Joint Strategic Needs Assessment (JSNA) Ruth Wain Associate Director of Public Health Why a JSNA? • The Local Government and Public Involvement in Health Act (2007) places a duty on upper-tier local authorities and PCTs to undertake a JSNA beginning in April 2008 • Our health, our care, our say identified the need for Directors of Public Health, Adult Social Services and Children’s Services to undertake regular strategic needs assessments to underpin the Sustainable Communities Strategy and in turn Local Area Agreements (LAA) • The world class commissioning competencies emphasise the role of the JSNA in driving the long term commissioning strategies of PCTs and their collaborative work with community partners, and include an emphasis on public and patient involvement What is a JSNA? • A tool to identify health and wellbeing needs and inequalities of a local population to inform more effective and targeted service provision • The JSNA will identify priorities for commissioning. Local partnerships should set out explicitly how they are going to prioritise based on the information contained in the JSNA Source: DH Guidance on JSNA December 2007 Success criteria for JSNA • Identify the health and wellbeing needs of local areas • Provide a framework to examine all the factors that impact on health and wellbeing including employment, education, housing and environmental factors • Encourage joined-up commissioning • Assess current and future needs Source: DH Guidance on JSNA December 2007 Linking it all together JSNA Crime and Safety Partnership assessment Health and Children and Young Work Wellbeing and People’s Needs programme of health and social Assessment Crime and care priorities Disorder Children and Young Reduction People’s Plan Partnerships Local Area Agreement (LAA) PCT Local Delivery Plan County Council CC Plan and District Sustainability PbC Cluster Plans Strategies The process to date • A core dataset for the JSNA was published by the DoH in March 2007 • It was decided to develop an eJSNA tool using the core dataset as a minimum • It was decided to ensure that the eJSNA tool could be used at all levels of commissioning • The tool was developed initially for Adults as the Children and Younger People needs assessment was already underway • Initially the framework was based on the Darzi review • A prototype of the eJSNA tool has been developed and is currently being reviewed. Analytical and Presentation Tools Quantitative and Qualitative Data Adults MAIDeN Locality PbC Commissioning Quintile of Deprivation Profiling Toolkit – Toolkit – (Practices (Wards, Localities and and PbC Clusters) Districts) Equality and Diversity Children and Young People Quintile of Deprivation Children and Young MAIDeN Locality Equality and Diversity People Profiling Profiling Toolkit – Toolkit – (Schools, PbC Commissioning (Wards, Localities and Childrens Centres, Toolkit – (Practices Districts) Extended Services) and PbC Clusters) MAIDeN Data Accessibility Quality Outcomes Framework Data from Hospital Data: Inpatient Data Eg All Data Sources Eg Journey times to A&E, GP Practices Emergency and All Elective Admissions, GP surgeries, pharmacies Eg incidence and prevalence of conditions admissions for specific conditions – CHD, etc such as diabetes, epilepsy, CHD, stroke etc Cancer etc; Outpatient Data Eg First and Prescribing Data Eg follow up attendances for specific conditions CC Community and Adult Care and age groups; A&E data Total spend, spend for Directorate data Eg Professional support, particular conditions eg Domiciliary care, day care, residential care, Out of Hours data Hypertension, CHD etc equipment, sheltered housing, residential care CC Children and Young People Qualitative data Eg Public, Directorate data Eg Healthy Schools, Patient, Customer, Carer placements, special needs, disabilities views and forums,Complaints, Census Eg Lone parents, Lone service reviews, CC available pensioner HH, Overcrowded ONS Eg births and death files data etc households, Rural/urban households Next steps For eJSNA • Roll out eJSNA to commissioners and evaluate as a tool • Populate current structure with more up to date datasets • Develop the framework for the Children and Young People views • Add new datasets as they become available What does the JSNA tell us?!!