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A Public Health Approach to Social Care and Wellbeing Services

A Public Health Approach to Social Care and Wellbeing Services. Tony McGinty Joint Assistant Director for Public Health Lincolnshire County Council and NHS Lincolnshire . The Approach. Understand Your Population. Understand Triggers. Procure and Manage. Evidence Based Modelling.

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A Public Health Approach to Social Care and Wellbeing Services

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  1. A Public Health Approach to Social Care and Wellbeing Services Tony McGinty Joint Assistant Director for Public Health Lincolnshire County Council and NHS Lincolnshire 

  2. The Approach Understand Your Population Understand Triggers Procure and Manage Evidence Based Modelling

  3. Areas for discussion • Joint Strategic Needs Assessment (JSNA) • Evidence based demand forecasting • Wellbeing Support Service model

  4. JSNA Objectives Objectives for JSNA 2011 • Establish JSNA as a continuous process; • Improve level and quality of engagement; • Produce a succinct annual JSNA report; • Focus report on the health inequalities

  5. JSNA Approach • 35 topic areas identified based on the data. • Each topic has an identified ‘Owner’. • ‘Owner’ issued with a template upon which to provide commentary. • Commentaries underwent a ‘peer review’ process

  6. JSNA Approach (2) What do we know? What is this telling us? • Indicator details • Data, trends, profiles • Targets and performance data • Local views and engagement • National and local strategies • Current commissioned activity and services • Key inequalities and equality impact • What are the knowledge gaps? • How are these impacting on effective service commissioning/delivery? • What are the risks of us not delivering? • What is coming on the horizon and what should we be doing next?

  7. Presentation of JSNA • New JSNA Website • Joined up approach (IMD, Economic Assessment, etc) • Additional ways of viewing the JSNA • Brief Overview Report

  8. Presentation of JSNA (2)

  9. Presentation of JSNA (3)

  10. Identified Priorities from JSNA • Promoting healthy lifestyles • Improving health and wellbeing for older people • Delivering high quality systematic care for major causes of ill health • Improving health and reducing health inequalities for children • Reducing Worklessness

  11. JSNA Priority/Marmot Objectives

  12. Evidence based demand forecasting • Linked to JSNA priorities • Developed in consultation with stakeholders (e.g. via Excellent Ageing) • Focused on triggers which: • place people at risk of requiring more costly services; and/or • Indicate people may need some support, advice or assistance

  13. Evidence based demand forecasting Areas of focus for demand forecasting: • In receipt of supporting housing • Long term health conditions (Stroke, CHD, COPD, Dementia) • Out of work benefits • Fuel Poverty • House re-possessions • Estimated unclaimed disability benefits • Adult social care (people assessed as not eligible combined with people exiting reablement services with no further services) • Frail Older Peoples Project

  14. Evidence based demand forecasting

  15. Evidence based demand forecasting Limitations of the model: • Some people will appear in more than one area • Reliability/consistency when projecting and forecasting into future • Other areas need to be forecast as well (Problem drug users, Smoking, Obesity, etc) • Not all people will require the same level of support

  16. Engagement • A Little Bit of Help Please! • Stay in touch with me • Over lapping boundaries • Accessible • Acceptable

  17. Evidence based demand forecasting Next steps for the model: • Delphi approach to obtaining consensus with regards the forecasting • Development of a model of support which recognises the differing levels of support people require • Agree with colleagues in other services (social care) overlaps, hand off processes, risk/benefit sharing, etc

  18. Time Managed Advice Networks Numbers of People Wellbeing Support Community Support Acute Stay in touch please Service Need

  19. The Approach Understand Your Population Understand Triggers Procure and Manage Evidence Based Modelling

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