Joint Strategic Needs Assessment 2012/13

1. Joint Strategic Needs Assessment 2012/13 Doncaster

2. Joint Strategic Needs Assessment “(A) process that will identify the current and future health and wellbeing needs of a local population, informing the priorities and targets set by Local Area Agreements and leading to agreed commissioning priorities that will improve outcomes and reduce inequalities.” • Strategic assessment of current and future health and social care needs • Assessment of both needs and assets • Understanding of inequalities and the factors that influence them • Focus on things that can be achieved together • Prioritise issues that require the greatest attention Guidance on Joint Strategic Needs Assessment, 2007 JSNAs and joint health and wellbeing strategies – draft guidance, 2012

3. Public Health Outcomes Framework JSNA process • Commissioned by the Shadow Health and Wellbeing Board • Inform the Health and Wellbeing Strategy • Provide ‘intelligence’ to the Shadow Board • Support prioritisation JSNA process • Commissioned by the Shadow Health and Wellbeing Board • Inform the Health and Wellbeing Strategy • Provide ‘intelligence’ to the Shadow Board • Support prioritisation

4. Current JSNA JSNA process • Commissioned by the Shadow Health and Wellbeing Board • Inform the Health and Wellbeing Strategy • Provide ‘intelligence’ to the Shadow Board • Support prioritisation JSNA outputs • Public Health Outcomes Framework • Doncaster’s demography • Community health profiles • Children’s health profile • Asset assessment

5. Public Health Outcomes Framework Goal To provide an assessment of potential Health and Wellbeing Board priorities based on the indicators in the Public Health Outcomes Framework. To develop a systematic approach to information to support prioritisation processes. Key message The following are potential key priorities for the Health and wellbeing board: perinatal mortality, low birth weight births, breastfeeding, infant mortality, children in poor households, excess weight in children, deaths and serious injuries on the roads, cancer screening programmes, suicide rates, liver disease mortality, respiratory disease, excess deaths in the winter.

6. Doncaster’s demography Goal To provide the latest demographic information about the borough. Key messages Doncaster, in common with most other areas, has an aging population. Over the next 10 years the number of people aged over 64 could increase by around 1,000 each year, the numbers of residents aged over 74 could increase by a little under 500 each year. The Index of Multiple Deprivation was updated last year and showed that Doncaster remains a relatively deprived borough with 21% of residents living in England’s 10% most deprived population.

7. Community Health Profiles Goals To update the community profiles published in 2010. To provide the latest health intelligence to support resource allocation and the identification of health needs in geographical communities. Key messages All 88 profiles will be published in the Doncaster together website: www.doncastertogether.org.uk Each community in Doncaster faces different health challenges. For some of Doncaster's communities these challenges are numerous and complex.

8. Children’s Centre area profiles Goals To provide health intelligence for all 21 Children’s Centre’s in Doncaster. To enable Children's Centre’s to assess health needs in their catchments. Key messages Similar to the Community Profiles, each Children’s Centre area faces a unique set of challenges. All 21 profiles have been published on the Doncaster together website: www.doncastertogether.org.uk The profiles were created to align the ‘Starting Well’ workstream in Public Health with ongoing projects in the Council. Public Health intelligence products will benefit from this continued collaboration, improving design and dissemination so that documents are of use to a wider partnership audience.

9. An assessment of ‘assets’ – Mental Health Goals To develop an agreed systematic approach to assessing community views and concerns and feed these into the JSNA process. To gage the views of the voluntary sector in relation to mental health services. Key messages The economic recession has increased the demand for services. The voluntary sector is also seeing an increase or change in demand due to national policy, e.g. the introduction of work capability assessments and personal budgets. Overall, services provide well for those with severe mental health issues but there is scope to be more preventative; building resilience in the wider population who may develop problems in the future. There is no complete picture of how mental health services are structured and delivered within the voluntary sector. A health asset is any factor or resource which enhances the ability of individuals or communities to maintain or sustain health or wellbeing.