LEICESTERSHIRE JOINT STRATEGIC NEEDS ASSESSMENT Stakeholder Engagement March 29 th 2012
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Transcript of LEICESTERSHIRE JOINT STRATEGIC NEEDS ASSESSMENT Stakeholder Engagement March 29 th 2012
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LEICESTERSHIRE
JOINT STRATEGIC NEEDS ASSESSMENT
Stakeholder EngagementMarch 29th 2012
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WELCOME FROM LINKS MEMBER - DAVID KIRKWOOD
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WELCOME FROM LEAD MEMBER FOR HEALTH - CLLR ERNIE WHITE
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Agenda• Welcome from LINks - TBC• Welcome from the Lead Member for Health and introduction to the Shadow Health and Wellbeing Board – Cllr Ernie White
• The 2012 JSNA – key findings and priorities – Dr Peter Marks• Q&A Panel• Refreshments• Workshop - the key health and social care issues – Sandy McMillan• Workshop feedback – Sandy McMillan• Workshop – has everything been captured – Lesley Hagger• Voting session. What do you think are the top six priorities for Leicestershire county – Lesley Hagger
• Next steps – Peter Marks
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THE 2012 JSNA – KEY FINDINGS / PRIORITIES – DR PETER MARKS
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What is a JSNA
• Joint Strategic Needs Assessment identifies “the big picture” in terms of the health and wellbeing needs and inequalities of a local population
• Joint Strategic Needs Assessment describes a process that identifies current and future health and wellbeing needs in light of existing services, and informs future service planning taking into account evidence of effectiveness
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JSNA Focus
“all the current and future health and social care needs in relation to the area of the responsible authority – needs which are capable of being met, or affected to a significant extent, by the local authority, clinical commissioning group or NHS Commissioning Board functions”
(JSNAs and joint health and wellbeing strategies – draft guidance)
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JSNAs and joint health and wellbeing strategies
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The Leicestershire JSNA and joint health and wellbeing strategy
• SHWB agreed interim strategic priorities in September 2011
• Refresh JSNA March 2012• Develop Joint Health and Wellbeing Strategy summer 2012
• Development of commissioning intentions aligned to strategy autumn 2012
• Develop an outcomes framework to monitor progress against the strategy
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JSNA Publication
• JSNA is published on LSR-Onlinehttp://www.lsr-online.org/reports/leicestershire_joint_strategic_needs_assessment_jsna1
• 22 detailed chapters – published by the 1st April 2012• Executive summary – to be agreed by the SHWB in April 2012
• Clinical Commissioning Group level executive summaries – published May 2012
• District level executive summaries – published May 2012
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JSNA chapter headings• Demography• Deprivation and the Economy• Housing• Children and Young People• Health Inequalities• Staying Healthy• Sexual Health• Long Term Conditions• Cancer• Mental Health• Learning Disabilities• Physical Disabilities
• Older People• Dementia• End of Life Care• Carers• Offender Health• Wellbeing / Happiness• Primary Care• NHS Hospital Care• Adult Social Care – Service Usage, Assessment and Development in Social Care
• Assets
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Engagement
• Long chapters have been through professional engagement
• JSNA priorities– JSNA Steering Board– SHWB– Key stakeholders
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Increasing life expectancy and reducing inequalities
• For 2007-09 life expectancy was:– 79.7 years for males– 81.7 years for females
• Gap in life expectancy between most and least affluent for men and women is rising– 6.1 years for men, 5.5 years for female– Gap increasing more quickly for women than for men
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Reducing premature mortality
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Impact of aging population
Population Growth:2011-2026• 11% increase in population• 45% increase in over 65’s• 70% increase in people age 85 years and over
Impact on health and wellbeing needs:
By 2020• 25% growth in CHD• 19% growth in COPD• 35% increase in people suffering from dementia
• 23% increase in carers providing unpaid care
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GP Registers of long term conditions
• 21,900 people with coronary heart disease• 11,000 with stroke or transient ischaemic attacks
• 29,000 people with diabetes• 11,400 people with cancer• 4,000 people on mental health registers• 75,000 people on depression registers• 3,200 people with dementia
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The Aging Population and NHS Utilisation
Hospital admissions, occupied bed days and spend 2010/11; 2010 Population
Source: HERA, Extracted 3/2/11; ONS Mid Year Population Estimates
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NHS Spend (Programme Budget Data)
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End of Life Care
• Last 12 months of life• 50% of people express a wish to die at home• About 20% of people are supported to do this• 5840 deaths per year• ¾ deaths from end stage disease and can therefore be managed
• Aim to have 35% of all deaths on GP palliative care registers, currently only 12%
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HousingIssue• Aging Population –over 65 years• Frail elderly• Smaller Households
• Supported Housing
• Affordable Housing
• Sustaining Housing
Impact• Increase by 51,000 by 2033. • Extracare provision, including mental health
• Additional 39,000 single person households and 31,000 couples
• Need for learning difficulties, floating support and move on housing
• Need for additional affordable units at around 2,700 a year
• Need for ongoing tenancy support for the vulnerable
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Health Improvement
• Where are the greatest pressures and gains?– 100,000 Smokers– 133,000 obese adults– 105,000 adults binge drink
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Assessing the evidence
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Addressing the wider determinants of health
• Marmot:– Give every child the best start in life– Enable all children, young people and adults to maximise capabilities and have control over their lives
– Create fair employment/good work for all– Ensure a healthy standard of living for all– Create healthy sustainable places and communities
– Strengthen ill health prevention
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Improving the health and wellbeing of children
• Early years and early (help) support • Disadvantaged families and children at risk of poor health (including children in care and leaving care)
• Pre-conception and maternity services• Transition from children to adult services• Children and young people to make healthy choices• Disabled children, those with complex needs (including health needs), ASD, behaviour, emotional and social difficulties and special educational needs, including educational audiology
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Key priorities from the evidence
• Frail elderly including dementia• End of life care• Carers/young carers• Preventing premature mortality• Long term conditions• Improving peoples health and wellbeing• Improving the health and wellbeing of children
• Addressing the wider determinants of health
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QUESTION AND ANSWER SESSION
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THE KEY HEALTH AND SOCIAL CARE ISSUES – SANDY MCMILLAN
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• Joint health and wellbeing strategies should prioritise the issues requiring the greatest attention, avoiding the pitfalls of trying to take action on everything all at once. They will not be a long list of everything that might be done; they will focus instead on key issues that make the biggest difference.
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Prioritisation Criteria
• Priorities for action:– Number of people that are affected– Effect on people’s health and wellbeing– Projected future position if no action taken– Scope for improvement– Resource impact– Contribution to inequalities– Local views– Triangulation with priorities from key commissioners, including Clinical Commissioning Groups and Leicestershire Together Commissioning Hubs
– Other considerations
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IDENTIFICATION OF GAPS – LESLEY HAGGER
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VOTINGWHAT DO YOU THINK ARE THE TOP 6 PRIORITIES FACING THE HEALTH AND WELLBEING OF LEICESTERSHIRE IN THE NEXT 5 YEARS? – LESLEY HAGGER
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NEXT STEPS AND CLOSE – PETER MARKS