Joint Strategic Needs Assessment for the Royal Borough of Windsor and Maidenhead

1. Joint Strategic Needs Assessment for the Royal Borough of Windsorand Maidenhead Allan Brown Head of Adult Services RBWM

2. What is a Joint Needs Assessment (JSNA)? The JSNA is a new process being carried out by the Royal Borough of Windsor and Maidenhead and Berkshire East Primary Care Trust to identify : • Health & wellbeing needs • Now & future • Informs • Sustainable Community Strategy • LAA • Commissioning of services The JSNA identifies “the big picture” in terms of health and wellbeing and inequalities of a local population.

3. Why do we need the Joint Strategic Need Assessment? • The Local Government and Public Involvement in Health Act (2007) made carrying out a JSNA is a legal duty for local authorities and Primary Care Trusts from April 1st 2008 • To provide an understand current and future health and well being needs of the local population to inform LAA and strategic planning • To provide evidence based information in order to commission future services and interventions which will achieve better health and wellbeing outcomes and reduce inequalities.

4. What does the JSNA do which is new? Provides a process which allows us to know the needs of our local population across health and social care. Eight principles • Putting people at the centre of commissioning. • Understanding the needs of populations and individuals. • Sharing and using information more effectively. • Assuring high quality providers for all services.

5. What does the JSNA do which is new? • 5. Recognising the interdependence between work, • health and well-being. • 6. Developing incentives for commissioning for • health and well-being. • 7. Making it happen – local accountability. • 8. Making it happen – capability and leadership.

6. RBWM JSNA Development Process • JSNA group LA/PCT • Identified potential/suspected needs • General brainstorming • By category • Evidence sought & collated • Generally qualitative • Evidence had often involved public consultation • Summaries circulated / iterative process • Reports written / drafts circulated • Core dataset • Generally quantitative

7. General determinants Adult learning Affordable housing Accessing services without a car Fear of crime Reduce environmental impact Work-related stress Individual/lifestyle risk factors Tobacco, drug, alcohol use Obesity, diet, exercise Population groups Rising elderly population Rising prevalence long-term conditions Better services for vulnerable / those with complex problems Offender health Specific illnesses Mental health in adults & children Falls prevention Results - some themes…

8. JSNA for RBWM Health and Social Care Services • Ensure hospital and social care are easy to reach and of a high standard • Continue to plan for major emergencies • Improve information leaflets in GP surgeries • Plan to provide services for a larger population

9. JSNA for RBWM Alcohol Misuse • Tackle social problems associated with alcohol • Improve services for people who abuse alcohol Obesity, diet and exercise • Improve our knowledge about obesity in the Royal Borough • Encourage healthy eating in adults and children • Promote exercise in adults and children

10. JSNA for RBWM • Older People • Plan for anticipated rise in social care needs • Improve co-ordination between community and • hospital care • Improve services for older people with mental health • problems • Improve availability of dedicated ‘end of life’ care.

11. JSNA for RBWM • Black and minority ethnic (BME) communities • Ensure health and council services available to BME • Communities. • Increase support to BME carers.

12. JSNA for RBWM • Long-term illness • Plan for increase in people with long-term conditions • Physically Disabled • Improve access for disabled people in schools and other • buildings • Continue to provide care where needed for physically • disabled • Improve access to transport

13. JSNA for RBWM Tobacco Use • Continue to encourage people to quit smoking. Drug Use • Increase number of drug users accessing treatment services • Continue to provide information on drug misuse.

14. JSNA for RBWM • Learning Disabled and Autistic Spectrum Disorder • Plan for more learning disability care packages • Reduce health inequalities for those with learning • disabilities • Improve opportunities for employment • Improve access to services for people with Asperger • syndrome

15. JSNA for RBWM • Carers • Reduce health and social inequalities for carers • Improve support for carers of all ages, especially the • young and old

16. JSNA for RBWM • Mental Health • Improve mental health support for children and young • people • Plan for rise in people with mental health problems • Plan for increase in people with dementia • Reduce social exclusion and discrimination and • tackle bullying.

17. Adult Plan – approved 2008Local Delivery Plans Autistic Spectrum Disorder Carers Physical Disability Drugs and Alcohol Learning Disability Long Term Condition Mental Health – Adults Older Persons Mental Health Older Persons Sensory Needs

18. JSNA and it’s propose for the future… • Always know the needs of our local population • Easily available • Up-to-date • Evidence-based • Know where gaps exist • In order to… • Commission local services which are: • Appropriate to the population • Responsive to local needs • Cost-effective • Improve efficiency

19. Thank you Any questions?