JOINT STRATEGIC NEEDS ASSESSMENT 2011-14

Rebecca Cohen Policy Specialist, Chief Executive’s

Aims• awareness of the JSNA and the new

‘duty’

• knowledge of approach in Cornwall, relevant content and opportunities for VCS partners to engage/ contribute

• Next steps and feedback

JSNA Background

• Local Government and Public Involvement in Health Act (Section 116): Joint responsibility of PCT & local authority (Director of Public Health, Director of Children’s services, Director of Adult Social Services) since 2007

• JSNA assessment is central to the forthcoming Health and Social Care Bill, including proposals that:

• New Health and Wellbeing Boards will have an 'explicit obligation to prepare the Joint Strategic Needs Assessment (JSNA)’

• Joint health and wellbeing strategies will be based on the assessment of need outlined in their JSNA

• The Director of Public Health will play a key role in contributing to the development of the local Joint Strategic Needs Assessment (JSNA) and the joint health and wellbeing strategy

JSNA – enhanced focus• Focus on the JSNA within the

commissioning and decision making process is clear:

• “At present JSNA obligations extend only to its production, not it’s application….the forthcoming Health and Social Care Bill will place a duty on commissioners to have regard to the JSNA”

• “All commissioning should be driven by the JSNA or shared assessments across local authority boundaries, whether these are GP commissioning, council commissioning or joint commissioning”.

What does it need to do ……

An enhanced JSNA - What is it?• The JSNA should identify “the big picture” in

terms of the current and future health and wellbeing needs as well as providing clear market profiles which enable us to make the ‘hard choices’ about investment/ disinvestment and the form that may take.

• Provide a comprehensive map of local service provision

• Provide a robust evidence base to guide and inform future service planning, commissioning other strategic plans and investment / disinvestment

• Inform decision makers and commissioners to help achieve better health and wellbeing outcomes and reduce inequalities

What will it do…..• Provides and ongoing participatory process/

dialogue to identify Cornwall’s health and wellbeing needs (now and in the future)

• Provides a single resource for all partners for health and wellbeing evidence/ information

• Develops a shared understanding of the key issues through consistent messaging

• Be accessible – it will be a web based resource, making it available to a wide range of stakeholders

• Updated annually and will contribute towards an annual report on the health of the local population – through HAWB

JSNA development: web based resource

Strategic supplements Providing an overview of key findings and identified cross cutting themes.Annual supplement summarising updates

Research and Intelligence ‘Focus Papers’

Concise, comprehensive client group overviews (enhanced shared understanding of the issues)

Tailored intelligence Interactive mapping – Instant Atlas ToolSummary Community Network Profiles ‘Open data’ – Key datasets available for individual useMosaic – customer segmentation/ profiling

Policy resource Identification and summary of key policies within a given topic/ client area

Programme of development / engagement

Ongoing programme of development leading to 2013

Voluntary and Community Sector • Original guidance (2007) “community

engagement is an essential element of JSNA…the process, will in itself, have a positive impact on health and wellbeing”.

• 2008 JSNA – limited involvement • User & community voice• VCS & provider role• http://www.cornwallandislesofscilly.nhs.uk/

CornwallAndIslesOfScillyPCT/AboutUs/OurPrioritiesAndPerformance/JointStrategicNeedsAssessment/JointStrategicNeedsAssessment.aspx

Challenges and Opportunities • Challenges• Commissioners not knowing what the voluntary

sector has to offer• VCS not knowing how they can engage /

contribute• Capacity in the voluntary sector to support • Opportunities • Map / identify gaps in service provision• Help advise on consequences, intended or

otherwise!• Give voice to seldom heard people• Share data/ information from range of sources

and strengthen needs assessment• no need to reinvent the wheel – just ensure

evidence is embedded

Key Benefits

• Increased awareness of the needs of your service users and the inclusion of their voice in the local planning process

• Improved integration with commissioners and partnership working to establish commissioning strategies and priorities

• Greater understanding of the local market and likely projections in demand for services

• Opportunities to identify gaps in provision and develop new and innovative services in response to local needs

Making sure the links are made www.cornwall.gov.uk/understandingcornwall

What it means..

• Informing priorities and action on inequality

• Work to fill the gaps• Making a difference in strategies, plans

and services • Broadening evidence base• Integrate with wider health developments• Listening to residents and service users

VCS Equality & Diversity Group

• Support for a VCS guide to the JSNA in Cornwall inc. governance / accountability

• Use of standardised form to request topics (yr 2 and 3)

• Asked for Gypsies and Travellers to be moved to yr 1 (holding paper to be built on) – agreed at Steering Group

• ‘Cornish’ raised subsequently – reviewing evidence to see whether it is possible.

Next steps – Future Development• End of July 2011 – Website ‘live’ with some

functionality and stage 1 reports. • October 2011 – Website full functionality

and complete set of reports• Monitoring continuous improvement by

undertaking an annual JSNA ‘Health Check’ with partners

• Developing engagement with the VCS inc. use of VCS research and data

• Developing work plans for years 2 and 3 • Communications / engagement planning

Working together ….

• How do you see the JSNA contributing to the work you undertake?

• What else would you like to see from the JSNA tool that would help your areas of work?

• Are there further topics which could be developed in year 2 or 3?

• How can we better engage with the VCS Commissioning Board?