JSNA:Making It Happen

Dr Renu Bindra

Joint Strategic Needs Assessment Lead

Department of Health

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JNSA: Progress and Good Practice

• Where are we now?• What is happening across the country?• How can we help you “make it happen?”

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Where are we now?

• Who?• How often?• What?• Core dataset, tools and

resources

www.dh.gov.uk

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NHS Operating Framework 2008-09

PCTs will:• work closely with local partners to

tackle major challenges in their community, particularly in conducting JSNA and LAAs

• develop a strategic plan by autumn 2008 describing the context for the next 3 to 5 years and is informed by the vital signs and the JSNA

• assure their SHA that relevant local priorities that are recognised in their JSNA directly inform the indicators they choose to recommend from the NIS

www.dh.gov.uk

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inform the SCS and LAA

targets and priorities

SCS should contain the

following elements:

The long-term vision based firmly on local needs.

Key priorities for the local area, based upon this vision which may realistically be achieved in the medium term – these will inform the LAA.

www.communities.gov.uk

Local Government and Public Involvement in Health Act (2007)

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Informing Local Area Agreements

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World Class Commissioning

A statement of intent, aimed at delivering outstandingperformance in the way health and care services arecommissioned, leading to:

• better health and wellbeing for all• better care for all• better value for all

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World class commissioning: competencies

PCTs:• Work collaboratively with community partners to commission services that

optimise health gains and reductions in health inequalities

• Proactively seek and build continuous and meaningful engagement with the public and patients, to shape services and improve health

• Manage knowledge and undertake robust and regular needs assessments that establish a full understanding of current and future local health needs and requirements

• Prioritise investment according to local needs, service requirements and the values of the NHS

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National JSNA Survey

• Jointly commissioned by Integrated Care Network and DH

• Undertaken by Health Services Management Centre

• Focus on adult health and social care, interagency relationships

• Aim of survey:– Explore what preparations

underway

– Barriers and enablers

– Implication for delivery of NHS and LG White Papers

• Methods:• Qualitative survey of all PCT

CEs, DASS and DPH in England (n=459)

• Email questionnaire February 2008

• Grounded approach

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Survey Questions

– How are needs currently assessed?

– Extent of joint working across health and social care

– Extent of local people and service user involvement

– Use of particular tools, data sources or techniques

– Implications of JSNA duty

– How will you develop current approaches to meet the duty?

– Enablers and barriers

– Requirements for additional support

– Implications for White Paper delivery, in particular: Care closer to home Development of LAAs Redesign of provider services

– Examples of good practice

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Survey Results

87 responses from 72 local health and social care communities

Respondent Number

DPH 51

DASS 19

PCT CE 3

Joint submission 14

Total responses 87

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Survey Results

• Large amount of work already underway

• “A health and social care system……in which there might be too much information from too many different sources to provide a coherent overview”

– Many areas working to make existing data more accessible and easy to interrogate

– Significant investment in software packages and data systems to support needs assessment

• Availability of data currently weak in the following areas:– Mobile/transient populations i.e. students, economic migrants, asylum seekers

– Social care and some local government data

– Seldom heard groups

• Varied amount of joint working, not systematic– JSNA an enabler

• Patient and public involvement:– Less comfortable with involvement of local people

– Need for a more coherent and systematic approach

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How Can We Help You “Make It Happen?”

To date:• National guidance

• Core dataset

Imminent:• DH dedicated website

• APHO project

Next steps:• Translating JSNA into commissioning

• Public and patient involvement for JSNA

• Involving the third sector in JSNA

• Disseminating best practice

• Regulation and performance management