Joint Strategic Needs Assessment (JSNA) – The Manchester way

Neil BendelManchester Joint Health Unit

David WhyteNW Joint Improvement Partnership (NW-JIP)

Starting Point - What is a JSNA?

What it is

Common baseline to underpin the development of the Community Strategy, Local Area Agreement and Commissioning Strategic Plan (CSP)

Tool for use by commissioners within both health and social care

A starting point!

What it isn’t An ‘super’ information

profile of the City

A detailed commissioning strategy

An academic exercise

A one-off piece of work

Process

Multi-agency Working Group established

Representatives from NHS Manchester (Public Health/Information/Commissioning) Adults Social Care Children’s Services Manchester City Council (Research and Intelligence/Policy

Analysis Teams) Local Involvement Network (LINk)

Overall project management/co-ordination through Joint Health Unit

Ownership and engagement

Executive sponsorship by Public Service Board (PSB)

Regular feedback to Adults Health and Wellbeing Partnership Board, Children’s Board and PBC Hubs

Input from policy leads for relevant topic areas

Local community and user engagement Representation from Manchester LINk on Working Group Talking Health Discovery Survey (NHS Manchester)

Public summary produced with input from freelance journalist

Methodology

Compilation of data from existing information reports, strategy documents and needs assessments

Mixture of text, data tables and charts/maps

“What do commissioners need to consider?” boxes

Common framework for each chapter/sub-section

Cross-referenced with existing strategies to ensure consistency of approach and recommendations

Example – Chronic Obstructive Pulmonary Disease (COPD)

Headline statistics

National models suggest that there are aprox.16,500 people with COPD in Manchester (5.5% of the population aged 15 and over).

The prevalence of COPD in Manchester is higher than the England average but lower than other comparable cities (e.g. Liverpool, Newcastle)

Between 2005 and 2007, 146 people presented to Adult Social Care due to COPD.

What do commissioners need to consider (examples)?

Use of spirometry in schools and community pharmacies to test lung function

Investment in social marketing programmes to support public health messages about the links between smoking and COPD

Identify models of service provision to support the care needs of people using Individual Budgets

Milestones

December 2007 - Project Initiation Document (PID) agreed

May 2008 - First draft presented to Manchester Public Service Board (PSB)

June/July 2008 - Presentation to PCT Board, Adults Health and Wellbeing Partnership and Children’s Board

July/August 2008 – Presentations to PBC Hub Boards

October 2008 – Full reference document and public summary signed off

November 2008 – Formal launch at IHiM Conference

Next Steps

Further analysis Locality JSNAs to support PBC Hubs, Children’s Services and

Adult Social Care Districts etc. Application of population impact measures to key areas of JSNA

JSNA website (http://www.manchester.gov.uk/jsna)

Hub for sharing documents and data

Evaluation and self-assessment

Feed into the LAA refresh, future community strategies and updated Commissioning Strategic Plan

NW Survey: JSNAs and Commissioning – What Helps?

Is the JSNA written in such a way that it enables commissioners to identify the actions required of them?

If the JSNA is written with commissioners in mind, then do they possess the skills required to deliver the agreed commissioning priorities?

Manchester JSNA Partnership - Self-assessment

Participated in regional review of JSNAs being undertaken by NW Public Health Observatory

SWOT Analysis undertaken by members of JSNA Working Group

Plans to assess views of wider-stakeholders using framework provided by JSNA Readiness Tool/Quality Assurance Toolkit

SWOT Analysis - Strengths

“Further strengthened existing partnership arrangements”

“Represents a collaborative and joined-up approach to needs assessment between sectors”

“Strong support and ownership by key players”

“Provides a very sound basis for raising challenging questions about the future commissioning of services”

SWOT Analysis - Weaknesses

“Community Engagement - challenges of getting best bits from Children’s Services, ASC and NHS Manchester and emerging LINk and getting it all to gel together”

“Not sure all commissioning staff are aware of/using the information – especially in PbC”

“Available data may not fully meet the needs and expectations of commissioners”

“Evaluation of impact on commissioning - discussed, but as yet not fully developed”

SWOT Analysis - Opportunities

“Links to other needs assessment work under umbrella of PSB (e.g. Crime and Disorder) and LAA (review and refresh)”

“Development of Joint Commissioning Approach -Manchester Model and better access to and utilisation of expertise in Universities (e.g. predictive modelling)”

“To embed intelligent, needs-led commissioning processes across health and social care”

“Locality JSNAs offer real and worthwhile opportunities to develop the thrust of the JSNA process and principles”

SWOT Analysis - Threats

“Lack of consistency of commissioning streams e.g. PbC x3; Children’s services; NHS/MCC shared commissioning not fully developed”

“Ensuring that the JSNA is not seen as the answer to everything - rather a crucial part of the intelligence required by a range of services to better understand what provision is required in the future”

“Capacity of PBC and district level partners (Children’s and Adults) to take on Locality JSNA development”

Impact to date

NHS Manchester Commissioning Strategic Plan (CSP)

Adult Social Care Change Programme and Prevention Strategy Implementation Plan

Manchester City Council Carers Strategy 2008-2011

Drugs and Alcohol Commissioning Strategy

North West Strategic Migration Partnership

Making JSNAs work for commissioners

How do we engage with commissioners across different parts of the system? NHS (PCT and PBC) Adult Social Care Children’s Services Third sector organisations

How should we best design and structure the content and outputs of the JSNA to make it useful for commissioners?

How might we evaluate the impact of the JSNA on commissioning behaviours and decisions?

What can we offer?

Experience of making the best use of political structures across the NHS and local government to ensure wider ownership of JSNA beyond commissioning

Understanding of joint working arrangements and links between JSNA, Community Strategy, LAA and CYPP

Knowledge of ‘soft’ information sources held by local authority departments

Links with other local partnerships to identify and access best practice across the North West

Contact details

Neil BendelManchester Joint Health UnitPhone: (0161) 234 4089E-mail: n.bendel@manchester.gov.uk

David WhyteDavid Whyte (Consulting and Contracting) LimitedPhone: (0161) 408 6732E-mail: davidwhyteccltd@googlemail.com