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Redesigning Joint Strategic Needs Assessments: an assets based approach
Patrick Tobi, Gail Findlay, Kevin Sheridan, Faye Adams-Eaton
Institute for Health and Human Development
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JSNA
Statutory duty since 2007
Health & Social Care Act 2012
NHS - Local Authority - LSP/CVO partners
Public involvement
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JSNA and JHWSFrom evidence to service planning
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Needs and Assets
Assets approach
• Values skills, knowledge, connections, capacity & potential of communities
• Positive, aspirational• What works well• Active participation in
solutions• Co-production in health
& wellbeing
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
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A glass half full
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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
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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)
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Greenwich JSNA
• From 2013-14 will begin to incorporate an assets assessment into its JSNA/ commissioning process.
• UEL brief: develop a local JSNAA model
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Approach
ScopingDevelop and apply a systematic framework to scope existing assets based work locallyCase
studiesIn-depth exploration of selected exemplars
InterviewsDiscussions with local informants and assets experts
Concept frameworkDevelop a conceptual assets model that maps unto commissioning cycle
ToolkitCo-produce operational model/toolkit with the Greenwich JSNAA Assets Working Group
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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
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Emerging issues• Language
• Mindset
• Organisational culture
• Political buy in
• Power shift
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Thank you