Note: information shown from unpublished report - not for further circulation

Joint Strategic Needs Assessment (JSNA)

September

2011Update to JSNA 2009/10

Note: information shown from unpublished report - not for further circulation

What is the JSNA?

• The Joint Strategic Needs Assessment (JSNA) has been a statutory requirement for upper-tier Local Authorities and Primary Care Trusts since 2008

• Purpose – to analyse the health needs of the population to inform the commissioning of health, wellbeing and social care services

Note: information shown from unpublished report - not for further circulation

JSNA content

‘Light touch’ refresh focusing on:

• Demographic profile of Derby• Social and environmental• Lifestyle• Burden of ill health• Child health and wellbeing• Ward-level analysis

Note: information shown from unpublished report - not for further circulation

Social & environmental

• Derby is ‘relatively’ deprived

• Big variation in level of deprivation across the city

• Estimated that 15% Derby households suffer ‘fuel poverty’

• Over 7,000 applicants for social housing

• Over 4,000 empty properties

Note: information shown from unpublished report - not for further circulation

Lifestyle

• One-quarter of adults smoke

• Over one-fifth binge drink

• Around 2,000 problematic drug users

• One-quarter of adults are obese

Links to poor health; hospital admissions; reduced life expectancy

Note: information shown from unpublished report - not for further circulation

Burden of ill-health

• Four of the five biggest causes of death in Derby are from cancers and circulatory diseases

• Premature death from cancer in Derby higher than the national average

• Mortality rates from cardiovascular disease higher than national – but are reducing

• Emergency admissions for stroke higher in Derby than England average

Note: information shown from unpublished report - not for further circulation

Child health and wellbeing

• Derby is better than the national average:- % children participating in 3 hours sport- GCSE pass rate (5A*-C)

• Derby is worse than the national average:- MMR immunisation- Hospital admissions due to substance misuse (age 15-24)- First time entrants to Youth Justice System- Rate of family homelessness

Note: information shown from unpublished report - not for further circulation

JSNA 2012

Note: information shown from unpublished report - not for further circulation

Changing environment

• Public Health function moving from the NHS to the Local Authority

• Development of GP-led Clinical Commissioning Groups

• Establishment of Health and Wellbeing Boards

Note: information shown from unpublished report - not for further circulation

Changing document

• Wider range of ‘clients’

• Wider engagement/ involvement in development

• Different presentation and delivery?

Note: information shown from unpublished report - not for further circulation

Why get involved?

• Shape content – provide information on (or links to) specific groups or issues that could otherwise be missed- add information on services currently being delivered outside of public sector

• Shape how it is presented and used

• Help ensure need and gaps in delivery identified

• Identify priorities

Note: information shown from unpublished report - not for further circulation

How?

• Ongoing relationship

• Through network/ or individuals?

• By:- specific community/ group e.g. young people- specific issue e.g. smoking; housing- locality/ neighbourhood- other/ combination?

Note: information shown from unpublished report - not for further circulation

Ideas and next steps…