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Redesigning Joint Strategic Needs Assessments: an assets based approach

Redesigning Joint Strategic Needs Assessments: an assets based approach. Patrick Tobi, Gail Findlay, Kevin Sheridan, Faye Adams-Eaton Institute for Health and Human Development. JSNA. NHS - Local Authority - LSP/CVO partners. Statutory duty since 2007. Public involvement.

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Redesigning Joint Strategic Needs Assessments: an assets based approach

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  1. Redesigning Joint Strategic Needs Assessments: an assets based approach Patrick Tobi, Gail Findlay, Kevin Sheridan, Faye Adams-Eaton Institute for Health and Human Development

  2. JSNA NHS - Local Authority - LSP/CVO partners Statutory duty since 2007 Public involvement Health & Social Care Act 2012

  3. JSNA and JHWS From evidence to service planning

  4. Needs and Assets • Deficit approach • Focus on needs and deficiencies • Understand communities by their problems • Services commissioned to fill gaps/fix problems • Dependency on professionals • Individuals/communities disempowered and passive recipients • Assets approach • Values skills, knowledge, connections, capacity & potential of communities • Positive, aspirational • What works well • Active participation in solutions • Co-production in health & wellbeing

  5. A glass half full

  6. Across the UK • National pilots • NHS North West – Stockport, Liverpool, South Cumbria, Central and West Lancashire • NHS Wakefield • NESTA • The Kings Fund • I&DeA • Marmot

  7. Reformatting the JSNA In relation to the JSNA, it is recognised that the routine intelligence provided needs to be expanded to include ‘both intelligence about assets and the evidence of what has worked elsewhere in meeting the needs or enabling the assets identified’ and to ‘embed assets in strategic processes’ (NHS North West)

  8. Greenwich JSNA • From 2013-14 will begin to incorporate an assets assessment into its JSNA/ commissioning process. • UEL brief: develop a local JSNAA model

  9. Approach • Concept framework • Develop a conceptual assets model that maps unto commissioning cycle • Case studies • In-depth exploration of selected exemplars • Toolkit • Co-produce operational model/toolkit with the Greenwich JSNAA Assets Working Group • Interviews • Discussions with local informants and assets experts

  10. Challenge An assets based approach challenges how services are designed and delivered and requires a fundamental realignment of the relationship between commissioners, providers, service users and communities

  11. Emerging issues • Language • Mindset • Organisational culture • Political buy in • Power shift

  12. Thank you

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