Dr Foster JSNA Partnerships Understanding community needs through Joint Strategic Needs Assessment

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Dr Foster JSNA Partnerships Understanding
community needs through Joint Strategic Needs
Assessment

• Roger Taylor,
• Research Director
• Dr Foster

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Trailblazer and alpha partnerships

• Wolverhampton
• Wakefield
• N.E.Lincs
• Greenwich
• Isle of Wight
• Hampshire
• Buckinghamshire
• Salford

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The guidance

• Groups not individuals
• JSNA is a tool to identify groups where needs
  are not being met and that are experiencing poor
  outcomes
• Systematic
• Needs assessment is a systematic method for
  reviewing the health and wellbeing needs of a
  population, leading to agreed commissioning
  priorities
• Short and long term
• three to five years and five to ten years
• The core dataset
• The core dataset is a resource that signposts
  users to a range of existing data sources that
  can assist the JSNA process. Local areas will be
  expected to supplement the core dataset with
  additional, locally relevant information to add
  depth and insight into the needs of their
  population, having locally agreed standards on
  data quality for inclusion.
• Primary research
• Some routinely available data sources on
  patient and service-user experience are described
  in the core dataset. These should be supplemented
  by information gained through active dialogue
  with local people, service users and their
  carers.

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Dr Foster Trailblazers

• Dr Foster is currently working with local
  authorities to
• support Joint Strategic Needs Assessment with
• Population forecasts over five years at small
  geographies
• Segmentation models to measuring the needs of
  different communities
• Comparing access to health and social care
  services between communities
• Forecasting future services usage

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Defining communities

• How do we define and identify groups of people in
  order to
• Measure their level of need and access
• Ask them about their needs and design services
  appropriate to them
• Communicate with them about services
• Different approaches tested
• Wards
• Deprivation quintiles
• Ethnicity
• Geodemographics OAC (output areas)
• Mosaic
  (Postcodes)

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Support different approaches to segmentation
wards and neighbourhood types
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Priority wards and priority neighbourhood types
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Needs, access

• Needs
• Life expectancy/Years of life lost
• Emergency admissions
• Contacts/referrals for social care
• Prevalence/QOF
• Social capital (provision of unpaid care, trust
  neighbours)
• Access
• Elective referrals, outpatient appointments
• Provision of social care services
• Avoidable admissions/readmissions
• Facilities, service standards

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Greenwich
bespoke OAC Groups
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Using OAC in Greenwich
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Using Mosaic in Hampshire
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Over 65 users of social care services by Mosaic
in Hampshire
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Profile of health indicators on Group B
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Comparing outcomes to estimates of social capital
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Using IMD quintiles in Wolverhampton
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A comparison with Greenwich
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Using Acorn in Buckinghamshire
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Years of life lost for accidents by Acorn type
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Forecast future demand for services
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Forecasts for social care
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Where we are now

• Working to understand the information needs of
  commissioners
• Developing systems to address the challenges of
  personalisation and transformation of social care
  services
• Building web-based systems to support joint
  planning and local area agreements.

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London Councils Personalisation
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