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Joint Strategic Needs Assessment. (How does this link to research)? December 2012 Pat Diskett (Deputy DPH, NHS Bristol). Background. Requirement since end of 2007 (2008) Joint = PCT (DPH) + LA (HSC/CYP) National Best Practice Guidance
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Joint Strategic Needs Assessment (How does this link to research)? December 2012 Pat Diskett (Deputy DPH, NHS Bristol)
Background Requirement since end of 2007 (2008) Joint = PCT (DPH) + LA (HSC/CYP) National Best Practice Guidance Strengthened Influence – has to inform new statutory Health and Wellbeing Strategy (plus CCG + NHS commissioning plans)
Overview of the JSNA Identifies Health and Wellbeing needs, now and into the future (predicts changing needs/trends) – on-going process Informs local (joint) priority setting and has local engagement: to improve health outcomes and reduce inequalities – and informs H&WB Strategy development Strategic to inform commissioning and planning decisions and help shape services/provision (use of resources): Commission or deliver differently in the future? Helps shape both current and future services
Joint Process - > JSNA Outputs Strategic Analysis + Prioritisation Broad baseline report - minimum dataset Info + data sharing -> intelligence + dissemination Workforce development and training Web based portal, data sharing, profiling tools Needs analysis; Evidence; Equity Audits Pointers, address gaps –> work programme Service review design and redesign Horizon scanning
JSNA 2012 2012 JSNA - Transitional new Baseline 2011 New structure / new guidance / new stakeholders (inc CCG Localities) Evidence base for Health and Wellbeing Strategy Potential to use JSNA to help shape/inform research questions?
Secondary Care and Specialist Services Primary Care and Interface services Prevention, Risk Assessment and Targeted Interventions Health and Wellbeing Board Children and Young People Adult Health and Social Care People and Patients,Health Watch, Carers, Communities and Services (inc. Acute, VCS etc) CCG Functions NHS CB Functions Public Health Commissioning Wider Determinants of Health Health and Wellbeing Strategy and JSNA From JSNA to Health and Wellbeing Strategy?
Taking the JSNA forward Joint Health & Wellbeing Strategy JSNA Joint Strategic Needs Assess-ment ows gap analysis JSR Joint Service Reviews Horizon scanning Horizon Know-ledge gap + gap analysis Baseline report
What Next: How can we make the JSNA “Truly Strategic”? Programme Budgeting/Economic Analysis? New Tools/Techniques/Academic Support? Evidence into practice e.g. opportunities for better alignment of academic research and NHS/LA knowledge/evidence gaps? Role of CCGs? GP Data? H&WB Strategy?
Final Thoughts Good Intelligence and High Level Strategic (Economic) Analysis is …. still no guarantee of effective decision-making……………
2012 Strategic Summary- Bristol Population Change Economic Outlook Children and Young People Adults and Older People Health Inequalities Lifestyles and Health Improvement Healthy City (inc wider determinants of health) Service Landscape, Service Utilisation and Needs Challenges for commissioners & planners over 3-5 yrs