The UK Drugs Situation: Data, information and uses Charlotte Davies, UK Focal Point Project Manager 1 UK Focal Point on Drugs • Jointly based at the Department of Health and the North West Public Health Observatory, Liverpool John Moores University. • One of 30 Focal Points across Europe. • Statutory requirement to provide data and information to the European Monitoring Centre on Drugs and Drug Addiction (EMCDDA). • Covers the whole of the United Kingdom. • Work with a wide range of partners including government departments, devolved administrations, and academics. 2 UK Focal Point on Drugs’ partners 3 5 KEY EPIDEMIOLOGICAL INDICATORS 4 General population surveys Adults (16-59/64) – household surveys usually crime surveys Children (11-15) – school surveys Lifetime; last year; last month Frequency of use 5 Problem drug use EMCDDA definition: Injecting drug use or longduration/regular use of opioids, cocaine and/or amphetamines COUNTRY England ESTIMATE RATE PER 1,000 306,150 8.93 1,395 1.28 Scotland 55,328 16.16 Wales 16,389 8.46 379,262 9.31 Northern Ireland United Kingdom 6 Problem drug use * Wales 7 Treatment Demand Indicator WALES UK EUROPE n % n % n % Amphetamines 947 7.1 3,701 3.0 - - Benzodiazepines 347 2.6 2,453 2.0 - - 2,534 19.0 24,112 19.6 - 23.9 Cocaine powder 681 5.1 9,362 7.6 - Crack cocaine 104 0.8 5,517 4.5 - Opiates 7,945 59.5 74,815 60.8 - 50.6 Total 14,969 3.2 127,893 460,693 100 Cannabis 18.2 8 Drug-related infectious diseases • Report on prevalence of HIV, HCV and HBc from surveys of injecting drug users EUROPE – • Also report notifications data HCV • Behavioural data prevalence ranges from 22% to 83% 9 Drug-related deaths Wales – 43.6 10 Supply indicators • • • • • Drug offences data Drug seizures data Price data Purity data Composition of illicit tablets 11 UK Focal Point outputs Statistical tables Annual Report on the UK drug situation 12 ANNUAL REPORT ON THE UK DRUG SITUATION 13 Annual Report chapters 1) 2) 3) 4) 5) Drug policy: legislation, strategies and economic analysis Drug use in the general population and specific groups Prevention Problem drug use Drug-related treatment: treatment demand and treatment availability 6) Health correlates and consequences 7) Responses to health correlates and consequences 8) Social correlates and consequences 9) Drug-related crime, prevention of drug-related crime and prison 10) Drug markets 14 Other data and information • Drug-related government expenditure • All govt. depts., devolved administrations • Hospital statistics • Responsible health organisation. UK figure • Needle and syringe exchange data • Scotland, Wales and Northern Ireland • Rates of reoffending and community sentence completions • Published data and administrative data from MoJ 15 Other data and information • Sentencing statistics • Published data, extra analysis by primary drug • Results from published studies • Summaries of government, charity and academic reports • Summaries of UK drug-related journal articles • Peer reviewed journals, summaries including study methodology and findings Register of research – available on UK Focal Point website 16 Selected issue chapters Drug users with children History, methods and implementation of national drug treatment guidelines Mortality related to drug use Treatment and care of older drug users Costs of drug-related treatment Drug-related health policies and services in prison Residential treatment for drug users Trends in injecting drug use 17 HOW ARE THE DATA AND INFORMATION USED BY THE EMCDDA? 18 EMCDDA’s Annual Report and Statistical Bulletin Annual Report Statistical Bulletin Selected Issues www.emcdda.europa.eu 19 European Database on Demand Reduction Activities (EDDRA) Searchable database of evaluated interventions Quality of the evaluation is graded UK adds entries annually 20 European Database on Demand Reduction Activities (EDDRA) Evaluation of All Wales School Liaison programme Evaluation of the take-home naloxone pilot in Wales Blueprint evaluation Evaluation of Option 2 Evaluation of Positive Futures 21 Early Warning System Forensic agencies Hospital toxicologists Special mortality registers Law enforcement UK Early Warning System EMCDDA’s Early Warning System 22 HOW IS THE DATA AND INFORMATION USEFUL? 23 INFORMATION FOR ACTION • One-stop shop for drug-related information • Health, social care and criminal justice • Unique UK perspective • Allows comparisons between constituent countries • Information on best practice when designing interventions • EDDRA, research summaries within Annual Report • Provide link to Europe • Request information from other EU countries 24 DATA SOURCES First point of call when looking for UK drugs data and information 2012 Information Map Project – create a resource mapping all sources of UK drugs data and make this publicly available 25 CONTACTS WWW.UKFOCALPOINT.ORG.UK charlotte.davies@dh.gsi.gov.uk TO JOIN OUR MAILING LIST FOR UK FOCAL POINT AND EMCDDA PRODUCTS, PLEASE SIGN UP ON OUR STAND OR EMAIL: ukfocalpoint@dh.gsi.gov.uk 26