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					Agenda Item Paper Meeting Date

2.7 Delivery
09 Sept 2008

REPORT TITLE:
Decision

JOINT STRATEGIC NEED ASSESSMENT (JSNA) REPORT
Discussion Information

Report author: Dr Wazirzada. M.R. Khan, Interim Public Health Specialist Report signed off by: Andrew Howe, Director of Public Health Purpose of the report: The development of a Joint Strategic Needs Assessment is a new requirement from the Department of Health that is placed upon the Directors of Public Health, Adult and Children’s Services. The duty is outlined in the Local Government and Public Involvement Act 2007 and in the Guidance on Joint Strategic Needs Assessment 2007.The JSNA is being produced in partnership between Harrow Council and Harrow Primary Care Trust.

Recommendations to the board: 1. To note progress with the production of the JSNA 2. To note the findings of the JSNA and, as part of the consultation process, to provide feedback on the document.

Related PCT objectives:
Be the lead for health in Harrow by working with partners & engaging public Be a model employer Ensure our systems are robust and used appropriately by staff Be a highly performing, innovative organisation

Improve health in Harrow & reduce health inequalities

Provide the people of Harrow with accessible & efficient care of the highest quality

Related “Standards for Better Health”: C6, C17, C18, C22, C23,

Related “Use of Resources”
2.1, 2.2

Report history: JSNA progress reports have been presented to the Harrow Strategic Partnership.

Agenda Item: Paper: Meeting Date:

2.7 Delivery 09 Sept 2008

JOINT STRATEGIC NEED ASSESSMENT (JSNA) REPORT
Contact name: Wazi khan Contact no: 0208 966 1106

1. Purpose of the report To present to the Board the consultation draft of the Joint Strategic Needs Assessment for noting and for discussion of the findings. 2. The Joint Strategic Needs Assessment 2.1 Background 2.1.1.The development of a Joint Strategic Needs Assessment is a new requirement from the Department of Health that is placed upon the Directors of Public Health, Adult and Children’s Services. The duty is outlined in the Local Government and Public Involvement Act 2007 and in the Guidance on Joint Strategic Needs Assessment 2007.The JSNA is being produced in partnership between Harrow Council and Harrow Primary Care Trust. 2.1.2 The JSNA is a systematic method for reviewing the health and well-being needs of a population, leading to agreed commissioning priorities, that will improve health and wellbeing outcomes and reduce inequalities. It includes an analysis of the current and future wider determinants of health and well-being, takes account of those groups or individuals for whom special arrangements may be necessary, and tries to identify groups whose needs are not being met and who are experiencing poor outcomes. 2.1.3 The JSNA is a strategic assessment tool and not a specific planning guide. It aims to highlight key issues and themes that have been identified from the data and engagement processes. However, it does not include detail on specific issues and recommendations for actions, which needs to be addressed by those responsible for the next steps in the planning and commissioning cycle. 2.1.4. The core datasets that have been used are in line with Department of Health guidance although new guidance was published on the 1st August 2008 and this will be used in the future refresh of the JSNA.

Agenda Item: Paper: Meeting Date:

2.7 Delivery 09 Sept 2008

2.2 Progress with the JSNA As noted in the planning timetable below the JSNA will be circulated for consultation in early September with a final version to be published in November 2008.

Time Period January- August 2008 Early September

End of September End of OctoberEarly November November

Involvement Actions PCT and Gathering of core data and Harrow Council information, preparation of JSNA report. PCT, Harrow Circulation of JSNA along with Council and the questionnaire for HAVS. consultation. Stakeholder consultation. JSNA council website to be launched. PCT and Feedback on JSNA will be Harrow Council received. PCT and Final JSNA report to go on the Harrow Council website PCT and Final version of JSNA ready for Harrow Council printing and publishing.

Progress Achieved

On target.

3. Equality impact assessment 3.1 Joint Strategic Need Assessment (JSNA) assists partners to tackle the many causes of health inequalities by offering a comprehensive understanding of the factors which influence health including lifestyle, access to health care, income, housing, environment, transport and education. 3.2 It is widely acknowledged that while people are generally living healthier and longer lives, health and life expectancy are not shared across the population. More specifically, there are significant inequalities in health experiences and outcomes between and within different groups and communities. In particular, the evidence shows that living in materially deprived neighbourhoods contributes to worse health for individuals. This is attributed to their relative disadvantage in relation to such health determinants as income, employment, the built environment, lifestyle and access to healthcare. 3.3 Joint Strategic Need Assessment (JSNA) has been developed to help statutory and partner organisations to plan and commission services based upon the issues and priorities contained within the JSNA. It will assist in taking action and tackling health problems in specific population groups including older people, people suffering from mental health problems, children and young people, women, disabled people and carers, black and minority ethnic people, and people from poorer economic, social and geographic backgrounds.

Agenda Item: Paper: Meeting Date:

2.7 Delivery 09 Sept 2008

4. Recommendations 1. To note progress with the production of the JSNA 2. To note the findings of the JSNA and, as part of the consultation process, to provide feedback on the document. Appendices Appendix A: Initial Analysis of data for each determinant of health and well-being. Appendix B: Cross cutting needs assessments of different sections of the population. Appendix C: Data summary. Appendix D: List of source documents. Appendix E: Consultations that have informed the JSNA analysis. Background documents 1. Harrow Vitality profile. 2. Local Government and Public Involvement Act 2007 (sect 116) 3. Guidance on Joint Strategic Needs Assessment 2007. 4. JSNA Briefing Report for Harrow Strategic Partnership Board March 2008 Board Report Executive Director sign off This report has been approved by the accountable Executive Director and satisfied that the implications for the following areas have been adequately considered.

Financial Equalities Name: Andrew Howe Job Title: Director of Public Health


				
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