To make the most of your TOP information, managers and commissioners are encouraged to use the recently refreshed TOP Quarterly Outcome Report Commentary (QOR-C) which gives you an at a glance snapshot of how well your clients and treatment system are performing.
The new QOR has been refreshed following feedback from frontline workers and is now in a more accessible and user friendly format.
It is made up of two parts: the first is a QOR Commentary. This presents your TOP information in themed sections with graphs showing local performance alongside the national average (and the expected range of performance). Each section has a short commentary to explain what the data means.
The QOR Commentary can be viewed on its own, to gain a snapshot of treatment outcomes, or used in conjunction with the more detailed breakout of the data (i.e. part 2) to gain further depth and insight. It is a good starting point for those new to TOP data, or those looking for a quick summary of key treatment outcomes information.
The second part of the new QOR provides more detailed outcomes information on all of the items collected on the TOP form: drug use, injecting status, crime, work, education, housing, health and employment.
The data shows how many people are using what drugs, and to what extent. It also shows changes in behaviours, and uses the Reliable Change Index (RCI) to establish the extent of the change. This can help you set benchmarks for an agency or partnership. It also provides case mix profiling to provide a sense of what outcomes can be expected in an area given the complexity of the clients you treat.
There is also a 'drill down' section allowing users to look at outcomes for particular clients by filtering their data by characteristics such as age, gender, drug use and referral source. As a result, there is a lot of information available on the QOR, which allows in depth interrogation of the data and should mean that most questions you may have around outcomes in your area can be answered using the QOR alone.
Outcomes data for the QOR relies on information collected at the start, review and exit stages of treatment. The TOP QOR is only available to providers and partnerships that complete TOP forms at each treatment stage for at least 80% of the clients that they treat. This is because only this level of TOP completion provides robust information that accurately represents what's going on in your services and allows comparison with national performance.
Download the Quarterly Outcomes Reports Commentary guidance
If you are a manager and would like further information click here
If you are a commissioner and would like further information click here