2010/13) Drug use funded by crime (similar to the Scottish average) Drug treatment waiting times (similar to the Scottish average) 5.2 Points to note include: Pupils in Aberdeenshire are significantly more likely to drink in their homes and less likely to drink in the street that the rest of Scotland. There has been a deterioration in the number of 15 year olds offered drugs, notably in relation to ecstasy (6% 2013; 14% 2015). According to residents perceptions, Aberdeenshire continues to be assessed as a community relatively untroubled by rowdy behaviour and drug misuse. Whilst Aberdeenshire compares favourably with alcohol and drug related death rates across most of the rest of Scotland, our alcohol related death rate has been steadily increasing since 2010 whilst the national situation and most other ADPs have improved. Since 2010 our ARD rate has nearly doubled whilst 2

15 Shire Deaths Scottish Deaths Interim High Level Outcome Update East Dunbartonshire has more than halved its ARD rate since Aberdeenshire Scotland Alcohol Related Deaths (National Records of Scotland) 1,800 1,600 1,400 1,200 1, Year 6 Recommendations 6.1 The ADP Committee is asked to note the relatively good performance of Aberdeenshire compared to the rest of Scotland but caution against complacency given the continuing rise in alcohol related deaths against a backdrop of national improvement. Wayne Gault ADP Lead Officer 5 Dec