Joint Strategic Needs Assessment

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					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
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
 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
                                                 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
                                                                                    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
• 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
What does the JSNA tell us?!!