J o in t s t r a t e g ic n e e d s a s s e s s m e n t

Q u e n t in D . S a n d if e rD ir e c t o r o f P u b l ic H e a lt h ,

N H S C a m d e n a n d L o n d o n B o r o u g h

o f C a m d e n

What is a Joint Strategic Needs Assessment (JSNA)?

• A p r o c e s s to systematically identify and agree on current and f u t u r e health and well being needs of a population

• To inform priorities for commissioning• To improve outcomes and reduce health

inequalities• A tool and starting point!

Statutory requirement S t a t u t o r y r e s p o n s ib i l i t y s in c e 1 s t A p r i l

2 0 0 8

• Director of Public Health

• Director of Children, Schools and Families

• Director of Housing and Adult Social Care

Two years of the JSNA – Year 1

• First NHS Camden JSNA published in N o v e m b e r 2 0 0 8– Compilation of needs assessments produced

by various drivers, e.g. national targets and priorities, some form of locally expressed demand.

Year 2 – Refreshing and Nurturing

• Health and Well Being Board• Strategic need analysis in Camden (SNAC)

– NHS Camden (Public Health information)– Adult Social Care– Children services– Voluntary sector– Engagement from other local authority directorates

and statutory agencies• Wider stakeholder involvement

D a t a d r iv e n a s s e s s m e n t o f t h e h e a l t h n e e d s o f t h e p o p u la t io n le a d in g t o a g r e e d c o m m is s io n in g p r io r i t ie s t h a t w i l l im p r o v e h e a l t h o u t c o m e s

What we want to achieve…

D e m o n s t r a t e s h o w p r o p o s a ls f o r m e e t in g n e e d s t a k e a c c o u n t o f a l l t h e e v id e n c e a v a i la b le

D e m o n s t r a t e s h o w id e n t i f ie d n e e d s in f o r m s t r a t e g ic p r io r i t ie s

D e m o n s t r a t e s e f f e c t iv e p a r t n e r s h ip w o r k in g w it h lo c a l a u t h o r i t ie s

D e m o n s t r a t e s e f f e c t iv e s t a k e h o ld e r e n g a g e m e n t w i t h lo c a l c o m m u n it ie s

WHAT MAKES FOR A GOOD HNA:

Local authorities have actively contributed to the production of the needs assessment

Local people should recognise the description of their community

Soft, local intelligence as well as harder, scientific knowledge has been used to agree proposals for meeting the needs identified

A simple, clear process has been used to determine priorities

Joint Strategic Needs Assessment, or simply Health Needs Assessment (HNA), includes the whole value chain

The Vision

Joint Strategic Needs Assessment Ôthe big pictureÕ

Partnership/PolicyCommunity/Public

VoiceEvidence of

Effectiveness

Sustainable Community

Strategy

Other Strategies

Children and Young

Peoples Plan

NHS Strategic

Plans

CAA and LAA targets

WCCCommissioning

priorities and actions

Data

Final thoughts

• No blueprint for JSNA but guidance• Process, management and presentation left to

local discretion• Developmental process – never static• The direction of future commissioning….