JSNA: Making It Happen

1
JSNAMaking It Happen

• Dr Renu Bindra
• Joint Strategic Needs Assessment Lead
• Department of Health

2
JNSA Progress and Good Practice

• Where are we now?
• What is happening across the country?
• How can we help you make it happen?

3
Where are we now?

• Who?
• How often?
• What?
• Core dataset, tools and
• resources
• www.dh.gov.uk

4
NHS Operating Framework 2008-09

• PCTs will
• work closely with local partners to tackle major
  challenges in their community, particularly in
  conducting JSNA and LAAs
• develop a strategic plan by autumn 2008
  describing the context for the next 3 to 5 years
  and is informed by the vital signs and the JSNA
• assure their SHA that relevant local priorities
  that are recognised in their JSNA directly inform
  the indicators they choose to recommend from the
  NIS
• www.dh.gov.uk

5

Local Government and Public Involvement in Health
Act (2007)

• Findings of the JSNA will
• inform the SCS and LAA
• targets and priorities
• SCS should contain the
• following elements
• The long-term vision based firmly on local needs.
  
• Key priorities for the local area, based upon
  this vision which may realistically be achieved
  in the medium term these will inform the LAA.
• www.communities.gov.uk

6
Informing Local Area Agreements
7
World Class Commissioning

• A statement of intent, aimed at delivering
  outstanding
• performance in the way health and care services
  are
• commissioned, leading to
• better health and wellbeing for all
• better care for all
• better value for all

8
World class commissioning competencies

• PCTs
• Work collaboratively with community partners to
  commission services that optimise health gains
  and reductions in health inequalities
• Proactively seek and build continuous and
  meaningful engagement with the public and
  patients, to shape services and improve health
• Manage knowledge and undertake robust and regular
  needs assessments that establish a full
  understanding of current and future local health
  needs and requirements
• Prioritise investment according to local needs,
  service requirements and the values of the NHS

9
National JSNA Survey

• Jointly commissioned by Integrated Care Network
  and DH
• Undertaken by Health Services Management Centre
• Focus on adult health and social care,
  interagency relationships

• Aim of survey
• Explore what preparations underway
• Barriers and enablers
• Implication for delivery of NHS and LG White
  Papers
• Methods
• Qualitative survey of all PCT CEs, DASS and DPH
  in England (n459)
• Email questionnaire February 2008
• Grounded approach

10
Survey Questions

• How are needs currently assessed?
• Extent of joint working across health and social
  care
• Extent of local people and service user
  involvement
• Use of particular tools, data sources or
  techniques
• Implications of JSNA duty
• How will you develop current approaches to meet
  the duty?
• Enablers and barriers
• Requirements for additional support
• Implications for White Paper delivery, in
  particular
• Care closer to home
• Development of LAAs
• Redesign of provider services
• Examples of good practice

11
Survey Results

• 87 responses from 72 local health and social care
  communities

Respondent Number
DPH 51
DASS 19
PCT CE 3
Joint submission 14
Total responses 87
12
Survey Results

• Large amount of work already underway
• A health and social care systemin which there
  might be too much information from too many
  different sources to provide a coherent overview
• Many areas working to make existing data more
  accessible and easy to interrogate
• Significant investment in software packages and
  data systems to support needs assessment
• Availability of data currently weak in the
  following areas
• Mobile/transient populations i.e. students,
  economic migrants, asylum seekers
• Social care and some local government data
• Seldom heard groups
• Varied amount of joint working, not systematic
• JSNA an enabler
• Patient and public involvement
• Less comfortable with involvement of local people
• Need for a more coherent and systematic approach

13
How Can We Help You Make It Happen?

• To date
• National guidance
• Core dataset
• Imminent
• DH dedicated website
• APHO project
• Next steps
• Translating JSNA into commissioning
• Public and patient involvement for JSNA
• Involving the third sector in JSNA
• Disseminating best practice
• Regulation and performance management