Integrated Monitoring System Data Tables · Table 4 - Proportion of IMS individuals by age and...

Integrated Monitoring SystemData TablesCheshire and Merseyside 2017/18

Mark Whitfield, Howard Reed and Jim McVeigh

www.ljmu.ac.uk/phi [email protected] 0151 231 4314 twitter.com/PHI_IMS

Public Health Institute, Faculty of Health, Education and Community, Liverpool John Moores University, 3rd Floor Exchange Station, Tithebarn Street, Liverpool, L2 2QP.

78 Integrated Monitoring System Annual Report 2017-18

LIST OF TABLES

Table 1 - All IMS individuals by cohort and local authority, 2017-18 ............................................................................................... 80

Table 2 - All IMS individuals, annual client numbers 2013-14 to 2017-18, ....................................................................................... 80

Table 3 - Number of IMS individuals matching to NDTMS, by age and cohort group ...................................................................... 81

Table 4 - Proportion of IMS individuals by age and cohort group who match to NDTMS ................................................................ 81

Table 5 - Number of IMS individuals matching to NDTMS, by Local Authority and cohort group ................................................... 81

Table 6 - Proportion of IMS individuals by Local Authority and cohort group who match to NDTMS ............................................. 81

Table 7 - Number of IMS individuals matching to CJD, by age and gender ...................................................................................... 82

Table 8 - Proportion of IMS individuals by age and gender who match to CJD ................................................................................ 82

Table 9 - Number of IMS individuals matching to CJD, by Local Authority and cohort group .......................................................... 82

Table 10 - Proportion of IMS individuals by Local Authority and cohort group who match to CJD ................................................. 82

Table 11 - Combined Client Group, IMS, NDTMS & Criminal Justice Datasets 2017-18 ................................................................... 83

Table 12 - Psychoactive drugs cohort by age and gender, 2017-18 ................................................................................................. 84

Table 13 - Psychoactive drugs cohort, percentage split by ethnicity, 2017-18 ................................................................................ 85

Table 14 - Psychoactive drugs cohort by primary substance and local authority, 2017-18 ............................................................. 86

Table 15 - Psychoactive drugs cohort by primary and secondary substance, 2017-18 .................................................................... 87

Table 16 - Psychoactive drugs cohort by accommodation status, 2017-18 ...................................................................................... 88

Table 17 - Psychoactive drugs cohort by employment status, 2017-18 ........................................................................................... 88

Table 18 - Psychoactive drugs cohort by parental status, 2017-18 .................................................................................................. 89

Table 19 - Psychoactive drugs cohort, individuals stating any disability or chronic condition, 2017-18 .......................................... 90

Table 20 - Psychoactive drugs cohort, individuals by local authority of residence and local authority of service provider, 2017-18 .......................................................................................................................................................................................................... 91

Table 21 - Psychoactive drugs cohort, total needle exchange visits and equipment issued, 2017-18 ............................................. 92

Table 22 - Psychoactive drugs cohort, mean averages for needle exchange visits and equipment issued, 2017-18 ....................... 92

Table 23 - Psychoactive drugs cohort, all individuals 2017-18, by year of first presentation........................................................... 93

Table 24 - Psychoactive drugs cohort, new individuals 2017-18, by age and gender....................................................................... 94

Table 25 - Psychoactive drugs cohort, new presentations 2017-18, as a proportion of total individuals, by age group ................. 95

Table 26 - Psychoactive drugs cohort, annual client numbers 2013-14 to 2017-18 ......................................................................... 96

Table 27 - Psychoactive drugs cohort, annual prevalence estimates by local authority, 2013-14 to 2017-18 ................................ 96

Table 28 - Steroid and other IPEDs cohort by age and gender, 2017-18 .......................................................................................... 97

Table 29 - Steroid and other IPEDs cohort, percentage split by ethnicity, 2017-18 ........................................................................ 98

Table 30 - Steroid and other IPEDs cohort by primary substance and local authority, 2017-18 ...................................................... 99

Table 31 - Steroid and other IPEDs cohort by primary and secondary substance, 2017-18 ............................................................. 99

Table 32 - Steroid and other IPEDs cohort by accommodation status, 2017-18 ............................................................................ 100

Table 33 - Steroid and other IPEDs cohort by employment status, 2017-18 .................................................................................. 101

Table 34 - Steroid and other IPEDs cohort by parental status, 2017-18 ......................................................................................... 101

Table 35 - Steroid and other IPEDs cohort, individuals stating any disability or chronic condition, 2017-18 ................................ 102

Table 36 - Steroid and other IPEDs cohort, individuals by local authority of residence and local authority of service provider, 2017-18 ........................................................................................................................................................................................... 103

Table 37 - Steroid and other IPEDs cohort, total needle exchange visits and equipment issued, 2017-18.................................... 104

Integrated Monitoring System Annual Report 2016-17 79

Table 38 - Steroid and other IPEDs cohort, mean averages for needle exchange visits and equipment issued, 2017-18 ............. 104

Table 39 - Steroid and other IPEDs cohort, all individuals 2017-18, by year of first presentation ................................................. 105

Table 40 - Steroid and other IPEDs cohort, new individuals 2017-18, by age and gender ............................................................. 106

Table 41- Steroid and other IPEDs cohort, new individuals 2017-18, as a proportion of total individuals, by age group ............. 107

Table 42 - Steroid and other IPEDs cohort, annual client numbers by local authority, 2013-14 to 2017-18 ................................. 108

Table 43 - Steroid and other IPEDs cohort, annual prevalence estimates by local authority, 2013-14 to 2017-18 ....................... 108

Table 44 - Drugs or alcohol (non-injecting) cohort by age and gender, 2017-18 ........................................................................... 109

Table 45 - Drugs or alcohol (non-injecting) cohort, percentage split by ethnicity, 2017-18 ......................................................... 110

Table 46 - Drugs or alcohol (non-injecting) cohort by primary substance and local authority, 2017-18 ....................................... 111

Table 47 - Drugs or alcohol (non-injecting) cohort by primary and secondary substance, 2017-18 .............................................. 112

Table 48 - Drugs or alcohol (non-injecting) cohort by accommodation status, 2017-18 ............................................................... 113

Table 49 - Drugs or alcohol (non-injecting) cohort by employment status, 2017-18 ..................................................................... 113

Table 50 - Drugs or alcohol (non-injecting) cohort by parental status, 2017-18 ............................................................................ 114

Table 51 - Drugs or alcohol (non-injecting) cohort, individuals stating any disability or chronic condition, 2017-18 .................... 115

Table 52 - Drugs or alcohol (non-injecting) cohort, individuals by local authority of residence and local authority of service provider, 2017-18 ........................................................................................................................................................................... 116

Table 53 - Drugs or alcohol (non-injecting) cohort, annual client numbers by local authority, 2013-14 to 2017-18 ..................... 117

Table 54 - Drugs or alcohol (non-injecting) cohort, annual prevalence estimates by local authority, 2013-14 to 2017-18 .......... 117

Table 55 - Drugs or alcohol (non-injecting) cohort, individuals with no recorded substance, 2017-18 ......................................... 118

Table 56 - Drugs or alcohol (non-injecting) cohort, individuals with no recorded substance, by age and gender, 2017-18 ......... 118

Table 57 - All IMS individuals, interventions delivered, 2017-18 .................................................................................................... 119

Table 58 - All IMS individuals, intervention categories recorded, 2017-18 ................................................................................... 119

Table 59 - All IMS individuals, intervention types recorded, 2017-18 ............................................................................................ 120

Table 60 - All IMS individuals, inward referrals, by referral category, 2017-18 .............................................................................. 121

Table 61 - All IMS individuals, inward referrals, by referral type or organisation, 2017-18 ........................................................... 122

Table 62 - All IMS individuals, onward referrals, by referral category, 2017-18 ............................................................................ 123

Table 63 - All IMS individuals, onward referrals, by referral type or organisation, 2017-18 .......................................................... 124

Table 64 - Wellbeing reviews summary, by substance group, 2017-18 ......................................................................................... 125

Table 65 - Novel Psychoactive Substances (NPS) & 'Club Drugs' 2017-18 ...................................................................................... 126

Table 66 - Number of individuals using agency based NSP service, by cohort group ..................................................................... 127

Table 67 - Proportion of individuals by cohort group who used agency based NSP services ......................................................... 127

Table 68 - Number of new individuals using agency based NSP service, by cohort group ............................................................. 128

Table 69 - Proportion of individuals using agency based NSP services who are new during the 2017-18 year ............................. 128

Table 70 - Number of individuals using pharmacy based NSP service, by cohort group ................................................................ 129

Table 71 - Proportion of individuals by cohort group who used pharmacy based NSP services .................................................... 129

Table 72 - Number of new individuals using pharmacy based NSP service, by cohort group ........................................................ 130

Table 73 - Proportion of individuals using pharmacy based NSP services who are new during the 2017-18 year ........................ 130


1. INTEGRATED MONITORING SYSTEM - OVERVIEW

IMS COHORT SUMMARY:

Local Authority PWID: Psychoactive

Drugs PWID: Steroid &

IPEDs BI: Drug

or Alcohol All IMS

Individuals Cheshire East 470 680 0 1,150 Cheshire West & Chester 964 1,169 20 2,153 Halton 113 585 649 1,347 Knowsley 346 363 674 1,383 Liverpool 5,080 2,308 4,369 11,757 Sefton 908 742 76 1,726 St. Helens 1,379 1,177 864 3.420 Warrington 463 801 697 1,961 Wirral 791 991 307 2,089

Cheshire & Merseyside22 10,208 8,700 7,601 26,509

Table 1 - All IMS individuals by cohort and local authority, 2017-18

ANNUAL IMS FIGURES 2013-14 TO 2017-18

All IMS Individuals 2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 1,293 1,425 1,374 1,336 1,150 Cheshire West & Chester 1,713 1,954 1,417 2,038 2,153 Halton 608 845 874 1,169 1,347 Knowsley 583 783 1,170 1,553 1,383 Liverpool 10,579 12,658 11,804 10,961 11,757 Sefton 2,234 3,762 3,103 2,625 1,726 St. Helens 2,092 3,744 2,783 2,262 3.420 Warrington 1,531 1,996 1,730 1,605 1,961 Wirral 4,102 4,720 2,570 2,054 2,089

Cheshire & Merseyside 25,760 31,246 26,197 25,024 26,509

Table 2 - All IMS individuals, annual client numbers 2013-14 to 2017-18,

22 Some individuals may have presented in more than one area, therefore this figure will be less than a sum of the separate local authority totals.


CROSS MATCHING - IMS, NDTMS, AND CRIMINAL JUSTICE DATASETS

IMS INDIVIDUALS MATCHING TO NDTMS

Age Group PWID: Psycho-active Drugs

PWID: Steroid & IPEDs

BI: Drug or Alcohol All IMS Individuals

0 - 29 106 67 301 474 30 - 39 547 217 646 1,410 40 - 49 1046 59 861 1,966 50 + 435 16 751 1,202 All IMS 2,134 359 2,559 5,052

Table 3 - Number of IMS individuals matching to NDTMS, by age and cohort group

Age Group PWID: Psycho-active Drugs



0 - 29 14.0% 2.4% 14.4% 8.3% 30 - 39 22.6% 5.1% 49.0% 17.6% 40 - 49 21.4% 4.8% 49.7% 25.0% 50 + 20.3% 4.1% 30.6% 24.1% All IMS 20.9% 4.1% 33.7% 19.1%

Table 4 - Proportion of IMS individuals by age and cohort group who match to NDTMS

Local Authority PWID: Psycho-active Drugs



Cheshire East 181 76 0 257 Cheshire West & Chester 258 58 0 316 Halton 71 18 535 624 Knowsley 104 8 539 651 Liverpool 681 59 767 1,507 Sefton 252 26 52 330 St. Helens 298 40 462 800 Warrington 106 29 215 350 Wirral 373 53 37 463

Cheshire & Merseyside 2,134 359 2,559 5,052

Table 5 - Number of IMS individuals matching to NDTMS, by Local Authority and cohort group




Cheshire East 38.5% 11.2% - 22.3% Cheshire West & Chester 26.8% 5.0% - 14.7% Halton 62.8% 3.1% 82.4% 46.3% Knowsley 30.1% 2.2% 80.0% 47.1% Liverpool 13.4% 2.6% 17.6% 12.8% Sefton 27.8% 3.5% 68.4% 19.1% St. Helens 21.6% 3.4% 53.5% 23.4% Warrington 22.9% 3.6% 30.8% 17.8%

Wirral 47.2% 5.3% 12.1% 22.2%

Cheshire & Merseyside 20.9% 4.1% 33.7% 19.1%

Table 6 - Proportion of IMS individuals by Local Authority and cohort group who match to NDTMS


IMS INDIVIDUALS MATCHING TO CRIMINAL JUSTICE DATA

0 - 18 19 - 29 30 - 39 40 - 49 50 - 59 60+ Total Female 1 12 40 33 11 0 97

Male 2 73 127 171 50 3 426

All IMS 3 85 167 204 61 3 523

Table 7 - Number of IMS individuals matching to CJD, by age and gender

0 - 18 19 - 29 30 - 39 40 - 49 50 - 59 60+ Total Female 0.2% 1.9% 3.0% 2.2% 1.5% 0.0% 1.9%

Male 0.3% 1.9% 1.9% 2.7% 1.7% 0.3% 2.0%

All IMS 0.2% 1.9% 2.1% 2.6% 1.7% 0.2% 2.0%

Table 8 - Proportion of IMS individuals by age and gender who match to CJD




Cheshire East ** ** 2

Cheshire West & Chester ** ** 7

Halton ** 4

Knowsley 20 2 64 86

Liverpool 148 11 51 210

Sefton 47 7 3 57

St. Helens 49 5 37 91

Warrington ** ** 2

Wirral 98 13 6 117

Cheshire & Merseyside 320 40 163 523

Table 9 - Number of IMS individuals matching to CJD, by Local Authority and cohort group




Cheshire East - - - 0.2%

Cheshire West & Chester - - - 0.3%

Halton - - - 0.3%

Knowsley 5.8% 0.6% 9.5% 6.2%

Liverpool 2.9% 0.5% 1.2% 1.8%

Sefton 5.2% 0.9% 3.9% 3.3%

St. Helens 3.6% 0.4% 4.3% 2.7%

Warrington - - - 0.1%

Wirral 12.4% 1.3% 2.0% 5.6%

Cheshire & Merseyside 3.1% 0.5% 2.1% 2.0%

Table 10 - Proportion of IMS individuals by Local Authority and cohort group who match to CJD


COMBINED CLIENT GROUP

Local Authority All IMS individuals

All NDTMS individuals23

All CJD individuals

All IMS Individuals24

Cheshire East 1,150 1,116 2,007 Cheshire West & Chester 2,153 1,524 3,354 Halton 1,347 899 1,618 Knowsley 1,383 1,199 1,845 Liverpool 11,757 5,155 15,195 Sefton 1,726 2,394 3,733 St. Helens 3,420 1,513 4,042 Warrington 1,961 1,259 2,868 Wirral 2,089 3,377 4,886 Cheshire & Merseyside 26,509 18,436 1,760 41,130

Table 11 - Combined Client Group, IMS, NDTMS & Criminal Justice Datasets 2017-18

Figure 77 – Cross matching of IMS, NDTMS & Criminal Justice Datasets

23 NDTMS Monthly ‘Number in Treatment’ YTD figures for 2017-18. Data source: https://www.ndtms.net/Monthly Accessed: 4th February 2019 24 The combined client group is an estimate of the total number of clients based on data matching between IMS and NDTMS (National Drug Treatment Monitoring System), and between IMS and CJD (Criminal Justice Dataset). We are unable to cross match data between NDTMS and CJD.

IMS Only, 20,934

NDTMS Only, 13,384 CJD Only, 1,237

NDTMS & IMS,5,052

NDTMS & IMS, 5,052

CJD & IMS, 523

CJD & IMS, 523

0

5,000

10,000

15,000

20,000

25,000

30,000

IMS DataTotal individuals

26,509

NDTMS DataTotal Individuals

18,436

Criminal Justice DataTotal Individuals

1,760

https://www.ndtms.net/Monthly


2. NSP CLIENTS - PWID: PSYCHOACTIVE DRUGS

AGE AND GENDER

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East

Female 0.0% 0.0% 3.4% 7.8% 23.3% 22.4% 24.1% 12.9% 4.3% 1.7% 0.0% 0.0% 116

Male 0.0% 0.0% 0.0% 0.8% 3.1% 6.5% 37.6% 27.7% 16.7% 4.5% 2.3% 0.8% 354

Total 0.0% 0.0% 0.9% 2.6% 8.1% 10.4% 34.3% 24.0% 13.6% 3.8% 1.7% 0.6% 470

Cheshire West & Chester

Female 0.0% 0.0% 3.2% 13.3% 19.0% 17.1% 20.9% 11.4% 8.9% 5.7% 0.6% 0.0% 158

Male 0.0% 0.2% 1.0% 2.9% 5.3% 8.7% 32.4% 26.7% 13.4% 7.8% 1.5% 0.1% 806

Total 0.0% 0.2% 1.3% 4.6% 7.6% 10.1% 30.5% 24.2% 12.7% 7.5% 1.3% 0.1% 964

Halton

Female 0.0% 0.0% 0.0% 8.7% 13.0% 17.4% 30.4% 21.7% 4.3% 0.0% 4.3% 0.0% 23

Male 0.0% 0.0% 2.2% 5.6% 11.1% 18.9% 21.1% 25.6% 8.9% 4.4% 1.1% 1.1% 90

Total 0.0% 0.0% 1.8% 6.2% 11.5% 18.6% 23.0% 24.8% 8.0% 3.5% 1.8% 0.9% 113

Knowsley

Female 0.0% 0.0% 0.0% 10.6% 18.2% 10.6% 19.7% 13.6% 16.7% 0.0% 3.0% 7.6% 66

Male 0.0% 0.0% 0.7% 3.9% 6.1% 8.2% 26.4% 31.4% 14.3% 3.9% 0.7% 4.3% 280

Total 0.0% 0.0% 0.6% 5.2% 8.4% 8.7% 25.1% 28.0% 14.7% 3.2% 1.2% 4.9% 346

Liverpool

Female 0.0% 0.1% 2.7% 7.9% 16.0% 19.9% 18.2% 22.9% 7.0% 2.1% 1.1% 2.1% 1,168

Male 0.0% 0.2% 2.2% 5.9% 9.9% 15.6% 21.7% 21.6% 14.4% 5.4% 1.9% 1.2% 3,912

Total 0.0% 0.1% 2.3% 6.4% 11.3% 16.6% 20.9% 21.9% 12.7% 4.7% 1.7% 1.4% 5,080

Sefton

Female 0.0% 0.0% 1.4% 8.2% 18.5% 21.9% 19.2% 21.2% 7.5% 1.4% 0.7% 0.0% 146

Male 0.0% 0.4% 2.6% 5.6% 9.7% 13.4% 18.0% 25.9% 16.0% 5.2% 1.6% 1.6% 762

Total 0.0% 0.3% 2.4% 6.1% 11.1% 14.8% 18.2% 25.1% 14.6% 4.6% 1.4% 1.3% 908

St. Helens

Female 0.0% 0.0% 3.5% 9.7% 17.3% 19.7% 15.2% 23.9% 7.6% 1.7% 0.7% 0.7% 289

Male 0.0% 0.0% 2.2% 1.7% 4.6% 6.9% 28.4% 35.5% 13.9% 5.0% 1.2% 0.6% 1,090

Total 0.0% 0.0% 2.5% 3.3% 7.3% 9.6% 25.7% 33.1% 12.5% 4.4% 1.1% 0.7% 1,379

Warrington

Female 0.0% 0.0% 2.7% 6.8% 23.0% 21.6% 24.3% 13.5% 8.1% 0.0% 0.0% 0.0% 74

Male 0.0% 0.0% 1.8% 5.4% 13.6% 17.0% 21.6% 29.0% 9.3% 1.0% 0.8% 0.5% 389

Total 0.0% 0.0% 1.9% 5.6% 15.1% 17.7% 22.0% 26.6% 9.1% 0.9% 0.6% 0.4% 463

Wirral

Female 0.0% 0.0% 2.3% 9.2% 7.6% 21.4% 17.6% 18.3% 18.3% 3.1% 1.5% 0.8% 131

Male 0.0% 0.0% 0.5% 3.3% 7.4% 8.9% 23.5% 26.5% 19.1% 6.7% 2.1% 2.0% 660

Total 0.0% 0.0% 0.8% 4.3% 7.5% 11.0% 22.5% 25.2% 19.0% 6.1% 2.0% 1.8% 791

NSP Psych cohort - All individuals

Female 0.0% 0.0% 2.7% 8.5% 16.7% 19.8% 18.6% 20.7% 8.1% 2.2% 1.0% 1.5% 2,120

Male 0.0% 0.1% 1.8% 4.5% 8.1% 12.3% 24.3% 25.9% 14.7% 5.5% 1.6% 1.2% 8,088

Total 0.0% 0.1% 2.0% 5.3% 9.8% 13.9% 23.1% 24.8% 13.3% 4.8% 1.5% 1.3% 10,208

Table 12 - Psychoactive drugs cohort by age and gender, 2017-18

Key: Between 10 and 20% Greater than 20%


ETHNICITY

25 C

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East

Ches

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White British 97.3% 100.0% 94.2% 97.0% 92.3% 91.2% 96.8% 92.0% 97.9% 95.1%

White Irish 0.0% 0.0% 1.9% 2.0% 1.5% 2.9% 1.9% 2.3% 0.6% 1.4%

Other White 0.0% 0.0% 0.0% 0.0% 1.1% 2.9% 0.5% 2.3% 0.2% 0.8%

Other White - Polish 0.0% 0.0% 1.0% 0.0% 0.8% 0.0% 0.3% 0.0% 0.3% 0.4%

Other White - Czech 2.7% 0.0% 0.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.2% 0.2%

Other White - Slovakian

0.0% 0.0% 0.0% 0.0% 0.0% 1.2% 0.0% 0.0% 0.0% 0.1%

White and Black Caribbean

0.0% 0.0% 1.0% 0.0% 0.5% 0.0% 0.0% 0.0% 0.0% 0.2%

White and Black African

0.0% 0.0% 0.0% 0.0% 0.2% 0.6% 0.3% 0.0% 0.2% 0.1%

White and Asian 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other Mixed 0.0% 0.0% 0.0% 0.0% 1.1% 0.0% 0.3% 0.0% 0.2% 0.4%

Indian 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0%

Pakistani 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other Asian 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Caribbean 0.0% 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0%

African 0.0% 0.0% 0.0% 0.5% 0.2% 0.0% 0.0% 1.1% 0.0% 0.1%

Other Black 0.0% 0.0% 0.0% 0.5% 0.9% 0.0% 0.0% 0.0% 0.0% 0.3%

Other Black - Somali 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Chinese 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0%

Other 0.0% 0.0% 1.9% 0.0% 0.8% 1.2% 0.0% 2.3% 0.2% 0.6%

Other - Gypsy 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other - Arab 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.2% 0.0%

Table 13 - Psychoactive drugs cohort, percentage split by ethnicity, 2017-18 26

Key: Between 0 and 1% Between 1 and 10% Greater than 10%

25 An ethnicity was only recorded for a small number of individuals in both Cheshire East, and Cheshire West & Chester, therefore the percentages for these two areas should be treated with caution 26 Percentage split is calculated as the proportion of only those clients who stated an ethnicity.


PRIMARY SUBSTANCE

Ches

hire

Eas

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Ches

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Wes

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Che

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Halto

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Know

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Live

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Wirr

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NSP

Psy

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All

indi

vidu

als

Amphetamines (excl Ecstasy)

** ** ** 0 10 10 5 7 13 48 1.7% 0.8% 1.0% 0.0% 0.2% 1.4% 1.2% 1.6% 2.1% 0.7%

Benzodiazepines 0 0 0 0 0 ** 0 6 0 9

0.0% 0.0% 0.0% 0.0% 0.0% 0.4% 0.0% 1.4% 0.0% 0.1%

Cocaine (excl Crack) ** ** ** ** 12 12 ** ** 14 46

1.7% 0.8% 3.8% 1.5% 0.3% 1.6% 0.2% 0.5% 2.3% 0.7%

Crack Cocaine ** ** 0 ** 94 43 ** ** ** 147

1.7% 0.6% 0.0% 1.0% 2.2% 5.8% 0.7% 0.7% 0.5% 2.1%

Hallucinogens 0 0 ** 0 0 0 0 0 0 **

0.0% 0.0% 1.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Heroin 53 345 89 177 3,824 638 375 408 556 6,201

88.3% 96.6% 84.8% 91.2% 87.5% 86.7% 86.8% 92.9% 89.5% 88.3%

Methadone ** ** ** 0 ** 19 7 ** 16 50

3.3% 0.3% 2.9% 0.0% 0.1% 2.6% 1.6% 0.2% 2.6% 0.7%

Other Drugs ** ** ** 11 424 8 31 ** 8 479

1.7% 0.8% 2.9% 5.7% 9.7% 1.1% 7.2% 0.9% 1.3% 6.8%

Other Opiates ** 0 ** 0 ** ** ** 5 5 21

1.7% 0.0% 2.9% 0.0% 0.1% 0.3% 0.9% 1.1% 0.8% 0.3%

Prescription Drugs 0 0 ** ** ** ** 6 ** 6 19

0.0% 0.0% 1.0% 0.5% 0.0% 0.1% 1.4% 0.7% 1.0% 0.3%

Not Stated 27, 28 410 607 8 152 709 172 947 24 170 3,187

87.2% 63.0% 7.1% 43.9% 14.0% 18.9% 68.7% 5.2% 21.5% 31.2% Total Individuals 470 964 113 346 5,080 908 1,379 463 791 10,208

Table 14 - Psychoactive drugs cohort by primary substance and local authority, 2017-18

27 Percentages shown by substance excludes those individuals where the substance was not stated. Percentages shown for ‘Not stated’ is the percentage of all individuals. 28 ‘Not Stated’ these are individuals who do not have a primary substance recorded, but have been imputed as using a psychoactive substance based on their activity recorded within IMS, such as the client characteristics and type of injecting equipment obtained.


SECONDARY SUBSTANCE

Secondary Substance 29

Primary Substance

Alco

hol

Amph

etam

ines

(e

xcl E

csta

sy)

Benz

odia

zepi

nes

Cann

abis

Coca

ine

(exc

l Cr

ack)

Crac

k Co

cain

e

Ecst

asy

Hero

in

Met

hado

ne

Nov

el P

sych

oact

ive

Subs

tanc

es

Oth

er D

rugs

Oth

er O

piat

es

Pres

crip

tion

Drug

s

Ster

oids

& P

IEDS

No

Seco

ndar

y Su

bsta

nce

Stat

ed

Tota

l


0 0 0 ** ** 0 0 ** ** 0 ** 5 0 ** 30 48 0.0% 0.0% 0.0% 5.6% 16.7% 0.0% 0.0% 11.1% 5.6% 0.0% 16.7% 27.8% 0.0% 5.6% 62.5% 100.0%

Benzo-diazepines

0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 9 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100% 100%

Cocaine (excl Crack)

** ** 0 0 0 ** ** 6 0 0 ** 0 0 7 26 46 10.0% 5.0% 0.0% 0.0% 0.0% 5.0% 10.0% 30.0% 0.0% 0.0% 5.0% 0.0% 0.0% 35.0% 56.5% 100%

Crack Cocaine ** ** ** ** 5 0 0 34 ** 0 ** 0 0 8 90 147

3.5% 3.5% 1.8% 1.8% 8.8% 0.0% 0.0% 59.6% 3.5% 0.0% 3.5% 0.0% 0.0% 14.0% 61.2% 100%

Hallucinogens 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ** **

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100% 100.0%

Heroin 47 13 6 5 34 2,492 0 0 39 ** 73 10 17 88 3,375 6,201

1.7% 0.5% 0.2% 0.2% 1.2% 88.2% 0.0% 0.0% 1.4% 0.1% 2.6% 0.4% 0.6% 3.1% 54.4% 100%

Methadone 0 0 0 ** 0 ** 0 7 0 0 ** 0 0 ** 34 50

0.0% 0.0% 0.0% 18.8% 0.0% 6.3% 0.0% 43.8% 0.0% 0.0% 12.5% 0.0% 0.0% 18.8% 68.0% 100%

Other Drugs 26 0 0 9 0 ** 0 0 0 0 0 0 0 18 424 479

47.3% 0.0% 0.0% 16.4% 0.0% 1.8% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 32.7% 88.5% 100%

Other Opiates 0 0 0 0 0 0 0 0 0 0 0 0 0 ** 18 21

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100% 85.7% 100%

Prescription Drugs

0 0 0 0 0 0 0 0 0 0 0 0 0 ** 18 19 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100% 94.7% 100%

Not Stated - - - - - - - - - - - - - - 3,187 3,187

Total 77 16 7 19 42 2,495 ** 49 42 ** 81 15 17 129 7,212 10,208

2.6% 0.5% 0.2% 0.6% 1.4% 83.4% 0.1% 1.6% 1.4% 0.1% 2.7% 0.5% 0.6% 4.3% 70.7% 100%

Table 15 - Psychoactive drugs cohort by primary and secondary substance, 2017-18

29 Percentages shown by substance excludes those individuals with no secondary substance or where the substance was not stated. Percentages shown for ‘Not Stated’ is the percentage of all individuals.


ACCOMMODATION STATUS

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Psy

ch

coho

rt -

All

indi

vidu

als

NFA - Urgent Housing Problem

** 28 11 8 88 18 78 13 36 236

15.0% 34.6% 12.1% 6.4% 26.3% 12.9% 26.8% 10.9% 15.5% 18.6%

Housing Problem 5 11 9 17 83 16 36 ** 31 183

25.0% 13.6% 9.9% 13.6% 24.9% 11.4% 12.4% 1.7% 13.4% 14.4%

No Housing Problem 12 42 71 100 163 106 177 104 165 848

60.0% 51.9% 78.0% 80.0% 48.8% 75.7% 60.8% 87.4% 71.1% 66.9%

Not Known 30 450 883 22 221 4,746 768 1,088 344 559 8,941

95.7% 91.6% 19.5% 63.9% 93.4% 84.6% 78.9% 74.3% 70.7% 87.6%

Total 470 964 113 346 5,080 908 1,379 463 791 10,208

Table 16 - Psychoactive drugs cohort by accommodation status, 2017-18

EMPLOYMENT STATUS

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Psy

ch

coho

rt -

All

indi

vidu

als

Regular Employment 0 13 13 10 15 16 16 5 19 94

0.0% 17.1% 14.8% 8.8% 5.3% 13.8% 5.9% 12.2% 9.4% 9.0%

Pupil / Student 0 0 0 0 ** 0 0 0 0 **

0.0% 0.0% 0.0% 0.0% 0.7% 0.0% 0.0% 0.0% 0.0% 0.2%

Long term sick or disabled

** 37 21 41 132 66 111 17 67 444

75.0% 48.7% 23.9% 36.3% 46.8% 56.9% 40.7% 41.5% 33.0% 42.4%

Unemployed and seeking work

** 19 42 53 97 24 117 15 108 404

25.0% 25.0% 47.7% 46.9% 34.4% 20.7% 42.9% 36.6% 53.2% 38.6%

Not receiving benefits

0 ** 8 ** 8 5 15 ** ** 40

0.0% 1.3% 9.1% 2.7% 2.8% 4.3% 5.5% 9.8% 0.5% 3.8%

Other 0 6 ** 6 28 5 14 0 8 64

0.0% 7.9% 4.5% 5.3% 9.9% 4.3% 5.1% 0.0% 3.9% 6.1%

Not Known 31 466 888 25 233 4,798 792 1,106 422 588 9,160

99.1% 92.1% 22.1% 67.3% 94.4% 87.2% 80.2% 91.1% 74.3% 89.7%

Total 470 964 113 346 5,080 908 1,379 463 791 10,208

Table 17 - Psychoactive drugs cohort by employment status, 2017-18

30 Percentages shown by accommodation status excludes those individuals where the accommodation status is not known. Percentages shown for ‘not known’ are the percentage of all individuals. 31 Percentages shown by employment status excludes those individuals where the employment status is not known. Percentages shown for ‘not known’ are the percentage of all individuals.


PARENTAL STATUS

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Psy

ch

coho

rt -

All

indi

vidu

als

All of the children live with client

0 ** 8 ** ** ** 15 ** 5 35

0.0% 3.1% 11.3% 3.5% 0.9% 0.9% 6.1% 6.8% 3.0% 3.9%

Some of the children live with client

0 ** ** 6 ** ** 7 ** ** 18

0.0% 1.6% 1.4% 5.2% 0.9% 0.9% 2.8% 2.3% 1.8% 2.0%

None of the children live with client

** 26 29 33 105 22 84 19 51 322

25.0% 40.6% 40.8% 28.7% 49.8% 19.8% 34.0% 43.2% 30.2% 35.8%

Not a parent of children under 18

** 33 33 69 98 84 141 21 108 511

75.0% 51.6% 46.5% 60.0% 46.4% 75.7% 57.1% 47.7% 63.9% 56.8%

Client declined to answer

0 ** 0 ** ** ** 0 0 ** 14

0.0% 3.1% 0.0% 2.6% 1.9% 2.7% 0.0% 0.0% 1.2% 1.6%

Not Known 32 466 900 42 231 4,869 797 1,132 419 622 9,308

99.1% 93.4% 37.2% 66.8% 95.8% 87.8% 82.1% 90.5% 78.6% 91.2%

Total 470 964 113 346 5,080 908 1,379 463 791 10,208

Table 18 - Psychoactive drugs cohort by parental status, 2017-18

32 Percentages shown by parental status excludes those individuals where the parental status is recorded. Percentages shown for ‘not known’ are the percentage of all individuals.


DISABILITIES OR CHRONIC CONDITIONS

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Psy

ch

coho

rt -

All

indi

vidu

als

Individuals with chronic condition or disability

5 17 5 16 112 41 73 ** 85 310

71.4% 23.9% 29.4% 24.6% 60.9% 44.1% 49.3% 50.0% 47.2% 45.7%

No chronic conditions or disabilities

** 54 12 49 72 52 75 ** 95 368

28.6% 76.1% 70.6% 75.4% 39.1% 55.9% 50.7% 50.0% 52.8% 54.3%

Not Stated 33 463 893 96 281 4,896 815 1,231 455 611 9,530

98.5% 92.6% 85.0% 81.2% 96.4% 89.8% 89.3% 98.3% 77.2% 93.4%

Total 470 964 113 346 5,080 908 1,379 463 791 10,208

Recorded conditions:

Arthritis ** - - ** ** - - - ** 8 Asthma - ** - - ** ** - - ** 9 Cancer ** ** ** ** - - - - ** ** Chronic Fatigue Syndrome (ME)

- - - - - - - - - -

Chronic Pain - - - - ** ** - - ** 5 Chronic Pancreatitis - - - - ** - - - - ** Colitis/Crohn’s Disease - - - - - - - - - - COPD - - ** ** 21 11 ** - 15 45 Dementia - - - - - - - - - - Depression ** 6 - ** 36 ** 34 ** 8 78 Diabetes - - - ** - - - ** ** ** Epilepsy - - ** - ** - ** ** 5 9 General learning diff - - - - - - - - - - Hearing impairment - - - - - ** - - ** ** Heart disease - - - - ** - - - - ** Hypertension/blood pres - - - - ** - - - - ** Kidney disease - - - - - - - - ** ** Liver disease / Cirrhosis - ** - - ** ** - - ** 5 Manual dexterity - - - - - - - - ** ** Mental health ** ** ** ** 19 16 22 - 10 62 Mental ill health - ** - ** 6 ** 13 - ** 23 Mobility issues - - - - 5 - - - 8 12 Multiple Sclerosis (MS) - - - - - - - - - - Neurological & Digestive - - - - - - - - - - Obesity - - - - - - - - - - Other - ** ** ** 7 ** - - 19 30 Parkinson’s - - - - - - - - - - Specific learning diffic - - - - - - ** - - **Speech impairment - - - - - - - - - -Stroke - - - - ** - - - - ** Visual impairment - ** - ** - - - - ** **

Table 19 - Psychoactive drugs cohort, individuals stating any disability or chronic condition, 2017-18

33 Percentages shown is for those clients where a disability or chronic condition record was completed. Percentages shown for ‘not known’ are the percentage of all individuals.


LOCAL AUTHORITY OF RESIDENCE

Local Authority of IMS reporting service

Local Authority of residence

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Psy

ch

coho

rt -

All

indi

vidu

als

Cheshire East 259 ** 0 0 ** 0 0 0 0 261 Cheshire West & Chester 5 367 ** 0 15 ** ** ** ** 381 Halton 0 ** 88 ** 8 0 ** ** 0 95 Knowsley 0 0 ** 171 121 5 8 0 ** 269 Liverpool ** 8 6 34 4,047 31 30 ** 22 4,080 Sefton ** ** ** 7 136 604 ** ** ** 707 St. Helens 0 ** ** 5 26 0 1,112 8 ** 1,126 Warrington 0 0 ** 0 ** 0 29 290 0 318 Wirral 0 ** 0 ** 36 ** ** ** 658 675 Flintshire 0 0 0 0 ** 0 0 0 ** 5 Isle of Man 0 0 0 0 ** 0 0 0 0 ** Manchester 8 0 0 0 0 0 0 0 0 8 Newcastle-under-Lyme 19 0 0 0 0 0 0 0 0 19 Preston 0 0 0 0 ** ** 0 0 0 ** Salford 0 0 0 0 0 0 0 ** 0 ** Staffordshire Moorlands 11 0 0 0 0 0 0 0 0 11 Stockport ** 0 0 0 0 0 0 0 0 ** Stoke-on-Trent ** 0 0 0 0 ** 0 0 0 ** Trafford ** 0 0 0 0 0 0 ** 0 ** West Lancashire ** 0 0 0 5 5 ** 0 0 11 Wigan 0 0 0 0 ** ** 7 ** 0 10 Others ** 0 ** 0 25 ** ** ** ** 35 Not Stated 155 578 9 126 643 253 184 150 98 2,183 Total 470 964 113 346 5,080 908 1,379 463 791 10,208

Table 20 - Psychoactive drugs cohort, individuals by local authority of residence and local authority of service provider, 2017-18


NEEDLE AND SYRINGE EXCHANGE TRANSACTIONS

Individuals

Needle and syringe

exchange visits

Total equipment issued out

Needles & syringes

Barrels Other

paraphernalia

Cheshire East 470 3,629 106,556 41,716 192,517


964 7,065 156,500 72,858 297,425

Halton 113 394 15,760 5,135 24,187

Knowsley 346 1,168 39,563 12,708 73,250

Liverpool 5,080 19,185 424,704 118,400 893,672

Sefton 908 6,546 85,819 89,735 257,097

St. Helens 1,379 14,230 164,552 102,313 438,190

Warrington 463 1,874 26,249 11,230 52,268

Wirral 791 6,926 127,526 70,278 372,214

NSP Psych cohort All individuals

10,208 61,017 1,147,229 524,373 2,600,820

Table 21 - Psychoactive drugs cohort, total needle exchange visits and equipment issued, 2017-18

Individuals

Average exchange

visits

Average per visit Average per person

Needles & syringes

Barrels Parapher-

nalia Needles & syringes

Barrels Parapher-

nalia

Cheshire East 470 7.7 29.4 11.5 53.0 226.7 88.8 409.6


964 7.3 22.2 10.3 42.1 162.3 75.6 308.5

Halton 113 3.5 40.0 13.0 61.4 139.5 45.4 214.0

Knowsley 346 3.4 33.9 10.9 62.7 114.3 36.7 211.7

Liverpool 5,080 3.8 22.1 6.2 46.6 83.6 23.3 175.9

Sefton 908 7.2 13.1 13.7 39.3 94.5 98.8 283.1

St. Helens 1,379 10.3 11.6 7.2 30.8 119.3 74.2 317.8

Warrington 463 4.0 14.0 6.0 27.9 56.7 24.3 112.9

Wirral 791 8.8 18.4 10.1 53.7 161.2 88.8 470.6

NSP Psych cohort All individuals

10,208 6.0 18.80 8.6 42.6 112.4 51.4 254.8

Table 22 - Psychoactive drugs cohort, mean averages for needle exchange visits and equipment issued, 2017-18


NSP INDIVIDUALS BY YEAR OF FIRST PRESENTATION

Year of first presentation NSP Psych cohort - All individuals

2017-18 2011 or earlier 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 203 15 16 24 32 39 141

470 43.2% 3.2% 3.4% 5.1% 6.8% 8.3% 30.0%


289 30 36 59 57 77 416 964

30.0% 3.1% 3.7% 6.1% 5.9% 8.0% 43.2%

Halton 50 ** ** 5 8 12 35

113 44.2% 1.8% 0.9% 4.4% 7.1% 10.6% 31.0%

Knowsley 106 12 23 21 27 23 134

346 30.6% 3.5% 6.6% 6.1% 7.8% 6.6% 38.7%

Liverpool 1,077 114 150 219 343 526 2,651

5,080 21.2% 2.2% 3.0% 4.3% 6.8% 10.4% 52.2%

Sefton 261 30 34 66 93 102 322

908 28.7% 3.3% 3.7% 7.3% 10.2% 11.2% 35.5%

St. Helens 387 56 53 48 64 67 704

1,379 28.1% 4.1% 3.8% 3.5% 4.6% 4.9% 51.1%

Warrington 136 15 16 14 17 28 237

463 29.4% 3.2% 3.5% 3.0% 3.7% 6.0% 51.2%

Wirral 322 30 38 43 70 72 216

791 40.7% 3.8% 4.8% 5.4% 8.8% 9.1% 27.3%

NSP Psych cohort - All individuals

2,664 290 343 477 687 921 4,826 10,208

26.1% 2.8% 3.4% 4.7% 6.7% 9.0% 47.3%

Table 23 - Psychoactive drugs cohort, all individuals 2017-18, by year of first presentation


NEW INDIVIDUALS ONLY - BY AGE AND GENDER

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East

Female 0.0% 0.0% 7.1% 14.3% 23.8% 19.0% 21.4% 7.1% 7.1% 0.0% 0.0% 0.0% 42 Male 0.0% 0.0% 0.0% 0.0% 2.0% 0.0% 43.4% 30.3% 13.1% 7.1% 2.0% 2.0% 99 Total 0.0% 0.0% 2.1% 4.3% 8.5% 5.7% 36.9% 23.4% 11.3% 5.0% 1.4% 1.4% 141



Halton


Knowsley


Liverpool

Female 0.0% 0.2% 3.8% 8.8% 17.6% 19.9% 16.4% 19.3% 7.4% 2.6% 1.4% 2.6% 658 Male 0.0% 0.3% 3.1% 6.5% 10.7% 15.0% 22.3% 18.5% 13.6% 6.1% 2.4% 1.6% 1,993 Total 0.0% 0.2% 3.3% 7.1% 12.4% 16.2% 20.8% 18.7% 12.1% 5.2% 2.1% 1.8% 2,651

Sefton


St. Helens


Warrington


Wirral


New Psych Cohort IMS individuals

Female 0.0% 0.1% 4.0% 10.0% 18.3% 19.4% 17.0% 17.9% 7.5% 2.4% 1.5% 2.0% 1,097 Male 0.0% 0.3% 2.4% 4.9% 8.4% 11.1% 24.9% 24.2% 14.5% 6.0% 1.9% 1.4% 3,729 Total 0.0% 0.2% 2.8% 6.1% 10.7% 13.0% 23.1% 22.8% 12.9% 5.2% 1.8% 1.6% 4,826

Table 24 - Psychoactive drugs cohort, new individuals 2017-18, by age and gender



PROPORTION OF INDIVIDUALS BY AGE GROUP WHO ARE NEW PRESENTATIONS THIS YEAR

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East

Female - - 75% 67% 37% 31% 32% 20% 60% 0% - - 36%

Male - - - 0% 18% 0% 32% 31% 22% 44% 25% 67% 28%

Total - - 75% 50% 32% 16% 32% 29% 25% 39% 25% 67% 30%


Female - - 80% 71% 47% 41% 39% 28% 43% 22% 100% - 45%

Male - 100% 38% 35% 26% 39% 43% 49% 42% 44% 33% 100% 43%

Total - 100% 54% 52% 34% 39% 42% 47% 42% 42% 38% 100% 43%

Halton

Female - - - 50% 67% 25% 0% 20% 0% - 0% - 22%

Male - - 50% 60% 50% 24% 26% 35% 13% 50% 0% 100% 33%

Total - - 50% 57% 54% 24% 19% 32% 11% 50% 0% 100% 31%

Knowsley

Female - - - 14% 33% 29% 38% 33% 27% - 100% 40% 33%

Male - - 100% 55% 41% 17% 46% 43% 35% 36% 0% 25% 40%

Total - - 100% 39% 38% 20% 45% 42% 33% 36% 50% 29% 39%

Liverpool

Female - 100% 78% 63% 62% 56% 51% 48% 60% 68% 69% 71% 56%

Male - 83% 73% 56% 55% 49% 52% 43% 48% 57% 64% 67% 51%

Total - 86% 74% 58% 57% 51% 52% 44% 50% 58% 65% 69% 52%

Sefton

Female - - 0% 33% 37% 41% 25% 29% 55% 50% 0% - 34%

Male - 100% 50% 42% 34% 30% 36% 30% 39% 33% 50% 75% 36%

Total - 100% 45% 40% 35% 33% 35% 30% 41% 33% 46% 75% 35%

St. Helens

Female - - 90% 61% 54% 53% 75% 57% 41% 60% 100% 100% 59%

Male - - 29% 22% 22% 16% 54% 51% 60% 60% 62% 57% 49%

Total - - 47% 46% 38% 32% 56% 52% 57% 60% 67% 67% 51%

Warrington

Female - - 50% 60% 82% 56% 50% 40% 67% - - - 59%

Male - - 71% 48% 60% 45% 48% 46% 53% 75% 33% 50% 50%

Total - - 67% 50% 66% 48% 48% 46% 55% 75% 33% 50% 51%

Wirral

Female - - 67% 58% 40% 29% 17% 21% 8% 75% 100% 100% 29%

Male - - 67% 32% 18% 20% 28% 27% 31% 27% 29% 15% 27%

Total - - 67% 41% 22% 23% 26% 27% 27% 31% 38% 21% 27%

New Psych Cohort IMS individuals

Female - 100% 76% 61% 57% 51% 47% 45% 48% 55% 73% 69% 52%

Male - 91% 63% 51% 48% 42% 47% 43% 45% 50% 54% 55% 46%

Total - 92% 67% 54% 51% 44% 47% 43% 46% 50% 57% 59% 47%

Table 25 - Psychoactive drugs cohort, new presentations 2017-18, as a proportion of total individuals, by age group

Key: 0-20% 20-40% 40-60% 60-80% 80-100%


ANNUAL CLIENT NUMBERS

PWID: Psychoactive Drugs

2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 485 343 721 511 470

Cheshire West & Chester 744 794 792 862 964

Halton 64 88 80 127 113

Knowsley 285 345 384 300 346

Liverpool 3,998 4,510 5,246 5,080 5,080

Sefton 1,159 1,690 838 957 908

St. Helens 1,360 1,873 1,245 950 1,379

Warrington 930 783 804 578 463

Wirral 1,153 1,318 815 835 791


Table 26 - Psychoactive drugs cohort, annual client numbers 2013-14 to 2017-18

PREVALENCE ESTIMATES 34

PWID: Psychoactive Drugs

2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 1.33 0.92 1.92 1.35 1.24 Cheshire West & Chester 2.40 2.39 2.37 2.57 2.85 Halton 0.67 0.70 0.63 1.00 0.89 Knowsley 1.86 2.36 2.61 2.03 2.33 Liverpool 7.26 9.50 10.91 10.42 10.33 Sefton 4.04 6.17 3.06 3.48 3.31 St. Helens 6.07 10.57 7.01 5.32 7.69 Warrington 3.30 3.79 3.87 2.77 2.21 Wirral 3.09 4.10 2.53 2.59 2.45 Cheshire & Merseyside 4.21 4.63 4.37 4.03 4.13

Table 27 - Psychoactive drugs cohort, annual prevalence estimates by local authority, 2013-14 to 2017-18

34 Prevalence (per 1,000 population) is based on the ONS mid-year population estimates for each local authority area. https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/populationestimatesforukenglandandwalesscotlandandnorthernireland

https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/populationestimatesforukenglandandwalesscotlandandnorthernireland



3. NSP CLIENTS - PWID: STEROID AND OTHER IPEDS

AGE AND GENDER

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East Female 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0

Male 0.0% 1.0% 13.8% 25.1% 24.7% 27.4% 3.7% 1.9% 1.2% 1.0% 0.1% 0.0% 680 Total 0.0% 1.0% 13.8% 25.1% 24.7% 27.4% 3.7% 1.9% 1.2% 1.0% 0.1% 0.0% 680



Halton Female 0.0% 0.0% 7.7% 23.1% 30.8% 23.1% 7.7% 0.0% 0.0% 7.7% 0.0% 0.0% 13

Male 0.2% 1.6% 8.9% 19.4% 27.4% 16.4% 11.9% 8.0% 4.0% 1.6% 0.5% 0.0% 572 Total 0.2% 1.5% 8.9% 19.5% 27.5% 16.6% 11.8% 7.9% 3.9% 1.7% 0.5% 0.0% 585

Knowsley Female 0.0% 16.7% 0.0% 16.7% 0.0% 50.0% 0.0% 16.7% 0.0% 0.0% 0.0% 0.0% 6

Male 0.3% 1.7% 8.4% 22.7% 24.4% 26.3% 11.5% 3.1% 0.8% 0.6% 0.3% 0.0% 357 Total 0.3% 1.9% 8.3% 22.6% 24.0% 26.7% 11.3% 3.3% 0.8% 0.6% 0.3% 0.0% 363

Liverpool Female 0.0% 6.1% 4.5% 27.3% 13.6% 19.7% 9.1% 6.1% 7.6% 3.0% 1.5% 1.5% 66

Male 0.1% 0.8% 8.3% 19.0% 25.2% 24.5% 8.9% 7.7% 3.1% 1.7% 0.3% 0.3% 2,242 Total 0.1% 1.0% 8.2% 19.2% 24.9% 24.4% 8.9% 7.7% 3.2% 1.7% 0.3% 0.3% 2,308

Sefton Female 0.0% 2.9% 0.0% 20.0% 31.4% 11.4% 14.3% 11.4% 2.9% 2.9% 2.9% 0.0% 35

Male 0.0% 0.4% 6.2% 16.7% 24.6% 23.3% 12.0% 9.3% 3.1% 2.3% 1.1% 0.8% 707 Total 0.0% 0.5% 5.9% 16.8% 24.9% 22.8% 12.1% 9.4% 3.1% 2.3% 1.2% 0.8% 742

St. Helens Female 7.1% 0.0% 7.1% 28.6% 35.7% 14.3% 0.0% 7.1% 0.0% 0.0% 0.0% 0.0% 14

Male 0.3% 1.0% 12.4% 21.0% 25.4% 32.9% 2.9% 2.1% 1.3% 0.3% 0.2% 0.1% 1,163 Total 0.4% 1.0% 12.3% 21.1% 25.5% 32.7% 2.9% 2.2% 1.3% 0.3% 0.2% 0.1% 1,177

Warrington Female 3.4% 0.0% 0.0% 20.7% 24.1% 20.7% 10.3% 13.8% 0.0% 6.9% 0.0% 0.0% 29

Male 0.0% 0.6% 10.0% 21.4% 25.9% 17.5% 9.6% 7.9% 4.9% 1.6% 0.4% 0.3% 772 Total 0.1% 0.6% 9.6% 21.3% 25.8% 17.6% 9.6% 8.1% 4.7% 1.7% 0.4% 0.2% 801

Wirral Female 0.0% 8.3% 20.8% 37.5% 16.7% 4.2% 8.3% 4.2% 0.0% 0.0% 0.0% 0.0% 24

Male 0.0% 0.7% 11.5% 24.2% 23.2% 19.0% 9.1% 7.7% 3.3% 0.8% 0.3% 0.2% 967 Total 0.0% 0.9% 11.7% 24.5% 23.0% 18.7% 9.1% 7.6% 3.2% 0.8% 0.3% 0.2% 991

NSP Steroid cohort - All individuals


Table 28 - Steroid and other IPEDs cohort by age and gender, 2017-18



ETHNICITY

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Ste

roid

co

hort

- Al

l in

divi

dual

s

White British 86.6% 96.5% 97.6% 99.6% 89.9% 97.7% 98.8% 94.7% 97.9% 96.2%

White Irish 0.0% 1.8% 0.8% 0.0% 0.0% 0.0% 0.6% 0.4% 0.4% 0.4%

Other White 6.0% 0.0% 0.8% 0.0% 1.1% 1.1% 0.0% 2.5% 0.6% 1.1%

Other White - Polish 4.0% 0.0% 0.0% 0.0% 1.7% 0.0% 0.0% 0.7% 0.6% 0.7%

Other White - Czech 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%


0.0% 0.0% 0.0% 0.0% 0.3% 0.0% 0.0% 0.0% 0.0% 0.0%


0.7% 0.0% 0.2% 0.4% 1.1% 0.0% 0.0% 0.4% 0.2% 0.4%


0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.3% 0.0% 0.0% 0.1%

White and Asian 0.7% 0.0% 0.0% 0.0% 0.3% 0.0% 0.0% 0.0% 0.0% 0.1%

Other Mixed 0.0% 0.0% 0.4% 0.0% 0.3% 1.1% 0.3% 0.0% 0.0% 0.2%

Indian 0.0% 0.0% 0.2% 0.0% 0.8% 0.0% 0.0% 0.7% 0.0% 0.2%

Pakistani 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other Asian 0.0% 0.0% 0.0% 0.0% 0.8% 0.0% 0.0% 0.0% 0.1% 0.1%

Caribbean 0.7% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.4% 0.0% 0.1%

African 0.0% 0.0% 0.0% 0.0% 0.6% 0.0% 0.0% 0.0% 0.0% 0.1%

Other Black 0.7% 0.0% 0.0% 0.0% 1.7% 0.0% 0.0% 0.0% 0.1% 0.3%

Other Black - Somali 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Chinese 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other 0.7% 1.8% 0.0% 0.0% 0.8% 0.0% 0.0% 0.4% 0.1% 0.2%

Other - Gypsy 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other - Arab 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Table 29 - Steroid and other IPEDs cohort, percentage split by ethnicity, 2017-18 35


35 Percentage split is calculated as the proportion of only those clients who stated an ethnicity.


PRIMARY SUBSTANCE

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Ste

roid

co

hort

- Al

l in

divi

dual

s

Steroids & IPEDs 229 696 555 234 1,887 602 334 750 830 6,015

33.7% 59.5% 94.9% 64.5% 81.8% 81.1% 28.4% 93.6% 83.8% 69.1%

Not Stated 36 451 473 30 129 421 140 843 51 161 2,685

66.3% 40.5% 5.1% 35.5% 18.2% 18.9% 71.6% 6.4% 16.2% 30.9%

Total Individuals 680 1,169 585 363 2,308 742 1,177 801 991 8,700

Table 30 - Steroid and other IPEDs cohort by primary substance and local authority, 2017-18

SECONDARY SUBSTANCE


Primary Substance

Alco

hol

Amph

etam

ines

(exc

l Ec

stas

y)

Benz

odia

zepi

nes

Cann

abis

Coca

ine

(exc

l Cra

ck)

Crac

k Co

cain

e

Hero

in

Oth

er D

rugs

Ster

oids

& P

IEDS

No

Seco

nd S

ubst

ance

or

Non

e St

ated

NSP

Ste

roid

coh

ort -

Al

l ind

ivid

uals

Steroids & IPEDs

35 ** 0 7 6 ** ** 26 346 5,587 6,015

8.2% 0.5% 0.0% 1.6% 1.4% 0.7% 0.7% 6.1% 80.8% 92.9% 100%

Not Stated

- - - - - - - - - 2,685 2,685

- - - - - - - - - 100% 100%

Total 35 ** 0 7 6 ** ** 26 346 8,272 8,700

8.2% 0.5% 0.0% 1.6% 1.4% 0.7% 0.7% 6.1% 80.8% 95.1% 100%

Table 31 - Steroid and other IPEDs cohort by primary and secondary substance, 2017-18

36 ‘Not Stated’ these are individuals who do not have a primary substance recorded, but have been imputed as using a Steroid or IPED based on their activity recorded within IMS, such as the client characteristics and type of injecting equipment obtained. 37 Percentages shown by substance excludes those individuals with no secondary substance or where the substance was not stated. Percentages shown for ‘Not Stated’ is the percentage of all individuals.



.

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Ste

roid

co

hort

- Al

l in

divi

dual

s


** 0 ** ** ** ** ** ** ** 13

1.3% 0.0% 0.3% 0.6% 2.2% 1.3% 1.8% 1.1% 0.2% 0.6%

Housing Problem ** 6 7 ** 5 0 9 8 11 48

1.3% 4.1% 1.9% 1.9% 2.7% 0.0% 5.4% 2.9% 1.9% 2.4%

No Housing Problem 75 139 355 155 173 79 156 262 580 1,940

97.4% 95.9% 97.8% 97.5% 95.1% 98.8% 92.9% 96.0% 98.0% 97.0%

*Not Stated 38 (NFA)0 0 0 0 185 17 285 17 ** ** 0 465

See footnote

*Not Stated(Has Address)

- - ** ** ** 338 17 - - ** 338 See footnote

Not Known 39 603 1,024 222 204 2,126 662 1,009 528 399 6,699

88.7% 87.6% 37.9% 56.2% 92.1% 89.2% 85.7% 65.9% 40.3% 77.0% Total 680 1,169 585 363 2,308 742 1,177 801 991 8,700

Table 32 - Steroid and other IPEDs cohort by accommodation status, 2017-18

EMPLOYMENT STATUS

.

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Ste

roid

co

hort

- Al

l in

divi

dual

s

Regular Employment

7 121 299 125 104 50 89 50 429 1249

100.0% 90.3% 86.7% 83.3% 85.2% 92.6% 89.0% 94.3% 83.8% 86.3%

Pupil / Student 0 ** ** 0 0 0 0 ** ** 11

0.0% 0.7% 1.2% 0.0% 0.0% 0.0% 0.0% 3.8% 0.8% 0.8%


0 ** ** ** ** 0 ** ** 10 20

0.0% 0.7% 0.6% 0.7% 1.6% 0.0% 4.0% 1.9% 2.0% 1.4%


0 9 38 21 11 ** 7 0 63 147

0.0% 6.7% 11.0% 14.0% 9.0% 3.7% 7.0% 0.0% 12.3% 10.2%


0 ** 0 ** ** 0 0 0 0 5

0.0% 1.5% 0.0% 0.7% 1.6% 0.0% 0.0% 0.0% 0.0% 0.3%

Other 0 0 ** ** ** ** 0 0 6 15

0.0% 0.0% 0.6% 1.3% 2.5% 3.7% 0.0% 0.0% 1.2% 1.0%

Not Known 40 673 1,035 240 213 2,186 688 1,077 748 479 7,253

38 The majority of pharmacy NSP do not state client accommodation status. These figures are derived from where either ‘NFA’ or a postcode of residence is recorded. They should be treated with caution where used to interfere the client’s accommodation status, and for this reason they are excluded from total percentages shown for Liverpool and Sefton LAs. 39 Percentages shown by accommodation status excludes those individuals where the accommodation status is not known. Percentages shown for ‘not known’ are the percentage of all individuals. 40 Percentages shown by employment status excludes those individuals where the employment status is not known. Percentages shown for ‘not known’ are the percentage of all individuals.


99.0% 88.5% 41.0% 58.7% 94.7% 92.7% 91.5% 93.4% 48.3% 83.4%

Total 680 1,169 585 363 2,308 742 1,177 801 991 8,700

Table 33 - Steroid and other IPEDs cohort by employment status, 2017-18

PARENTAL STATUS

Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Ste

roid

co

hort

- Al

l in

divi

dual

s


** 29 27 28 25 14 16 11 92 237

14.3% 24.2% 16.6% 21.9% 30.5% 28.6% 22.5% 20.8% 19.7% 21.3%


0 ** ** ** 5 ** 5 ** 37 55

0.0% 2.5% 0.6% 1.6% 6.1% 6.1% 7.0% 1.9% 7.9% 4.9%


0 16 22 13 10 ** ** ** 92 161

0.0% 13.3% 13.5% 10.2% 12.2% 6.1% 5.6% 5.7% 19.7% 14.5%


6 61 99 83 30 22 43 35 238 601

85.7% 50.8% 60.7% 64.8% 36.6% 44.9% 60.6% 66.0% 51.1% 54.0%


0 11 14 ** 12 7 ** ** 7 58

0.0% 9.2% 8.6% 1.6% 14.6% 14.3% 4.2% 5.7% 1.5% 5.2%

Not Known 41 673 1,049 422 235 2,226 693 1,106 748 525 7,588

99.0% 89.7% 72.1% 64.7% 96.4% 93.4% 94.0% 93.4% 53.0% 87.2%

Total 680 1,169 585 363 2,308 742 1,177 801 991 8,700

Table 34 - Steroid and other IPEDs cohort by parental status, 2017-18

41 Percentages shown by parental status excludes those individuals where the parental status is recorded. Percentages shown for ‘not known’ are the percentage of all individuals.



Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

NSP

Ste

roid

co

hort

- Al

l in

divi

dual

s


5 5 8 ** 9 8 5 0 51 89 22.7% 4.0% 5.4% 0.8% 8.3% 13.6% 6.5% 0.0% 10.6% 7.6%


17 119 139 124 100 51 72 46 431 1,075 77.3% 96.0% 94.6% 99.2% 91.7% 86.4% 93.5% 100.0% 89.4% 92.4%

Not Stated 42 658 1,045 438 238 2,199 683 1,100 755 509 7,536

96.8% 89.4% 74.9% 65.6% 95.3% 92.0% 93.5% 94.3% 51.4% 86.6% Total 680 1,169 585 363 2,308 742 1,177 801 991 8,700

Recorded conditions: Arthritis - ** ** - - ** - - 7 13 Asthma ** - - - ** - - - ** 6 Cancer ** - - - - - ** - ** ** Chronic Fatigue Syndrome (ME)

- ** - - - - - - - **

Chronic Pain - - - - ** ** - - - ** Chronic Pancreatitis - - - - - - - - - - Colitis/Crohn’s Disease ** ** - - - - - - - ** COPD - - - - - ** - - - ** Dementia - - - - - - - - - - Depression - - ** - ** - ** - ** 7 Diabetes - - ** ** - - - - ** 5 Epilepsy - - - - - - - - ** ** General learning difficul - - - - - - - - - - Hearing impairment - - - - - - - - 5 5 Heart disease - - - - - - - - - - Hypertension/blood pres - - - - ** - - - - ** Kidney disease - - - - - - - - - - Liver disease / Cirrhosis - - - - - - - - - - Manual dexterity - - - - - - - - - - Mental health - - ** - ** - ** - 6 9 Mental ill health - - - - ** ** - - ** ** Mobility issues - - ** - ** - - - ** ** Multiple Sclerosis (MS) - - - - - - - - - - Neurological & Digestive - - - - - - - - - - Obesity - - - - - - - - - - Other - ** - - ** ** ** - 17 24 Parkinson’s - - - - - - - - - - Specific learning difficulti - - - - - - - - ** ** Speech impairment - - - - - - - - - - Stroke - - - - - - - - - - Visual impairment - - ** - - - - - - **

Table 35 - Steroid and other IPEDs cohort, individuals stating any disability or chronic condition, 2017-18

42 Percentages shown is for those clients where a disability or chronic condition record was completed. Percentages shown for ‘not known’ are the percentage of all individuals



Local Authority of service provider


Ches

hire

Eas

t

Ches

hire

Wes

t &

Che

ster

Halto

n

Know

sley

Live

rpoo

l

Seft

on

St. H

elen

s

War

ringt

on

Wirr

al

Tota

l:

Cheshire East 309 ** ** 0 0 0 0 ** ** 314 Cheshire West & Chester 8 555 ** 0 8 0 ** 13 23 597 Halton 0 ** 491 ** ** ** ** 8 0 505 Knowsley 0 0 5 209 120 10 15 ** ** 350 Liverpool ** ** 26 20 1,751 31 11 ** 9 1,834 Sefton 0 ** ** 5 120 365 ** ** ** 484 St. Helens ** 0 5 ** 13 ** 827 57 ** 895 Warrington ** ** 7 0 5 ** 38 519 ** 565 Wirral 0 11 ** 0 24 ** ** 0 788 817 Flintshire 0 6 0 0 ** ** 0 0 ** 11 Isle of Man 0 0 0 0 ** 0 0 0 0 ** Manchester 5 0 0 ** ** ** 0 ** 0 10 Newcastle-under-Lyme 30 ** 0 0 0 0 0 0 0 31 Preston 0 0 0 0 0 ** 0 0 0 ** Salford 0 0 0 ** ** 0 0 5 0 8 Staffordshire Moorlands 14 0 0 0 0 0 0 0 0 14 Stockport ** 0 0 0 0 0 0 0 0 ** Stoke-on-Trent 0 0 0 0 0 0 0 0 0 0 Trafford 0 0 0 0 0 0 ** ** 0 ** West Lancashire 0 0 0 0 ** 27 11 ** 0 43 Wigan 0 ** 0 ** 0 ** 6 6 0 15 Others ** ** ** 0 11 ** ** 7 ** 32 Not Stated 306 580 43 121 243 296 256 171 160 2,166 Total 680 1,169 585 363 2,308 742 1,177 801 991 8,700

Table 36 - Steroid and other IPEDs cohort, individuals by local authority of residence and local authority of service provider, 2017-18


NEEDLE AND SYRINGE EXCHANGE TRANSACTIONS

Individuals Needle and

syringe exchange visits

Total equipment issued out Needles & syringes

Barrels Other

paraphernalia

Cheshire East 680 2,721 78,877 30,929 105,413 Cheshire West & Chester 1,169 2,370 76,497 36,443 60,127

Halton 585 915 50,758 22,867 19,783

Knowsley 363 573 21,825 8,989 20,857

Liverpool 2,308 3,621 121,575 48,907 96,413

Sefton 742 1,422 49,170 27,629 33,551

St. Helens 1,177 2,266 56,763 28,590 63,327

Warrington 801 1,395 60,887 23,748 59,344

Wirral 991 1,976 86,539 40,083 66,933 NSP Steroid cohort - All individuals

8,700 17,259 602,891 268,185 525,748

Table 37 - Steroid and other IPEDs cohort, total needle exchange visits and equipment issued, 2017-18

Individuals Average

exchange visits

Average per visit Average per person Needles &

syringes Barrels

Parapher-nalia

Needles & syringes

Barrels Parapher-

nalia

Cheshire East 680 4.00 29.0 11.4 38.7 116.0 45.5 155.0 Cheshire West & Chester

1,169 2.03 32.3 15.4 25.4 65.4 31.2 51.4

Halton 585 1.56 55.5 25.0 21.6 86.8 39.1 33.8

Knowsley 363 1.58 38.1 15.7 36.4 60.1 24.8 57.5

Liverpool 2,308 1.57 33.6 13.5 26.6 52.7 21.2 41.8

Sefton 742 1.92 34.6 19.4 23.6 66.3 37.2 45.2

St. Helens 1,177 1.93 25.0 12.6 27.9 48.2 24.3 53.8

Warrington 801 1.74 43.6 17.0 42.5 76.0 29.6 74.1

Wirral 991 1.99 43.8 20.3 33.9 87.3 40.4 67.5 NSP Steroid cohort - All individuals

8,700 1.98 34.93 15.5 30.5 69.3 30.8 60.4

Table 38 - Steroid and other IPEDs cohort, mean averages for needle exchange visits and equipment issued, 2017-18


NSP INDIVIDUALS BY YEAR OF FIRST PRESENTATION

Year of first presentation NSP Steroid cohort - All individuals

2017-18 2011 or

earlier 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 189 47 37 51 36 65 255

680 27.8% 6.9% 5.4% 7.5% 5.3% 9.6% 37.5%


241 63 67 93 75 112 518 1,169

20.6% 5.4% 5.7% 8.0% 6.4% 9.6% 44.3%

Halton 175 43 29 46 45 40 207

585 29.9% 7.4% 5.0% 7.9% 7.7% 6.8% 35.4%

Knowsley 91 20 19 27 33 26 147

363 25.1% 5.5% 5.2% 7.4% 9.1% 7.2% 40.5%

Liverpool 504 85 84 122 132 188 1,193

2,308 21.8% 3.7% 3.6% 5.3% 5.7% 8.1% 51.7%

Sefton 192 25 25 45 58 74 323

742 25.9% 3.4% 3.4% 6.1% 7.8% 10.0% 43.5%

St. Helens 249 53 70 49 48 87 621

1,177 21.2% 4.5% 5.9% 4.2% 4.1% 7.4% 52.8%

Warrington 238 35 37 32 33 51 375

801 29.7% 4.4% 4.6% 4.0% 4.1% 6.4% 46.8%

Wirral 373 71 69 59 55 75 289

991 37.6% 7.2% 7.0% 6.0% 5.5% 7.6% 29.2%

NSP Steroid cohort - All individuals

2,199 428 429 515 506 706 3,917 8,700

25.3% 4.9% 4.9% 5.9% 5.8% 8.1% 45.0%

Table 39 - Steroid and other IPEDs cohort, all individuals 2017-18, by year of first presentation


NEW INDIVIDUALS ONLY - BY AGE AND GENDER

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East

Female 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0

Male 0.0% 0.8% 23.1% 25.1% 24.7% 24.3% 1.2% 0.4% 0.0% 0.0% 0.4% 0.0% 255

Total 0.0% 0.8% 23.1% 25.1% 24.7% 24.3% 1.2% 0.4% 0.0% 0.0% 0.4% 0.0% 255


Female 0.0% 0.0% 12.5% 12.5% 50.0% 0.0% 12.5% 0.0% 12.5% 0.0% 0.0% 0.0% 8

Male 0.6% 2.2% 18.4% 24.1% 23.1% 20.4% 5.5% 3.1% 2.0% 0.6% 0.0% 0.0% 510

Total 0.6% 2.1% 18.3% 23.9% 23.6% 20.1% 5.6% 3.1% 2.1% 0.6% 0.0% 0.0% 518

Halton

Female 0.0% 0.0% 14.3% 28.6% 28.6% 14.3% 14.3% 0.0% 0.0% 0.0% 0.0% 0.0% 7

Male 0.5% 4.0% 14.5% 22.0% 20.0% 16.0% 12.5% 5.5% 3.0% 1.5% 0.5% 0.0% 200

Total 0.5% 3.9% 14.5% 22.2% 20.3% 15.9% 12.6% 5.3% 2.9% 1.4% 0.5% 0.0% 207

Knowsley

Female 0.0% 20.0% 0.0% 0.0% 0.0% 60.0% 0.0% 20.0% 0.0% 0.0% 0.0% 0.0% 5

Male 0.7% 4.2% 10.6% 26.1% 20.4% 26.1% 8.5% 2.1% 0.7% 0.0% 0.7% 0.0% 142

Total 0.7% 4.8% 10.2% 25.2% 19.7% 27.2% 8.2% 2.7% 0.7% 0.0% 0.7% 0.0% 147

Liverpool

Female 0.0% 8.3% 6.3% 29.2% 10.4% 20.8% 2.1% 8.3% 10.4% 0.0% 2.1% 2.1% 48

Male 0.2% 1.6% 10.7% 19.3% 25.1% 23.7% 7.2% 7.2% 2.4% 2.0% 0.3% 0.4% 1,145

Total 0.2% 1.8% 10.5% 19.7% 24.5% 23.6% 7.0% 7.2% 2.8% 1.9% 0.4% 0.5% 1,193

Sefton

Female 0.0% 0.0% 0.0% 24.1% 27.6% 13.8% 13.8% 10.3% 3.4% 3.4% 3.4% 0.0% 29

Male 0.0% 1.0% 10.9% 18.7% 23.1% 21.1% 11.2% 7.1% 3.4% 1.4% 1.7% 0.3% 294

Total 0.0% 0.9% 9.9% 19.2% 23.5% 20.4% 11.5% 7.4% 3.4% 1.5% 1.9% 0.3% 323

St. Helens

Female 10.0% 0.0% 10.0% 30.0% 30.0% 10.0% 0.0% 10.0% 0.0% 0.0% 0.0% 0.0% 10

Male 0.7% 1.6% 15.5% 18.7% 26.4% 34.2% 1.6% 0.8% 0.5% 0.0% 0.0% 0.0% 611

Total 0.8% 1.6% 15.5% 18.8% 26.4% 33.8% 1.6% 1.0% 0.5% 0.0% 0.0% 0.0% 621

Warrington

Female 4.0% 0.0% 0.0% 16.0% 28.0% 20.0% 8.0% 16.0% 0.0% 8.0% 0.0% 0.0% 25

Male 0.0% 1.4% 15.1% 24.6% 21.1% 15.1% 8.9% 4.9% 6.9% 1.4% 0.3% 0.3% 350

Total 0.3% 1.3% 14.1% 24.0% 21.6% 15.5% 8.8% 5.6% 6.4% 1.9% 0.3% 0.3% 375

Wirral

Female 0.0% 14.3% 21.4% 35.7% 14.3% 7.1% 7.1% 0.0% 0.0% 0.0% 0.0% 0.0% 14

Male 0.0% 1.8% 20.0% 28.4% 15.6% 17.8% 6.9% 6.9% 2.5% 0.0% 0.0% 0.0% 275

Total 0.0% 2.4% 20.1% 28.7% 15.6% 17.3% 6.9% 6.6% 2.4% 0.0% 0.0% 0.0% 289

New NSP Steroid cohort individuals

Female 1.4% 4.8% 6.2% 24.7% 21.2% 17.1% 6.8% 8.9% 4.8% 2.1% 1.4% 0.7% 146

Male 0.3% 1.8% 14.6% 21.7% 23.4% 23.2% 6.4% 4.6% 2.4% 1.0% 0.3% 0.2% 3,771

Total 0.3% 1.9% 14.3% 21.9% 23.3% 23.0% 6.5% 4.8% 2.5% 1.0% 0.4% 0.2% 3,917

Table 40 - Steroid and other IPEDs cohort, new individuals 2017-18, by age and gender



PROPORTION OF INDIVIDUALS BY AGE GROUP WHO ARE NEW PRESENTATIONS THIS YEAR

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East

Female - - - - - - - - - - - - -

Male - 29% 63% 37% 38% 33% 12% 8% 0% 0% 100% - 38%

Total - 29% 63% 37% 38% 33% 12% 8% 0% 0% 100% - 38%


Female - - 100% 50% 80% 0% 25% - 100% - - - 57%

Male 75% 85% 64% 46% 40% 39% 32% 35% 59% 25% 0% - 44%

Total 75% 85% 64% 46% 41% 39% 32% 35% 61% 25% 0% - 44%

Halton

Female - - 100% 67% 50% 33% 100% - - 0% - - 54%

Male 100% 89% 57% 40% 25% 34% 37% 24% 26% 33% 33% - 35%

Total 100% 89% 58% 40% 26% 34% 38% 24% 26% 30% 33% - 35%

Knowsley

Female - 100% - 0% - 100% - 100% - - - - 83%

Male 100% 100% 50% 46% 33% 39% 29% 27% 33% 0% 100% - 40%

Total 100% 100% 50% 45% 33% 41% 29% 33% 33% 0% 100% - 40%

Liverpool

Female - 100% 100% 78% 56% 77% 17% 100% 100% 0% 100% 100% 73%

Male 100% 95% 65% 52% 51% 49% 41% 47% 40% 62% 57% 83% 51%

Total 100% 96% 66% 53% 51% 50% 40% 49% 44% 59% 63% 86% 52%

Sefton

Female - 0% - 100% 73% 100% 80% 75% 100% 100% 100% - 83%

Male - 100% 73% 47% 39% 38% 39% 32% 45% 25% 63% 17% 42%

Total - 75% 73% 50% 41% 39% 41% 34% 48% 29% 67% 17% 44%

St. Helens

Female 100% - 100% 75% 60% 50% - 100% - - - - 71%

Male 100% 83% 66% 47% 55% 55% 29% 20% 20% 0% 0% 0% 53%

Total 100% 83% 66% 47% 55% 55% 29% 23% 20% 0% 0% 0% 53%

Warrington

Female 100% - - 67% 100% 83% 67% 100% - 100% - - 86%

Male - 100% 69% 52% 37% 39% 42% 28% 63% 42% 33% 50% 45%

Total 100% 100% 69% 53% 39% 41% 43% 32% 63% 50% 33% 50% 47%

Wirral

Female - 100% 60% 56% 50% 100% 50% 0% - - - - 58%

Male - 71% 50% 33% 19% 27% 22% 26% 22% 0% 0% 0% 28%

Total - 78% 50% 34% 20% 27% 22% 25% 22% 0% 0% 0% 29%

New NSP Steroid cohort individuals

Female 100% 88% 82% 72% 69% 76% 48% 87% 100% 50% 100% 100% 73%

Male 92% 84% 63% 46% 41% 43% 36% 35% 39% 36% 45% 41% 44%

Total 93% 84% 63% 46% 42% 44% 36% 36% 41% 37% 48% 44% 45%

Table 41- Steroid and other IPEDs cohort, new individuals 2017-18, as a proportion of total individuals, by age group

Key: 0-20% 20-40% 40-60% 60-80% 80-100%



PWID: Steroid & IPEDs 2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 798 1,082 653 825 680

Cheshire West & Chester 920 1,160 625 1,174 1,169

Halton 524 726 626 539 585

Knowsley 297 359 337 427 363

Liverpool 2,149 3,901 2,506 2,940 2,308

Sefton 701 997 583 595 742

St. Helens 1,023 1,871 1,127 922 1,177

Warrington 853 1,213 774 775 801

Wirral 1,048 1,263 890 943 991


Table 42 - Steroid and other IPEDs cohort, annual client numbers by local authority, 2013-14 to 2017-18


PWID: Steroid & IPEDs 2013-14 2014-15 2015-16 2016-17 2017-18 Cheshire East 2.14 2.89 1.74 2.19 1.79 Cheshire West & Chester 2.78 3.49 1.87 3.50 3.46 Halton 4.16 5.75 4.95 4.25 4.58 Knowsley 2.03 2.45 2.29 2.89 2.44 Liverpool 4.56 8.25 5.24 6.07 4.70 Sefton 2.57 3.64 2.13 2.17 2.70 St. Helens 5.81 10.56 6.35 5.17 6.56 Warrington 4.16 5.88 3.73 3.71 3.82 Wirral 3.27 3.94 2.77 2.94 3.07 Cheshire & Merseyside 3.30 5.10 3.28 3.68 3.52

Table 43 - Steroid and other IPEDs cohort, annual prevalence estimates by local authority, 2013-14 to 2017-18





4. BRIEF INTERVENTION: DRUGS OR ALCOHOL (NON-INJECTING CLIENTS)

AGE AND GENDER

0 - 1

7

18 -

19

20 -

24

25 -

29

30 -

34

35 -

39

40 -

44

45 -

49

50 -

54

55 -

59

60 -

64

65 +

Tota

l

Cheshire East Female - - - - - - - - - - - - 0

Male - - - - - - - - - - - - 0 Total - - - - - - - - - - - - 0


Female 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 50.0% 0.0% 0.0% 0.0% 0.0% 0.0% ** Male 0.0% 0.0% 11.1% 33.3% 11.1% 11.1% 11.1% 5.6% 11.1% 5.6% 0.0% 0.0% 18 Total 0.0% 0.0% 10.0% 30.0% 15.0% 10.0% 15.0% 5.0% 10.0% 5.0% 0.0% 0.0% 20

Halton Female 0.0% 1.4% 6.1% 8.9% 12.1% 11.7% 12.1% 16.8% 14.5% 7.0% 4.7% 4.7% 214

Male 0.0% 1.1% 5.3% 8.5% 14.9% 14.9% 12.9% 13.3% 13.8% 6.9% 5.3% 3.0% 435 Total 0.0% 1.2% 5.5% 8.6% 14.0% 13.9% 12.6% 14.5% 14.0% 6.9% 5.1% 3.5% 649

Knowsley Female 0.0% 1.4% 2.8% 10.6% 12.0% 18.9% 15.7% 15.2% 10.6% 7.4% 3.2% 2.3% 217

Male 0.2% 0.7% 7.0% 9.8% 13.3% 9.8% 13.1% 18.2% 13.1% 8.8% 4.2% 1.8% 457 Total 0.1% 0.9% 5.6% 10.1% 12.9% 12.8% 13.9% 17.2% 12.3% 8.3% 3.9% 1.9% 674

Liverpool Female 26.0% 4.0% 4.9% 3.9% 5.2% 7.5% 8.9% 9.9% 8.8% 7.5% 5.4% 8.1% 1,644

Male 18.8% 3.6% 3.5% 3.6% 5.8% 7.1% 9.2% 11.3% 9.7% 9.0% 6.2% 12.3% 2,725 Total 21.5% 3.8% 4.1% 3.7% 5.6% 7.3% 9.1% 10.7% 9.3% 8.4% 5.9% 10.7% 4,369

Sefton Female 21.2% 6.1% 6.1% 3.0% 9.1% 21.2% 6.1% 9.1% 6.1% 6.1% 3.0% 3.0% 33

Male 4.7% 0.0% 4.7% 4.7% 2.3% 16.3% 18.6% 20.9% 20.9% 4.7% 2.3% 0.0% 43 Total 11.8% 2.6% 5.3% 3.9% 5.3% 18.4% 13.2% 15.8% 14.5% 5.3% 2.6% 1.3% 76

St. Helens Female 0.3% 0.0% 7.5% 4.1% 14.2% 12.9% 11.3% 17.3% 10.4% 6.0% 7.9% 8.2% 318

Male 0.0% 0.7% 6.0% 8.6% 10.4% 10.8% 17.8% 15.0% 11.7% 9.5% 5.1% 4.2% 546 Total 0.1% 0.5% 6.6% 6.9% 11.8% 11.6% 15.4% 15.9% 11.2% 8.2% 6.1% 5.7% 864

Warrington Female 14.8% 1.1% 3.1% 5.4% 7.4% 7.1% 9.1% 9.4% 12.3% 11.7% 6.8% 11.7% 351

Male 9.2% 2.0% 5.8% 11.0% 9.2% 11.0% 11.0% 10.4% 9.2% 8.1% 5.8% 7.2% 346 Total 12.1% 1.6% 4.4% 8.2% 8.3% 9.0% 10.0% 9.9% 10.8% 9.9% 6.3% 9.5% 697

Wirral Female 54.2% 1.7% 5.1% 1.7% 8.5% 6.8% 5.1% 8.5% 5.1% 1.7% 0.0% 1.7% 59

Male 15.3% 4.0% 4.4% 9.7% 14.1% 11.3% 7.3% 12.5% 6.5% 5.2% 5.2% 4.4% 248 Total 22.8% 3.6% 4.6% 8.1% 13.0% 10.4% 6.8% 11.7% 6.2% 4.6% 4.2% 3.9% 307

Brief Interv cohort - All individuals

Female 18.5% 2.7% 5.0% 4.9% 7.6% 9.4% 9.8% 11.6% 9.8% 7.6% 5.5% 7.7% 2,816 Male 12.2% 2.7% 4.5% 6.1% 8.5% 9.0% 11.0% 12.6% 10.4% 8.5% 5.7% 8.7% 4,785 Total 14.5% 2.7% 4.7% 5.7% 8.2% 9.2% 10.6% 12.2% 10.2% 8.2% 5.6% 8.3% 7,601

Table 44 - Drugs or alcohol (non-injecting) cohort by age and gender, 2017-18



ETHNICITY

Ches

hire

Eas

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Ches

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Wes

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Che

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Halto

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Know

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Live

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Seft

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St. H

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War

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Wirr

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Brie

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All

indi

vidu

als

White British - 100.0% 95.4% 98.2% 89.9% 93.4% 97.1% 95.1% 98.7% 93.5%

White Irish - 0.0% 1.0% 0.1% 1.0% 1.3% 1.1% 0.9% 0.0% 0.8%

Other White - 0.0% 2.9% 0.6% 1.3% 1.3% 1.3% 1.9% 1.0% 1.4%

Other White - Polish - 0.0% 0.0% 0.0% 0.5% 0.0% 0.1% 0.4% 0.0% 0.3%

Other White - Czech - 0.0% 0.0% 0.0% 0.2% 0.0% 0.1% 0.0% 0.0% 0.1%


- 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.1%


- 0.0% 0.0% 0.0% 1.6% 0.0% 0.1% 0.1% 0.0% 0.8%


- 0.0% 0.0% 0.1% 0.7% 1.3% 0.0% 0.0% 0.3% 0.4%

White and Asian - 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.1%

Other Mixed - 0.0% 0.0% 0.1% 1.3% 0.0% 0.0% 0.9% 0.0% 0.7%

Indian - 0.0% 0.0% 0.1% 0.1% 0.0% 0.0% 0.3% 0.0% 0.1%

Pakistani - 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.1%

Other Asian - 0.0% 0.2% 0.0% 0.1% 0.0% 0.0% 0.1% 0.0% 0.1%

Caribbean - 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

African - 0.0% 0.3% 0.1% 0.3% 0.0% 0.0% 0.0% 0.0% 0.2%

Other Black - 0.0% 0.2% 0.0% 1.4% 1.3% 0.1% 0.0% 0.0% 0.7%

Other Black - Somali - 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.1%

Chinese - 0.0% 0.0% 0.0% 0.1% 1.3% 0.0% 0.0% 0.0% 0.1%

Other - 0.0% 0.0% 0.4% 0.5% 0.0% 0.1% 0.3% 0.0% 0.3%

Other - Gypsy - 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Other - Arab - 0.0% 0.0% 0.0% 0.2% 0.0% 0.0% 0.0% 0.0% 0.1%

Table 45 - Drugs or alcohol (non-injecting) cohort, percentage split by ethnicity, 2017-18 44


44 Percentage split is calculated as the proportion of only those clients who stated an ethnicity.


PRIMARY SUBSTANCE

Ches

hire

Eas

t

Ches

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Wes

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Che

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Halto

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Know

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Live

rpoo

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Seft

on

St. H

elen

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War

ringt

on

Wirr

al

Brie

f Int

erv

coho

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All

indi

vidu

als

Alcohol - 0 344 297 2,737 32 298 225 49 3,939 - 0.0% 54.1% 44.1% 69.2% 46.4% 41.4% 59.1% 43.8% 60.6%


- 0 7 8 13 ** 6 ** 0 35 - 0.0% 1.1% 1.2% 0.3% 1.4% 0.8% 0.5% 0.0% 0.5%

Anti-depressants - 0 0 0 ** 0 0 0 0 ** - 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0%

Barbiturates - 0 0 0 ** 0 0 0 0 ** - 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%

Benzodiazepines - 0 0 ** 7 0 ** ** 0 13 - 0.0% 0.0% 0.1% 0.2% 0.0% 0.4% 0.5% 0.0% 0.2%

Cannabis - 0 43 75 225 9 40 50 39 479 - 0.0% 6.8% 11.1% 5.7% 13.0% 5.6% 13.1% 34.8% 7.4%

Cocaine (excl Crack) - 0 31 101 107 6 13 36 5 294 - 0.0% 4.9% 15.0% 2.7% 8.7% 1.8% 9.4% 4.5% 4.5%

Crack Cocaine - 0 10 5 20 ** 12 5 0 55 - 0.0% 1.6% 0.7% 0.5% 4.3% 1.7% 1.3% 0.0% 0.8%

Ecstasy - 0 ** 0 19 ** 0 0 ** 24 - 0.0% 0.2% 0.0% 0.5% 1.4% 0.0% 0.0% 2.7% 0.4%

Hallucinogens - 0 0 ** ** 0 0 0 0 6 - 0.0% 0.0% 0.3% 0.1% 0.0% 0.0% 0.0% 0.0% 0.1%

Heroin - ** 154 146 74 7 208 45 ** 637 - 37.5% 24.2% 21.7% 1.9% 10.1% 28.9% 11.8% 2.7% 9.8%

Methadone - 0 20 13 ** 0 23 ** 0 62 - 0.0% 3.1% 1.9% 0.1% 0.0% 3.2% 0.8% 0.0% 1.0%

Novel Psychoactive Substances

- 0 ** 0 ** 0 0 ** 0 7 - 0.0% 0.2% 0.0% 0.1% 0.0% 0.0% 1.0% 0.0% 0.1%

Other Drugs - 0 0 ** ** 0 5 ** 0 13 - 0.0% 0.0% 0.3% 0.1% 0.0% 0.7% 0.5% 0.0% 0.2%

Other Opiates - 0 13 18 ** 0 ** 6 0 43 - 0.0% 2.0% 2.7% 0.1% 0.0% 0.6% 1.6% 0.0% 0.7%

Prescription Drugs - 0 9 6 ** 0 ** 0 ** 22 - 0.0% 1.4% 0.9% 0.1% 0.0% 0.3% 0.0% 0.9% 0.3%

Solvents - 0 0 0 ** 0 0 0 0 ** - 0.0% 0.0% 0.0% 0.1% 0.0% 0.0% 0.0% 0.0% 0.0%

Steroids & IPEDS - 5 ** 0 ** 0 ** ** 5 20 - 62.5% 0.5% 0.0% 0.1% 0.0% 0.3% 0.3% 4.5% 0.3%

No Substance - 0 0 0 727 10 104 0 7 848 - 0.0% 0.0% 0.0% 18.4% 14.5% 14.4% 0.0% 6.3% 13.0%

Effected by some-one else’s use 45

- 0 0 0 0 0 87 95 0 182 - 0.0% 0.0% 0.0% 0.0% 0.0% 10.1% 13.6% 0.0% 2.4%

Not Stated 46 - 12 13 0 411 7 57 221 195 916 - 60.0% 2.0% 0.0% 9.4% 9.2% 6.6% 31.7% 63.5% 12.1%

Total Individuals 0 20 649 674 4,369 76 864 697 307 7,601 Table 46 - Drugs or alcohol (non-injecting) cohort by primary substance and local authority, 2017-18

45 Individuals receiving interventions and support related to the substance use of others, such as family members or close friends. 46 Percentages shown by substance excludes those individuals effected by some-one else’s use and those where the substance was not stated. Percentages shown for ‘some-one else’s use’ and ‘not stated’ is the percentage of all individuals.


SECONDARY SUBSTANCE


Primary Substance

Alco

hol

Amph

etam

ines

(exc

l Be

nzo-

diaz

epin

es

Cann

abis

Coca

ine

(exc

l Cr

ack)

Crac

k Co

cain

e

Ecst

asy

Hero

in

Met

hado

ne

Oth

er D

rugs

48 Pr

escr

iptio

n Dr

ugs

Not

Sta

ted

Tota

l

Alcohol 0 5 ** 45 83 14 ** 12 5 16 ** 3,751 3,939

0.0% 2.7% 1.1% 23.9% 44.1% 7.4% 1.1% 6.4% 2.7% 8.5% 2.1% 95.2% Amphetamines (excl Ecstasy)

5 0 ** ** ** 0 0 0 0 ** 0 23 35 41.7% 0.0% 8.3% 16.7% 16.7% 0.0% 0.0% 0.0% 0.0% 16.7% 0.0% 65.7%

Anti-depressants 0 0 ** 0 0 0 0 0 0 0 0 ** **

0.0% 0.0% 100% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 66.7%

Barbiturates 0 0 0 0 0 0 0 0 0 0 0 ** **

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100%

Benzodiazepines ** 0 0 0 0 0 0 0 0 ** 0 9 13

50.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 69.2%

Cannabis 20 0 ** 0 11 0 ** 0 0 ** 0 441 479

52.6% 0.0% 7.9% 0.0% 28.9% 0.0% 2.6% 0.0% 0.0% 7.9% 0.0% 92.1%

Cocaine (excl Crack) 44 ** 0 18 0 ** ** ** 0 5 0 219 294

58.7% 4.0% 0.0% 24.0% 0.0% 1.3% 2.7% 2.7% 0.0% 6.7% 0.0% 74.5%

Crack Cocaine 5 ** 0 5 ** 0 0 10 0 0 ** 32 55

21.7% 4.3% 0.0% 21.7% 4.3% 0.0% 0.0% 43.5% 0.0% 0.0% 4.3% 58.2%

Ecstasy ** 0 0 0 ** ** 0 0 0 0 0 21 24

33.3% 0.0% 0.0% 0.0% 33.3% 33.3% 0.0% 0.0% 0.0% 0.0% 0.0% 87.5%

Hallucinogens 0 0 0 0 0 0 0 0 0 0 0 6 6

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100%

Heroin 13 0 ** ** ** 34 0 0 ** 0 ** 580 637

22.8% 0.0% 1.8% 3.5% 7.0% 59.6% 0.0% 0.0% 3.5% 0.0% 1.8% 91.1%

Methadone ** 0 ** 0 0 0 0 ** 0 0 0 56 62

16.7% 0.0% 16.7% 0.0% 0.0% 0.0% 0.0% 66.7% 0.0% 0.0% 0.0% 90.3% Novel Psychoactive Substances

0 0 0 0 0 0 0 0 0 0 0 7 7 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100%

Other Drugs 0 0 0 0 0 0 0 0 0 ** 0 12 13

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100% 0.0% 92.3%

Other Opiates 0 0 ** 0 0 0 0 0 0 ** 0 41 43

0.0% 0.0% 50.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 50.0% 0.0% 95.3%

Prescription Drugs 0 0 0 0 0 0 0 0 0 ** 0 20 22

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100% 0.0% 90.9%

Solvents 0 0 0 0 0 0 0 0 0 0 0 ** **

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100%

Steroids & PIED 0 0 0 0 0 0 0 0 0 0 0 20 20

0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 100%

No Substance - - - - - - - - - - - 848 848 - - - - - - - - - - - 100%

Someone else - - - - - - - - - - - 182 182 - - - - - - - - - - - 100%

Not Stated - - - - - - - - - - - 916 916 - - - - - - - - - - - 100%

Total 91 9 10 72 102 50 5 28 7 32 6 7,189 7,601

22.1% 2.2% 2.4% 17.5% 24.8% 12.1% 1.2% 6.8% 1.7% 7.8% 1.5% 94.6% 100% Table 47 - Drugs or alcohol (non-injecting) cohort by primary and secondary substance, 2017-18

47 Percentages shown by substance excludes those individuals where the substance was not stated. Percentages shown for ‘Not Stated’ is the percentage of all individuals. 48 The figures shown for the secondary substance ‘Other Drugs’ includes substances within the following drug groups; anti-depressants, hallucinogens, novel psychoactive substances (NPS), other opiates, solvents, steroids & IPEDs, and other drugs.



Ches

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Know

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rt -

All

indi

vidu

als


0 0 18 19 88 0 108 11 ** 246

- - 2.8% 3.2% 5.3% 0.0% 17.7% 4.4% 3.8% 6.4%

Housing Problem 0 0 82 44 179 5 75 21 9 410

- - 13.0% 7.4% 10.8% 7.8% 12.3% 8.4% 8.7% 10.6%

No Housing Problem 0 0 533 534 1,388 59 428 219 91 3,206

- - 84.2% 89.4% 83.9% 92.2% 70.0% 87.3% 87.5% 83.0%

Not Known 49 0 20 16 77 2,714 12 253 446 203 3,739

- 100.0% 2.5% 11.4% 62.1% 15.8% 29.3% 64.0% 66.1% 49.2%

Total 0 20 649 674 4,369 76 864 697 307 7,601

Table 48 - Drugs or alcohol (non-injecting) cohort by accommodation status, 2017-18

EMPLOYMENT STATUS

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Regular Employment

0 0 125 139 138 ** 60 32 22 512

- - 20.0% 25.1% 9.1% 1.6% 10.6% 20.3% 22.4% 14.5%

Pupil / Student 0 0 ** 5 540 6 0 0 49 603

- - 0.5% 0.9% 35.6% 9.5% 0.0% 0.0% 50.0% 17.1%


0 0 174 183 230 47 221 70 8 908

- - 27.8% 33.1% 15.2% 74.6% 39.0% 44.3% 8.2% 25.7%


0 0 238 174 325 5 207 42 13 988

- - 38.1% 31.5% 21.4% 7.9% 36.6% 26.6% 13.3% 28.0%


0 0 30 22 25 ** 46 5 ** 130

- - 4.8% 4.0% 1.6% 3.2% 8.1% 3.2% 1.0% 3.7%

Other 50 0 0 55 30 260 ** 32 9 5 388

- - 8.8% 5.4% 17.1% 3.2% 5.7% 5.7% 5.1% 11.0%

Not Known 51 0 20 24 121 2,851 13 298 539 209 4,072

- 100.0% 3.7% 18.0% 65.3% 17.1% 34.5% 77.3% 68.1% 53.6%

Total 0 20 649 674 4,369 76 864 697 307 7,601

Table 49 - Drugs or alcohol (non-injecting) cohort by employment status, 2017-18

49 Percentages shown by accommodation status excludes those individuals where the accommodation status is not known. Percentages shown for ‘not known’ are the percentage of all individuals. 50 The figures shown for employment status ‘Other’ include; unpaid voluntary work, retired from paid work, homemaker, and other. 51 Percentages shown by employment status excludes those individuals where the employment status is not known. Percentages shown for ‘not known’ are the percentage of all individuals.


PARENTAL STATUS

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0 0 106 94 54 ** 80 48 11 392

- - 16.8% 14.3% 4.6% 6.8% 11.8% 12.7% 10.8% 10.8%


0 0 22 25 15 ** 16 ** ** 83

- - 3.5% 3.8% 1.3% 3.4% 2.4% 0.5% 2.9% 2.3%


0 0 167 167 235 18 170 103 7 853

- - 26.4% 25.4% 20.1% 30.5% 25.1% 27.2% 6.9% 23.5%


0 0 336 372 844 35 409 225 80 2,271

- - 53.2% 56.5% 72.0% 59.3% 60.5% 59.4% 78.4% 62.6%


0 0 ** 0 24 0 ** ** ** 28

- - 0.2% 0.0% 2.0% 0.0% 0.1% 0.3% 1.0% 0.8%

Not Known 52 0 20 17 16 3,197 17 188 318 205 3,974

- 100.0% 2.6% 2.4% 73.2% 22.4% 21.8% 45.6% 66.8% 52.3%

Total 0 20 649 674 4,369 76 864 697 307 7,601

Table 50 - Drugs or alcohol (non-injecting) cohort by parental status, 2017-18

52 Percentages shown by parental status excludes those individuals where the parental status is not known. Percentages shown for ‘not known’ are the percentage of all individuals.



Ches

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0 0 ** ** 333 47 164 0 10 545

- - 100.0% 100.0% 37.5% 81.0% 75.2% - 20.8% 45.3%


0 0 0 0 556 11 54 0 38 657

- - 0.0% 0.0% 62.5% 19.0% 24.8% - 79.2% 54.7%

Not Stated 53 0 20 648 671 3,480 18 646 697 259 6,399

- 100.0% 99.8% 99.6% 79.7% 23.7% 74.8% 100.0% 84.4% 84.2%

Total 0 20 649 674 4,369 76 864 697 307 7,601

Recorded conditions: Arthritis - - - - ** - 10 - - 12Asthma - - - - 8 ** ** - - 11Cancer - - - - - - - - ** ** Chronic Fatigue Syndrome (ME)

- - - - ** - - - - **

Chronic Pain - - - - 7 ** ** - - 13Chronic Pancreatitis - - - - - - - - - -Colitis/Crohn’s Disease - - - - ** - - - - ** COPD - - - - 14 ** ** - ** 20 Dementia - - - - ** - - - - ** Depression - - ** ** 98 6 59 - - 161Diabetes - - - - 5 - - - - 5Epilepsy - - - - 5 ** ** - ** 9 General learning difficul - - - - ** ** ** - - **Hearing impairment - - - - ** - - - - **Heart disease - - - ** 5 ** - - - 7Hypertension/blood pres - - - - ** - ** - - **Kidney disease - - - - - - - - - -Liver disease / Cirrhosis - - - - 18 ** - - - 19 Manual dexterity - - - - - - ** - - **Mental health - - - - 76 ** 50 - - 128Mental ill health - - - ** 40 23 21 - - 82Mobility issues - - - - 13 ** ** - - 15Multiple Sclerosis (MS) - - - - ** - - - - **Neurological & Digestive - - - - ** - - - - **Obesity - - - - ** - - - - **Other - - - - 12 - 6 - ** 22Parkinson’s - - - - ** - - - - **Specific learning difficul - - - - 6 - ** - ** 11Speech impairment - - - - ** - - - - **Stroke - - - - ** ** - - - **Visual impairment - - - - ** - ** - - **

Table 51 - Drugs or alcohol (non-injecting) cohort, individuals stating any disability or chronic condition, 2017-18

53 Percentages shown is for those clients where a disability or chronic condition record was completed. Percentages shown for ‘not known’ are the percentage of all individuals.



Local Authority of service provider


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Cheshire East 0 0 0 0 ** 0 0 0 0 ** Cheshire West & Chester 0 ** ** 0 6 0 0 ** 0 11 Halton 0 0 615 0 7 0 ** ** 0 621 Knowsley 0 0 ** 605 102 0 7 0 0 682 Liverpool 0 0 0 37 1,601 ** ** ** 0 1,639 Sefton 0 0 0 ** 234 64 0 ** 0 292 St. Helens 0 0 0 12 8 0 631 0 0 650 Warrington 0 0 0 0 ** 0 ** 347 0 352 Wirral 0 0 0 0 35 0 0 0 85 120 Flintshire 0 0 0 0 0 0 0 0 0 0 Isle of Man 0 0 0 0 0 0 0 0 0 0 Manchester 0 0 0 0 0 0 0 0 0 0 Newcastle-under-Lyme 0 0 0 0 0 0 0 0 0 0 Preston 0 0 0 0 ** 0 0 0 0 ** Salford 0 0 0 0 0 0 0 0 0 0 Staffordshire Moorlands 0 0 0 0 0 0 0 0 0 0 Stockport 0 0 0 0 0 0 0 0 0 0 Stoke-on-Trent 0 0 0 0 ** 0 0 0 0 ** Trafford 0 0 0 0 0 0 0 0 0 0 West Lancashire 0 0 0 0 5 0 0 0 0 5 Wigan 0 0 0 0 0 0 ** ** 0 ** Others 0 0 0 0 10 0 0 0 0 10 Not Stated 0 18 31 17 2,353 8 220 343 222 3,212 Total 0 20 649 674 4,369 76 864 697 307 7,601

Table 52 - Drugs or alcohol (non-injecting) cohort, individuals by local authority of residence and local authority of service provider, 2017-18



BI: Drug or Alcohol 2013-14 2014-15 2015-16 2016-17 2017-18

Cheshire East 0 0 0 0 0 Cheshire West & Chester 0 0 0 2 20 Halton 0 31 168 503 649 Knowsley 14 79 449 826 674 Liverpool 5,062 4,510 4,052 2,941 4,369 Sefton 429 1,075 1,682 1,073 76 St. Helens 0 0 411 390 864 Warrington 0 0 152 252 697 Wirral 2,062 2,139 865 276 307


Table 53 - Drugs or alcohol (non-injecting) cohort, annual client numbers by local authority, 2013-14 to 2017-18


BI: Drug or Alcohol 2013-14 2014-15 2015-16 2016-17 2017-18 Cheshire East 0.00 0.00 0.00 0.00 0.00 Cheshire West & Chester 0.00 0.00 0.00 0.01 0.06 Halton 0.00 0.25 1.33 3.96 5.09 Knowsley 0.10 0.54 3.05 5.58 4.54 Liverpool 10.75 9.53 8.47 6.07 8.89 Sefton 1.57 3.93 6.15 3.91 0.28 St. Helens 0.00 0.00 2.31 2.19 4.82 Warrington 0.00 0.00 0.73 1.21 3.32 Wirral 6.44 6.67 2.70 0.86 0.95 Cheshire & Merseyside 3.13 3.12 3.08 2.48 3.08

Table 54 - Drugs or alcohol (non-injecting) cohort, annual prevalence estimates by local authority, 2013-14 to 2017-18





AFFECTED OTHERS - SUPPORT SERVICES FOR FAMILY OR FRIENDS AFFECTED BY SUBSTANCE USE

Not

stated No substance

used Someone else’s

use Total Individuals

Cheshire East 0 0 0 0 Cheshire West & Chester 12 0 0 12 Halton 13 0 0 13 Knowsley 0 0 0 0 Liverpool 411 727 0 1,138 Sefton 7 10 0 17 St. Helens 57 104 87 248 Warrington 221 0 95 316 Wirral 195 7 0 202

All IMS individuals 916 848 182

1,946 47.1% 43.6% 9.4%

Table 55 - Drugs or alcohol (non-injecting) cohort, individuals with no recorded substance, 2017-18

0 - 17

18 - 19

20 - 24

25 - 29

30 - 34

35 - 39

40 - 44

45 - 49

50 - 54

55 - 59

60 - 64 65 + Total

Not stated

Female 113 32 33 14 13 19 23 17 27 20 15 48

374 12.3% 3.5% 3.6% 1.5% 1.4% 2.1% 2.5% 1.9% 2.9% 2.2% 1.6% 5.2%

Male 219 32 28 28 40 32 23 36 25 26 22 31

542 23.9% 3.5% 3.1% 3.1% 4.4% 3.5% 2.5% 3.9% 2.7% 2.8% 2.4% 3.4%

Total 332 64 61 42 53 51 46 53 52 46 37 79

916 36.2% 7.0% 6.7% 4.6% 5.8% 5.6% 5.0% 5.8% 5.7% 5.0% 4.0% 8.6%

No substance

Female 309 20 36 9 10 9 7 9 ** ** 9 **

426 36.4% 2.4% 4.2% 1.1% 1.2% 1.1% 0.8% 1.1% 0.2% 0.4% 1.1% 0.4%

Male 218 31 48 11 20 19 12 23 12 16 ** 9

422 25.7% 3.7% 5.7% 1.3% 2.4% 2.2% 1.4% 2.7% 1.4% 1.9% 0.4% 1.1%

Total 527 51 84 20 30 28 19 32 14 19 12 12

848 62.1% 6.0% 9.9% 2.4% 3.5% 3.3% 2.2% 3.8% 1.7% 2.2% 1.4% 1.4%

Someone else’s use

Female 10 0 ** ** 10 9 9 16 22 17 15 28

142 5.5% 0.0% 2.2% 1.1% 5.5% 4.9% 4.9% 8.8% 12.1% 9.3% 8.2% 15.4%

Male ** 0 0 ** 0 0 ** ** ** 8 5 14

40 1.6% 0.0% 0.0% 1.1% 0.0% 0.0% 1.1% 2.2% 1.1% 4.4% 2.7% 7.7%

Total 13 0 ** ** 10 9 11 20 24 25 20 42

182 7.1% 0.0% 2.2% 2.2% 5.5% 4.9% 6.0% 11.0% 13.2% 13.7% 11.0% 23.1%

Table 56 - Drugs or alcohol (non-injecting) cohort, individuals with no recorded substance, by age and gender, 2017-18


5. INTEGRATED MONITORING SYSTEM - ACTIVITY (ALL CLIENTS)

INTERVENTIONS

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Number of individuals 7 1,034 1,206 895 4,832 441 1,380 986 716 11,393

Interventions delivered 55 7 2,205 1,942 1,332 15,393 850 8,661 3,625 1,012 35,027

Average of interventions per person

1.0 2.1 1.6 1.5 3.2 1.9 6.3 3.7 1.4 3.1

Table 57 - All IMS individuals, interventions delivered, 2017-18

Intervention categories

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Brief Intervention 7 683 1,708 1,226 13,395 784 7,895 2,254 972 28,924

Advice & Information 1,566 309 146 2,312 80 801 1,569 48 6,831

Table 58 - All IMS individuals, intervention categories recorded, 2017-18 56

55 In this report the total of interventions delivered has been counted as a maximum of one intervention per individual per day, therefore these figures may not be directly comparable with previous reports. 56 Where both intervention categories are recorded for a client on the same date these will be counted once in Table 56 but separately in Table 57.


Intervention types Ch

eshi

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ast

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Alcohol brief intervention - - - 3 3,352 - - 3 130 3,488

Anabolic steroid advice - 702 169 4 132 24 51 4 250 1,336

Assessment, review, or 1 to 1 counselling

- - - - 1,181 3 240 1,398 82 2,904

Basic needs & personal care - - - - - - 7,142 - - 7,142

BBV screening, or advice - 4 - 6 3 16 6 - 3 38

Benefits, debt or financial advice

- - - - 47 1 75 - - 123

Creative session, or other activities

- - - 19 7,445 2 1 1 2 7,470

Detox and rehabilitation - - 1 3 535 - 1 - 1 541

Drug & alcohol advice - - - - 1,075 5 - 6 24 1,110

Education, training, or employment support

- 11 178 33 650 2 360 41 226 1,501

Family support - 2 54 41 89 - 140 27 8 361

GP, dentist, or other health access

- - - - 132 - 42 - - 174

Group session - - - - 213 - 3 159 - 375

Harm reduction advice: general

7 1,161 171 224 982 700 222 249 395 4,111

Harm reduction: safer drug use or injecting advice

- 579 608 137 32 453 205 300 403 2,717

Health and wellbeing - - 14 13 381 6 143 336 1 894

Housing support - - 54 17 25 4 335 15 8 458

Mental health - - 11 26 37 9 67 5 2 157

Mutual aid, or peer support - - 805 628 260 - 608 163 62 2,526

Other intervention - 6 381 444 1,983 5 974 749 101 4,643

Other support and advice - 35 12 34 924 8 754 1,278 9 3,054

Outreach activity - general - 1 3 - 2,022 - 1 19 11 2,057

Recovery support, and relapse prevention

- - 259 100 1,971 57 520 109 2 3,018

Safeguarding interventions - - - - - - 15 4 - 19

Sexual health - 9 1 6 136 10 3 - 132 297

Smoking cessation - - 1 4 - - 7 - - 12

Transferred or treatment completed

- - - - - - 56 151 - 207

Volunteering, or work experience

- - 1 5 40 - 14 - 1 61

Total count of all intervention types

7 2,510 2,723 1,747 23,647 1,305 11,985 5,017 1,853 50,794

Table 59 - All IMS individuals, intervention types recorded, 2017-18


REFERRAL SOURCE / INWARD REFERRALS

Referral Category

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Self-referral 206 1 48 46 4 305 Local Non-Structured Treatment Provider 169 1 170

Drug Service 1 1 32 1 54 1 90

Community Alcohol Team 75 75

Outreach 47 47 Probation or other Criminal Justice 34 34

Other Services 4 2 16 3 3 28 Job Centre/Employment Service 12 1 14 27

GP, Hospital, or other NHS 1 1 17 1 3 3 26

Relative, or others 2 8 2 12

Residential Rehab Service 6 6

Social Services 1 3 4

Education Service 2 2

305

Total: 2 2 605 5 84 114 14 826 Table 60 - All IMS individuals, inward referrals, by referral category, 2017-18


Referral Type or Organisation Ha

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Addaction 60 1 61

A-PASS 4 4

Bridge House 8 8

Brink of Change 83 83

Brownlow Group Practice 3 3

CGL (Change Grow Live) 1 1 9 1 12

Genie In The Gutter 2 2

Health Service 1 1 2

Hope Centre 14 14

Job Centre Plus 7 7 Liverpool Community Alcohol Service LCAS 75 75

Merseyside Probation Trust 26 26

NHS Services 1 1 7 1 3 2 15

Park View Project 5 5

Sexual Health Clinic 6 6

SHARP 70 70

Spider Project 1 1

St. Helens Carers Centre 1 1

Transforming Choice 1 1

Windsor Clinic 6 6

Young Addaction 4 4

Other Services 228 4 65 114 9 420

Total: 2 2 605 5 84 114 14 826

Table 61 - All IMS individuals, inward referrals, by referral type or organisation, 2017-18


ONWARD REFERRALS

Referral Category

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Local Non-Structured Treatment Provider 270 270

GP, Hospital, or other NHS 14 96 7 1 118

Other Services 34 24 4 6 68

Community Alcohol Team 60 60

Drug Service 4 15 3 22

Veteran Support Services 15 15

Residential Rehab Service 14 14 Housing or Homeless Service 1 1 8 2 12

Education Service 6 4 10

Welfare Advice Agency 7 7 Job Centre/Employment Service 3 3 6

Psychological Services 1 1 1 3

Social Services 1 2 3

Total: 15 6 508 50 1 7 21 608

Table 62 - All IMS individuals, onward referrals, by referral category, 2017-18


Referral Type or Organisation

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Addaction 9 9

A-PASS 50 50

Bridge House 3 3

Brink of Change 107 107

Brook Place 5 5

Brownlow Group Practice 7 7

CGL (Change Grow Live) 4 1 5

Citizens Advice Bureau 5 5

Dental Practitioner 8 8

Food Bank 19 19

Genie In The Gutter 11 11

Health Service 1 2 3

Housing Support 1 1 2 4

Job Centre Plus 3 3

Joining Forces (Age UK) 5 5

Liverpool Community Alcohol Service LCAS

60 60

Merseycare 3 3

New Start 7 7

NHS Services 13 72 5 1 91

Optician 7 7

Park View Project 1 1

Potential 4 Skills 3 3

Sexual Health Clinic 1 1 2

SHARP 89 89

The Brink 7 7

Transforming Choice 13 13

Veterans UK 10 10

Voluntary Sector 9 1 10

Waves of Hope 1 1

Whitechapel 8 8

Windsor Clinic 5 5

Other Services 1 23 10 1 6 6 47

Total: 15 6 508 50 1 7 21 608

Table 63 - All IMS individuals, onward referrals, by referral type or organisation, 2017-18


WELLBEING

Substance Group Low Wellbeing

Medium Wellbeing

High Wellbeing

Total WB Reviews

Alcohol 89 282 73 444

Amphetamines (excl Ecstasy) ** 7 ** 13

Anti-depressants ** **

Barbiturates ** **

Benzodiazepines ** ** 4

Cannabis 15 46 22 83

Cocaine (excl Crack) 29 57 17 103

Crack Cocaine 7 14 ** 23

Ecstasy ** **

Hallucinogens ** ** **

Heroin 62 120 33 215

Methadone ** 5 ** 7

No Substance 15 63 30 108

Novel Psychoactive Substances ** **

Other Drugs ** 5 7

Other Opiates ** ** ** 6

Prescription Drugs ** ** **

Someone else 12 94 28 134

Steroids & PIEDS ** 16 48 66

Not Stated 25 109 90 224

Totals: 269 830 349 1,448

Table 64 - Wellbeing reviews summary, by substance group, 2017-18


6. NOVEL PSYCHOACTIVE SUBSTANCES (NPS) & CLUB DRUGS

NPS & 'Club Drugs' Count by Age Group Totals:

0 - 19 20 - 29 30 - 39 40 - 49 50-59 60+ NPS - effects different, or not stated - 8 14 16 2 - 40 NPS - predominantly cannabis 3 5 7 3 1 - 19 NPS - predominantly stimulant - - 1 - 1 - 2 GHB/GBL - 8 5 4 - 4 21 Ketamine 3 9 4 1 1 1 19 Lysergide (LSD) - 2 - - - - 2 MDMA (Ecstasy) 19 12 4 2 1 - 38 Mephedrone - 2 7 3 2 4 18 Methamphetamine - 3 4 4 2 4 17 Volatile Nitrate / Amyl Nitrate (Poppers) - - - 1 - 1 2 Drug – not otherwise specified - 1 - 1 - - 2

Totals: 25 50 46 35 10 14 180

Table 65 - Novel Psychoactive Substances (NPS) & 'Club Drugs' 2017-18


APPENDIXES

A. AGENCY BASED NSP SERVICES

A.1. NSP AGENCY ONLY - ALL INDIVIDUALS BY COHORT

Local Authority PWID: Psychoactive Drugs

PWID: Steroid & IPEDs All NSP Individuals

Cheshire East 108 420 528

Cheshire West & Chester 521 920 1,441

Halton 107 578 685

Knowsley 133 198 331

Liverpool 394 249 643

Sefton 179 120 299

St. Helens 434 389 823

Warrington 59 227 286

Wirral 394 811 1,205

Cheshire & Merseyside 2,267 3,885 6,152

Table 66 - Number of individuals using agency based NSP service, by cohort group

Local Authority PWID: Psychoactive Drugs

PWID: Steroid & IPEDs All NSP Individuals

Cheshire East 23.0% 61.8% 45.9%

Cheshire West & Chester 54.0% 78.7% 67.6%

Halton 94.7% 98.8% 98.1%

Knowsley 38.4% 54.5% 46.7%

Liverpool 7.8% 10.8% 8.7%

Sefton 19.7% 16.2% 18.1%

St. Helens 31.5% 33.1% 32.2%

Warrington 12.7% 28.3% 22.6%

Wirral 49.8% 81.8% 67.6%

Cheshire & Merseyside 22.2% 44.7% 32.5%

Table 67 - Proportion of individuals by cohort group who used agency based NSP services


A.2. NSP AGENCY ONLY - NEW INDIVIDUALS BY COHORT 57

Local Authority PWID: Psychoactive Drugs PWID: Steroid & IPEDs All NSP Individuals


Cheshire West & Chester 174 359 533

Halton 31 203 234

Knowsley 34 74 108

Liverpool 86 116 202

Sefton 38 27 65

St. Helens 91 108 199

Warrington 8 70 78

Wirral 105 209 314

Cheshire & Merseyside 592 1,316 1,908

Table 68 - Number of new individuals using agency based NSP service, by cohort group


Cheshire East 25.0% 36.0% 33.7%


Halton 29.0% 35.1% 34.2%

Knowsley 25.6% 37.4% 32.6%

Liverpool 21.8% 46.6% 31.4%

Sefton 21.2% 22.5% 21.7%

St. Helens 21.0% 27.8% 24.2%

Warrington 13.6% 30.8% 27.3%

Wirral 26.6% 25.8% 26.1%


Table 69 - Proportion of individuals using agency based NSP services who are new during the 2017-18 year

57 “New individuals” are those individuals who are first recorded within IMS as accessing any NSP service provider during the year.


B. PHARMACY BASED NSP SERVICES

B.1. NSP PHARMACY ONLY - ALL INDIVIDUALS BY COHORT




Halton 8 10 18

Knowsley 258 169 427

Liverpool 4,889 2,070 6,959

Sefton 804 628 1,432

St. Helens 1,225 838 2,063

Warrington 449 586 1,035

Wirral 504 192 696


Table 70 - Number of individuals using pharmacy based NSP service, by cohort group


Cheshire East 85.5% 39.7% 58.4%


Halton 7.1% 1.7% 2.6%

Knowsley 74.6% 46.6% 60.2%

Liverpool 96.2% 89.7% 94.2%

Sefton 88.5% 84.6% 86.8%

St. Helens 88.8% 71.2% 80.7%

Warrington 97.0% 73.2% 81.9%

Wirral 63.7% 19.4% 39.1%


Table 71 - Proportion of individuals by cohort group who used pharmacy based NSP services


B.2. NSP PHARMACY ONLY - NEW INDIVIDUALS BY COHORT 58




Halton 5 5 10

Knowsley 106 75 181

Liverpool 2,582 1,079 3,661

Sefton 287 298 585

St. Helens 633 519 1,152

Warrington 236 309 545

Wirral 114 82 196


Table 72 - Number of new individuals using pharmacy based NSP service, by cohort group


Cheshire East 28.4% 38.5% 32.4%


Halton 62.5% 50.0% 55.6%

Knowsley 41.1% 44.4% 42.4%

Liverpool 52.8% 52.1% 52.6%

Sefton 35.7% 47.5% 40.9%

St. Helens 51.7% 61.9% 55.8%

Warrington 52.6% 52.7% 52.7%

Wirral 22.6% 42.7% 28.2%


Table 73 - Proportion of individuals using pharmacy based NSP services who are new during the 2017-18 year

58 “New individuals” are those individuals who are first recorded within IMS as accessing any NSP service provider during the year.


C. DETAILED BREAKDOWN BY SERVICE

C.1. DETAIL BY SERVICE PROVIDER - IMS ALL INDIVIDUALS

Total by gender Total by client cohort group

IMS Code IMS service name Total

Clients 2017-18

Male Female PWID: Drugs

PWID: Steroids

BI: Drug or

Alcohol CHE30029 Catherine House, Crewe 465 448 17 91 374 - CHE30030 Barnabas Centre, Macclesfield 63 62 *** 17 46 -

Cheshire East - Agencies 528 510 18 108 420 -

CHE50022 Boots - Nantwich 6 6 - *** *** - CHE50175 Clear Pharmacy - Crewe 134 106 28 100 34 - CHE50340 Andrews Pharmacy - Macclesfield 18 17 *** 10 8 - CHE50632 Rowlands - Middlewich 29 22 7 22 7 - CHE50803 Boots - Sandbach 25 21 *** 15 10 - CHE50805 Mannings Chemist, Knutsford 13 11 *** 10 *** - CHE50816 Well (224193) - Park Lane, Maccle 70 60 10 45 25 - CHE50822 Well (223032) - Sunderland St, Macclesf 127 109 18 92 35 - CHE50840 Assan Pharmacy Ltd T/A Cohens Chemist 121 105 16 73 48 - CHE50849 The Weston Pharmacy (R H Swinn Ltd) 25 24 *** 13 12 - CHE50874 Lloyds - Lawton Road, Stoke 41 36 5 22 19 - CHE50878 Lloyds - Congleton 100 85 15 46 54 - CHE50883 AJ Hodgson T/A London Road pharmacy 24 18 6 18 6 - CHE56610 Boots - Grand Junction, Crewe 61 58 *** 26 35 - CHE57006 Salus Pharmacy - Congleton 30 24 6 13 17 -

Cheshire East - Pharmacies 672 568 104 402 270 -

CHE Cheshire East Local Authority 1,150 1,034 116 470 680 -



Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol CHW30027 Aqua House, Chester 773 725 48 325 438 10 CHW30028 Unity House, Ellesmere Port 568 535 33 165 402 *** CHW30045 Old Council House, Northwich 221 202 19 85 136 - CHW10088 Foundation Enterprises NW 19 18 *** 8 *** 9

Cheshire West and Chester - Agencies 1,461 1,364 97 521 920 20

CHW50016 Boots - Foregate St, Chester 310 279 31 220 90 - CHW50258 Pondas Chemist, Winsford 26 21 5 20 6 - CHW50377 Swettenham Chemist - Blacon 125 105 20 103 22 - CHW50462 Well (228547) - Northwich 8 6 *** *** *** - CHW50628 Lloyds - Weaverham, Northwich 13 12 *** 12 *** - CHW50801 Lloyds - Old Chester Rd, Ellesmere 43 32 11 31 12 - CHW50833 Well (228520) - Fountains Health 66 53 13 53 13 - CHW50875 Lloyds - Middlewich Road, Northwich 7 6 *** *** *** - CHW50879 Lloyds - Sainsbury’s Northwich 31 23 8 25 6 - CHW53023 L Rowland & Co (Retail) Ltd - Ellesmere 82 63 19 63 19 - CHW53043 Superdrug - Northgate St, Chester 340 322 18 226 114 - CHW53064 Well (228534) - Ellesmere Port 23 15 8 17 6 -

Cheshire West and Chester - Pharmacies 859 754 105 589 270 -

CHW Cheshire West and Chester LA 2,153 1,979 174 964 1,169 20




Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol HAL10031 Halton Integrated Recovery Service - CGL 699 472 227 61 6 632 HAL30031 Aston Dane SES, Halton - CGL 456 435 21 64 389 *** HAL30053 Runcorn High Street SES, Halton - CGL 247 239 8 27 219 *** HAL20031 Widnes Vikings - Golden Generation 13 8 5 - - 13

Halton - Agencies 1,334 1,085 249 107 578 649

HAL40201 Boots Widnes *** *** - *** *** - HAL40202 Cooke's Pharmacy Widnes *** *** *** *** *** - HAL40203 Castlefields Medical Centre - - - - - - HAL40204 Lloyds Old Town Runcorn 13 12 *** 5 8 -

Halton - Pharmacies 18 16 *** 8 10 -

HAL Halton Local Authority 1,347 1,097 250 113 585 649



Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol KNW10041 Knowsley Integrated Rec Service 744 513 231 68 *** 674 KNW30051 Kirkby SES, Knowsley - CGL 125 108 17 71 54 - KNW30052 Huyton SES, Knowsley - CGL 174 169 5 24 150 -

Knowsley - Agencies 1,005 758 247 133 198 674

KNW53302 Boots Cables Retail Park 28 19 9 19 9 - KNW53303 Boots - The Halewood centre 67 57 10 48 19 - KNW53308 J. H. Davey's Chemist *** *** - - *** - KNW53315 Newtown Pharmacy, Kirkby 156 144 12 80 76 - KNW53323 Rowlands (Prev GF O'Brien) Kirkby 127 118 9 79 48 - KNW53327 A.E. Sedem (Woolfall Pharmacy) 6 6 - *** *** - KNW53328 Sedem Pharmacy, Huyton 6 5 *** 6 - - KNW53329 Stockbridge Pharmacy *** *** *** *** *** - KNW53334 Tops Pharmacy, Kirkby 34 29 5 21 13 - KNW54001 Kingsway Pharmacy - Huyton 15 14 *** 12 *** KNW54002 J. H. Davey's Chemist (Dinas Lane) *** - *** *** ***

Knowsley - Pharmacies 427 380 47 258 169 -

KNW Knowsley Local Authority 1,383 1,094 289 346 363 674



Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol LIV10002 Armistead City 5 5 - *** - *** LIV10003 Community Voice 40 32 8 *** - 37 LIV10005 Armistead Street 170 6 164 119 *** 48 LIV10009 Action on Addiction - SHARP 439 237 202 14 - 425 LIV10014 Aintree Hospital 1,403 920 483 21 *** 1,379 LIV10018 Brownlow Practice 171 125 46 29 - 142 LIV10020 Royal Liverpool Hospital LCAS 909 620 289 31 5 873 LIV10050 Young Addaction Liverpool 1,239 663 576 - *** 1,238 LIV10071 North ARC - Addaction Recovery Centre 349 324 25 72 184 93 LIV10072 Central ARC - Addaction Recovery Centre 166 150 16 69 56 41 LIV10073 South ARC - Addaction Recovery Centre *** *** - - - *** LIV10076 Addaction COAST 66 66 - 10 - 56 LIV10081 Addaction Pre Treatment 72 51 21 *** *** 68 LIV10085 Addaction Outreach 169 124 45 84 *** 84 LIV10084 Addaction REST Centre 60 42 18 19 - 41 LIV10060 Transforming Choice 81 56 25 10 *** 70 LIV10091 Red Umbrella Project 7 - 7 - - 7


LIV20079 WHISC - Womens Health Info & Support Cen *** - *** - - ***

LIV30044 Armistead Pump *** *** *** - - - Liverpool - Agencies 5,012 3,194 1,818 394 249 4,369

LIV58343 Day Lewis Plc - Belle Vale Pharmacy 78 77 *** 40 38 - LIV58350 Boots - Long Lane 27 19 8 18 9 - LIV58351 Boots - Boaler St 540 431 109 423 117 - LIV58353 Boots - London Rd 2,756 2,333 423 1,676 1,080 - LIV58394 Lloyds - Prospect Point 1,938 1,630 308 1,623 315 - LIV58398 Lloyds - Tuebrook 507 421 86 437 70 - LIV58403 Lloyds - Muirhead Ave East 120 107 13 55 65 - LIV58406 Lloyds - Townsend Lane 482 402 80 459 23 - LIV58409 Lloyds - Old Swan 363 294 69 254 109 - LIV58415 Melwood Pharmacy 23 20 *** 16 7 - LIV58416 Norman Pharmacy 731 541 190 660 71 - LIV58421 Rowlands - Speke Health Centre 91 78 13 27 64 - LIV58422 Rowlands - Somerfield, Garston 171 163 8 17 154 - LIV58437 Rowlands - Lodge Lane 76 75 *** 65 11 - LIV58574 Riverside Pharmacy 45 41 *** 43 *** - LIV59001 Rowlands - Garston 48 44 *** 10 38 - LIV59002 Boots - Fazakerley 9 7 *** 9 - - LIV59003 Greencross Pharmacy (Breck Rd) *** *** *** *** *** -

Liverpool - Pharmacies 6,959 5,837 1,122 4,889 2,070 -

LIV Liverpool Local Authority 11,757 8,879 2,878 5,080 2,308 4,369



Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol SEF10056 Independence Initiative 64 45 19 5 - 59 SEF10077 Ambition Sefton, Southport - MerseyCare 229 207 22 114 115 - SEF10078 Ambition Sefton, Bootle - MerseyCare 70 56 14 65 5 - SEF10090 Addaction YP & Families Sefton 14 *** 11 - - 14 SEF20021 Mobile Craft 4 U *** - *** - - ***

Sefton Agencies 375 306 69 179 120 76

SEF55000 Aintree Pharmacy 48 44 *** 15 33 - SEF55708 M L Davey Chemist, Litherland 52 45 7 33 19 - SEF56448 Bispham Road Pharmacy 81 78 *** 25 56 - SEF56452 Boots - South Rd, Waterloo 77 72 5 46 31 - SEF56453 Boots - Liverpool Rd, Crosby 16 14 *** 7 9 - SEF56456 Cohens - Marian Square, Netherton 92 74 18 68 24 - SEF56460 Haddens Pharmacy - Litherland Rd, Bootle 174 160 14 132 42 - SEF56462 Lloyds - Knowsley Rd 74 69 5 58 16 - SEF56464 Lloyds - North Park 15 12 *** 5 10 - SEF56466 Netherton Park Pharmacy 24 23 *** 10 14 - SEF56499 Higgins Pharmacy - Crosby Road North 78 68 10 26 52 - SEF56504 Lloyds - Crosby Rd North 53 47 6 19 34 - SEF56507 Rowlands - Upper Aughton Rd 9 7 *** *** 7 - SEF56520 Superdrug - Eastbank Street, Southport 294 242 52 230 64 - SEF56526 Boots - Seaforth 424 389 35 191 233 -

Sefton Pharmacies 1,432 1,274 158 804 628 -

SEF Sefton Local Authority 1,726 1,512 214 908 742 76




Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol SHL10061 Hope House 333 272 61 128 6 199 SHL10062 Hope Centre (Breathe) 66 33 33 - - 66 SHL10063 Footsteps, St Helens 118 25 93 - - 118 SHL10092 GP Alcohol Clinic Referrals (CGL) *** *** - - - *** SHL10083 St Helens Integrated Recovery Service 678 477 201 177 *** 498 SHL30083 St Helens SES - CGL 701 659 42 317 382 ***

St Helens Agencies 1,687 1,291 396 434 389 864

SHL40119 Lloyds - Duke Street, St Helens 242 210 32 184 58 - SHL40122 Lloyds - Junction Lane, Sutton Oak 250 210 40 154 96 - SHL40141 Rowlands - Thatto Heath 14 13 *** 12 *** - SHL40143 St Helens Millennium Centre 1760 1526 234 1,058 702 -

St Helens Pharmacies 2,063 1,784 279 1,225 838 -

SHL St. Helens Local Authority 3,420 2,799 621 1,379 1,177 864



Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol WAR10066 Footsteps, Warrington 204 59 145 - - 204 WAR10069 Footsteps, CGL Partnership 113 26 87 - - 113 WAR10039 Pathways to Recovery - Warrington (CGL) 419 294 125 38 *** 379 WAR30039 Pathways SES, Warrington - CGL 255 242 13 30 225 -

Warrington Agencies 982 613 369 59 227 696

WAR40070 Well Pharmacy - Fearnhead Cross 131 118 13 58 73 - WAR40071 Rowlands - Thelwall Lane 317 302 15 68 249 - WAR40072 Well Pharmacy - The Baths 466 413 53 279 187 - WAR40073 Lloyds - Earl Street, Warrington 201 184 17 105 95 ***

Warrington Pharmacies 1,036 948 88 449 586 ***

WAR Warrington Local Authority 1,961 1,507 454 463 801 697



Clients 2017-18


PWID: Steroids

BI: Drug or

Alcohol WIR10019 Response, Wirral 75 42 33 - - 75 WIR10086 Wirral Military Community Services 176 168 8 *** - 175 WIR10059 Wirral Integrated Recovery Service 37 22 15 *** - 36 WIR30057 Birkenhead SES, Wirral - CGL 1,017 943 74 322 677 18 WIR30058 Moreton SES, Wirral - CGL 106 105 *** 16 90 - WIR30067 Wallasey SES, Wirral - CGL 142 134 8 73 66 ***

Wirral Agencies 1,512 1,373 139 394 811 307

WIR50076 Rowlands (Branch: 1368) - Market St 97 85 12 92 5 - WIR50077 Lee's Pharmacy - Wood Church 17 13 *** 8 9 - WIR50079 Rowlands (Branch: 1284) - Moreton 19 18 *** 15 *** - WIR50080 Old Chester Pharmacy, Rockferry 63 50 13 62 *** - WIR50087 Wilsons Chemist, West Kirby *** *** - *** - - WIR50088 Boots (Branch: 5169 - Rockferry) 65 63 *** 48 17 - WIR50090 Victoria Pharmacy, New Brighton 33 27 6 30 *** - WIR50097 Egremont Pharmacy, Wallasey 27 26 *** 24 *** - WIR50105 Lloyds - (Branch: 6705) Arrowe Park 22 21 *** 18 *** - WIR50106 Boots (Branch: 5989 - Bidston) 32 31 *** 24 8 - WIR50108 Wyn Ellis and Son, Poulton Rd, Wallasey 34 29 5 30 *** - WIR50135 Claughton Pharmacy, Park Rd Nth, Birken 69 60 9 58 11 - WIR50153 MedicX Pharmacy, St Caths, Tranmere 323 285 38 194 129 -

Wirral Pharmacies 696 611 85 504 192 -

WIR Wirral Local Authority 2,089 1,875 214 791 991 307


C.2. DETAIL BY SERVICE PROVIDER - IMS ALL ACTIVITY

IMS Code IMS service name Brief Interventions

Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions

Syringe Exchange Returns

CHE30029 Catherine House, Crewe - - - 940 289 CHE30030 Barnabas Centre, Macclesfield 7 - - 89 8

Cheshire East - Agencies 7 - - 1,029 297

CHE50022 Boots - Nantwich - - - 7 *** CHE50175 Clear Pharmacy - Crewe - - - 403 171 CHE50340 Andrews Pharmacy - Macclesfield - - - 196 53 CHE50632 Rowlands - Middlewich - - - 387 288 CHE50803 Boots - Sandbach - - - 62 17 CHE50805 Mannings Chemist, Knutsford - - - 94 38 CHE50816 Well (224193) - Park Lane, Maccle - - - 245 59 CHE50822 Well (223032) - Sunderland St, Macclesf - - - 1,087 30 CHE50840 Assan Pharmacy Ltd T/A Cohens Chemist - - - 1,228 613 CHE50849 The Weston Pharmacy (R H Swinn Ltd) - - - 202 52 CHE50874 Lloyds - Lawton Road, Stoke - - - 599 125 CHE50878 Lloyds - Congleton - - - 265 89 CHE50883 AJ Hodgson T/A London Road pharmacy - - - 295 63 CHE56610 Boots - Grand Junction, Crewe - - - 179 21 CHE57006 Salus Pharmacy - Congleton - - - 147 110

Cheshire East - Pharmacies - - - 5,396 1,732

CHE Cheshire East Local Authority 7 - - 6,425 2,029


Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


CHW30027 Aqua House, Chester 1,367 - - 2,084 735 CHW30028 Unity House, Ellesmere Port 818 - - 1,405 554 CHW30045 Old Council House, Northwich 290 - - 513 76 CHW10088 Foundation Enterprises NW 35 - - - -

2,510 - - 4,002 1,365 Cheshire West and Chester - Agencies - - - - -

CHW50016 Boots - Foregate St, Chester - - - 1,280 669 CHW50258 Pondas Chemist, Winsford - - - 317 74 CHW50377 Swettenham Chemist - Blacon - - - 1,437 924 CHW50462 Well (228547) - Northwich - - - 10 *** CHW50628 Lloyds - Weaverham, Northwich - - - 125 52 CHW50801 Lloyds - Old Chester Rd, Ellesmere - - - 156 116 CHW50833 Well (228520) - Fountains Health - - - 156 79 CHW50875 Lloyds - Middlewich Road, Northwich - - - 14 *** CHW50879 Lloyds - Sainsburys Northwich - - - 253 92 CHW53023 L Rowland & Co (Retail) Ltd - Ellesmere - - - 198 124 CHW53043 Superdrug - Northgate St, Chester - - - 1,485 760 CHW53064 Well (228534) - Ellesmere Port - - - 76 37

Cheshire West and Chester - Pharmacies - - - 5,507 2,934

CHW Cheshire West and Chester LA 2,510 - - 9,509 4,299



Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


HAL10031 Halton Integrated Recovery Service - CGL 1,663 - 90 - - HAL30031 Aston Dane SES, Halton - CGL 745 *** - 880 207 HAL30053 Runcorn High Street SES, Halton - CGL 315 16 - 396 103 HAL20031 Widnes Vikings - Golden Generation - - 13 - -

Halton - Agencies 2,723 17 103 1,276 310

HAL40201 Boots Widnes - - - *** - HAL40202 Cooke's Pharmacy Widnes - - - *** - HAL40203 Castlefields Medical Centre - - - - - HAL40204 Lloyds Old Town Runcorn - - - 19 ***

Halton - Pharmacies - - - 26 ***

HAL Halton Local Authority 2,723 17 103 1,302 313


Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


KNW10041 Knowsley Integrated Rec Service 1,295 - 126 - - KNW30051 Kirkby SES, Knowsley - CGL 335 *** - 455 75 KNW30052 Huyton SES, Knowsley - CGL 111 *** - 240 35

Knowsley - Agencies 1,741 *** 126 695 110

KNW53302 Boots Cables Retail Park - - - 100 75 KNW53303 Boots - The Halewood centre - - - 153 134 KNW53308 J. H. Davey's Chemist - - - *** *** KNW53315 Newtown Pharmacy, Kirkby - - - 297 149 KNW53323 Rowlands (Prev GF O'Brien) Kirkby *** *** - 272 215 KNW53327 A.E. Sedem (Woolfall Pharmacy) *** - - 8 6 KNW53328 Sedem Pharmacy, Huyton - - - 33 33 KNW53329 Stockbridge Pharmacy - - - 12 9 KNW53334 Tops Pharmacy, Kirkby - - - 130 49 KNW54001 Kingsway Pharmacy - Huyton - - - 35 27 KNW54002 J. H. Davey's Chemist (Dinas Lane) - - - *** -

Knowsley - Pharmacies *** *** - 1,043 698

KNW Knowsley Local Authority 1,747 8 126 1,738 808


Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


LIV10002 Armistead City 4 1 0 0 0 LIV10003 Community Voice 112 - 36 - - LIV10005 Armistead Street 964 9 *** 573 *** LIV10009 Action on Addiction - SHARP 8,639 798 341 - - LIV10014 Aintree Hospital 1,812 19 - - - LIV10018 Brownlow Practice 803 86 - - - LIV10020 Royal Liverpool Hospital LCAS 1,566 9 - - - LIV10050 Young Addaction Liverpool 1,490 8 *** - - LIV10071 North ARC - Addaction Recovery Centre 671 28 71 438 141 LIV10072 Central ARC - Addaction Recovery Centre 491 18 26 240 63 LIV10073 South ARC - Addaction Recovery Centre *** - *** - - LIV10076 Addaction COAST 139 11 11 - - LIV10081 Addaction Pre Treatment 185 40 33 - - LIV10085 Addaction Outreach 435 - 71 196 95 LIV10084 Addaction REST Centre 275 60 - *** *** LIV10060 Transforming Choice 6,037 21 - - - LIV10091 Red Umbrella Project 10 - - - -

LIV20079 WHISC - Womens Health Info & Support Cen 13 5 *** - -

LIV30044 Armistead Pump - - - *** - Liverpool - Agencies 23,647 1,113 597 1,452 301



Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


LIV58343 Day Lewis Plc - Belle Vale Pharmacy - - - 246 15 LIV58350 Boots - Long Lane - - - 56 *** LIV58351 Boots - Boaler St - - - 1,014 230 LIV58353 Boots - London Rd - - - 9,405 1,943 LIV58394 Lloyds - Prospect Point - - - 4,066 906 LIV58398 Lloyds - Tuebrook - - - 1,417 405 LIV58403 Lloyds - Muirhead Ave East - - - 253 86 LIV58406 Lloyds - Townsend Lane - - - 1,052 217 LIV58409 Lloyds - Old Swan - - - 744 235 LIV58415 Melwood Pharmacy - - - 126 27 LIV58416 Norman Pharmacy - - - 2,147 680 LIV58421 Rowlands - Speke Health Centre - - - 277 211 LIV58422 Rowlands - Somerfield, Garston - - - 373 67 LIV58437 Rowlands - Lodge Lane - - - 106 8 LIV58574 Riverside Pharmacy - - - 348 101 LIV59001 Rowlands - Garston - - - 71 13 LIV59002 Boots - Fazakerley - - - 21 - LIV59003 Greencross Pharmacy (Breck Rd) - - - *** ***

Liverpool - Pharmacies - - - 21,725 5,148

LIV Liverpool Local Authority 23,647 1,113 597 23,177 5,449


Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


SEF10056 Independence Initiative 56 53 58 - - SEF10077 Ambition Sefton, Southport - MerseyCare 344 - 42 985 80 SEF10078 Ambition Sefton, Bootle - MerseyCare 556 *** 60 268 79 SEF10090 Addaction YP & Families Sefton 14 - - - - SEF20021 Mobile Craft 4 U - - 12 - -

Sefton Agencies 970 55 172 1,253 159

SEF55000 Aintree Pharmacy 34 - - 154 94 SEF55708 M L Davey Chemist, Litherland 17 - - 859 118 SEF56448 Bispham Road Pharmacy - - - 133 - SEF56452 Boots - South Rd, Waterloo 15 - - 384 *** SEF56453 Boots - Liverpool Rd, Crosby - - - 67 6 SEF56456 Cohens - Marian Square, Netherton 8 - - 576 60 SEF56460 Haddens Pharmacy - Litherland Rd, Bootle 122 - - 726 *** SEF56462 Lloyds - Knowsley Rd *** - - 128 *** SEF56464 Lloyds - North Park *** - - 18 13 SEF56466 Netherton Park Pharmacy *** - - 41 - SEF56499 Higgins Pharmacy - Crosby Road North - - - 157 - SEF56504 Lloyds - Crosby Rd North 34 - - 66 *** SEF56507 Rowlands - Upper Aughton Rd 5 - - 10 - SEF56520 Superdrug - Eastbank Street, Southport 87 - - 2,432 137 SEF56526 Boots - Seaforth 9 - - 1,008 18

Sefton Pharmacies 335 - - 6,759 455

SEF Sefton Local Authority 1,305 55 172 8,012 614



Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


SHL10061 Hope House 8,594 - 200 - - SHL10062 Hope Centre (Breathe) 59 58 55 - - SHL10063 Footsteps, St Helens 562 25 140 - - SHL10092 GP Alcohol Clinic Referrals (CGL) - *** - - - SHL10083 St Helens Integrated Recovery Service 1,913 - - - - SHL30083 St Helens SES - CGL 857 - - 2,409 123

St Helens Agencies 11,985 85 395 2,409 123

SHL40119 Lloyds - Duke Street, St Helens - - - 1,271 448 SHL40122 Lloyds - Junction Lane, Sutton Oak - - - 1,109 32 SHL40141 Rowlands - Thatto Heath - - - 59 9 SHL40143 St Helens Millennium Centre - - - 12,081 3,049

St Helens Pharmacies - - - 14,520 3,538

SHL St. Helens Local Authority 11,985 85 395 16,929 3,661


Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


WAR10066 Footsteps, Warrington 2,498 64 253 - - WAR10069 Footsteps, CGL Partnership 1,309 57 164 - - WAR10039 Pathways to Recovery - Warrington (CGL) 656 - - - - WAR30039 Pathways SES, Warrington - CGL 122 - - 348 90

Warrington Agencies 4,585 121 417 348 90

WAR40070 Well Pharmacy - Fearnhead Cross 31 - - 263 51 WAR40071 Rowlands - Thelwall Lane 86 - - 696 166 WAR40072 Well Pharmacy - The Baths 227 - - 1,526 252 WAR40073 Lloyds - Earl Street, Warrington 88 - - 435 277

Warrington Pharmacies 432 - - 2,920 746

WAR Warrington Local Authority 5,017 121 417 3,268 836


Onward Referrals

Wellbeing Reviews

Syringe Exchange

Transactions


WIR10019 Response, Wirral 199 - - - - WIR10086 Wirral Military Community Services 238 28 *** - - WIR10059 Wirral Integrated Recovery Service 39 - 16 - - WIR30057 Birkenhead SES, Wirral - CGL 1,145 7 - 2,785 786 WIR30058 Moreton SES, Wirral - CGL 99 - - 250 80 WIR30067 Wallasey SES, Wirral - CGL 133 - - 265 82

Wirral Agencies 1,853 35 17 3,300 948

WIR50076 Rowlands (Branch: 1368) - Market St - - - 550 237 WIR50077 Lee's Pharmacy - Wood Church - - - 131 12 WIR50079 Rowlands (Branch: 1284) - Moreton - - - 50 34 WIR50080 Old Chester Pharmacy, Rockferry - - - 916 278 WIR50087 Wilsons Chemist, West Kirby - - - 8 *** WIR50088 Boots (Branch: 5169 - Rockferry) - - - 162 106 WIR50090 Victoria Pharmacy, New Brighton - - - 322 148 WIR50097 Egremont Pharmacy, Wallasey - - - 71 18 WIR50105 Lloyds - (Branch: 6705) Arrowe Park - - - 220 154 WIR50106 Boots (Branch: 5989 - Bidston) - - - 143 91 WIR50108 Wyn Ellis and Son, Poulton Rd, Wallasey - - - 503 459 WIR50135 Claughton Pharmacy, Park Rd Nth, Birken - - - 489 426 WIR50153 MedicX Pharmacy, St Caths, Tranmere - - - 2,039 1,267

Wirral Pharmacies - - - 5,604 3,234

WIR Wirral Local Authority 1,853 35 17 8,904 4,182

Integrated Monitoring System Data Tables · Table 4 - Proportion of IMS individuals by age and...

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Transcript of Integrated Monitoring System Data Tables · Table 4 - Proportion of IMS individuals by age and...