joint strategic needs assessment & joint health & wellbeing strategy

http://info.wirral.nhs.uk

Joint Strategic Needs Assessment & Joint Health & Wellbeing Strategy

• Wirral Shadow Health & Wellbeing Board is seeking to produce its first draft Joint Health & Wellbeing Strategy for summer 2012.

• The board will be helped to set its priorities for the strategy through the review of the key issues in Wirral’s JSNA (Joint Strategic Needs Assessment).

• This review will happen over the next 3 months, cover a wide variety of people and seek to collect the views, thoughts and ideas from Wirral residents and local organisations.

http://info.wirral.nhs.uk/


Health & Wellbeing in Wirral: The Big Picture

LINk, Joint Strategic Needs Assessment & Joint Health &

Wellbeing Strategy


What we hope to cover• Why undertake a Joint Strategic Needs

Assessment ?• What is a Joint Strategic Needs Assessment ?• What is a Joint Health & Wellbeing Board &

Strategy?• Wirral’s Joint Strategic Needs Assessment & Joint

Health & Wellbeing Strategy - progress• What are the key issues?• What are you views?

Today’s session


The Local Government and PublicInvolvement in Health Act (2007)

The duty to undertake JSNA is set out insection 116 and described in the draftstatutory guidance ‘Creating Strong, Safeand Prosperous Communities’. The dutycommenced on the 1 April 08.

Original policy context


Health & Social Care Bill (2011)Seeks to modify the original duty to undertake JSNA (section 116 of act)

• Requires local authorities and their partner commissioning consortia to produce a joint health and well-being strategy to meet the needs identified in the joint strategic needs assessment.

• Imposes a duty on consortia, the local authority and the NHS Commissioning Board to have regard to the joint strategic needs assessment and joint health and wellbeing strategy when carrying out their commissioning functions.

• Requires a local authority, and each partner commissioning consortium to have regard to the most recent needs assessment and strategy when exercising relevant functions

Current policy context


Details of the Bill (1)

Joint Strategic Needs Assessments and Health & Wellbeing Strategies (1)

• Guidance is “a process to identify the current and future health and wellbeing needs of a population in a local authority area”.

• A duty to prepare a joint strategic needs assessment.

• Duty to have regard to assessments and strategies placed into the 2007 Act.


Details of the Bill (2)

Joint Strategic Needs Assessments and Health & Wellbeing Strategies (2)

• Local Authorities and their partner commissioning consortia to produce a joint health and well-being strategy to meet the needs identified in the joint strategic needs assessment.

• Impose a duty on consortia, the local authority and the NHS Commissioning Board to have regard to the joint strategic needs assessment and joint health and wellbeing strategy when carrying out their commissioning functions.

• A Local Authority, and each partner commissioning consortium to have regard to the most recent needs assessment and strategy when exercising relevant functions.

http://info.wirral.nhs.ukFeb 2011 1

Wirral Council Lead role for Health Improvement

Public Health Functions

“Local authority to exercise its own or any of the Secretary of State’s public health functions by taking “such steps as may be required”

Health Scrutiny

Local Authority will continue to have oversight and scrutiny powers, which they may discharge how

they see fit

Health & Wellbeing Boards

A Board will be a committee of the local authority and treated as if it were appointed under section 102 of the Local Government Act 1972

Members to include Executive Leader/Councillor, Directors of Adult Social Services, Children’s Services and Public Health, a rep from Local HealthWatch, a rep from each relevant commissioning consortium, other as considered appropriate

Health & Wellbeing Strategy that meets the needs identified in Wirral’s JSNA Requires local authorities and their partner commissioning consortia to produce a joint health and well-being strategy

to meet the needs identified in the joint strategic needs assessment.

Act imposes a duty on consortia, the local authority and the NHS Commissioning Board to have regard to the Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategy when carrying out their commissioning functions.

NHS Commissioning Board

“Exercise its functions with a view to encouraging commissioning consortia [clause 6] to work closely with

local authorities in arranging for the provision of services”.

GP Consortium

Every consortium will prepare plans setting out how they will meet their consortia commitments and their contribution to the

actions in the Health and Wellbeing Strategy

H&SC Bill: JSNA impacts


What is JSNA?

• Identify current and future health and wellbeing needs

• Identify the “the big picture”

• Provide the information and evidence

• Have a strong public voice

• Be an iterative data process within a continuous cycle of collating needs

What is a Joint Strategic Needs Assessment?


• Coordinated by NHS Wirral and Wirral Borough Council

• Delivered through strong partnership working, underpinned with dedicated resources and offers a strong base to develop future collaborative work

• Detailed analysis of intelligence and engagement information

• A focus on population groups & key conditions

Wirral JSNA


What is a Joint Health & Wellbeing Strategy?

W hat services do we need to com m ission (or de- com m ission), provide and shape; both separately

and jointly? – com m issioning plans

Explic it link from evidence

to service planning

So what are our priorities for collective action, and how will we

achieve them together? – the JHW S

W hat are w e doing now, how well is it working and how efficient is it? - a analysis on our progress

So what does that m ean they need, now and in the future and what assets do we have? – a narrative on the evidence - the JSN A

W hat does our population & place look like? – evidence and collective insight

HEALTH & W ELLBEING BO ARD

Engagem ent with

usersand the public


The general duties and powers relating to health and wellbeing boards.

Statutory health and wellbeing boards

• Build strong and effective partnerships

• Improve the commissioning and delivery

• Improve health and wellbeing for local people.

• Establishment of a health and wellbeing board in every upper tier local authority by April 2013.

Flexible geographical scope

• All of the key health and social care commissioners

• With Local HealthWatch

• Co-terminus with CCG and local authorities.

Wirral Health & Wellbeing Board (1)


Continued…

Statutory minimum membership

• A representative from local HealthWatch • At least one elected representative, • Nominated by the leader of the council or the Mayor, • A representative from each CCG within the local authority area, t• Local authority directors of adult social services, children’s

services, and public health and • NHS Commissioning Board rep when it is requested to do so by

the board

Wirral Joint Health & Wellbeing Board (2)


Intends to …•Translate priorities into concrete actions•A local agreement increasing the local legitimacy•Setting shared priorities based on evidence of greatest need•Setting out a clear rationale for the locally agreed priorities•Strategic overview on how to address the key issues identified•Maximise resources and focus on issues where the greatest outcomes can be achieved•Addressing issues through joint working •Supporting increased choice and control

Wirral Joint Health & Wellbeing Strategy


Prioritisation of the needs identified in JSNAs

Wirral Joint Health & Wellbeing Strategy (2)

Agreed shared priorities

Take actions to address

Monitoring of outcomes


JSNA covers:Dedicated resource

Support from wider intelligence functions

Summary documents of JSNA Chapters

Latest versions of JSNA documents

Interactive Maps and data via Instant Atlas, to enable users to compare Wirral’s performance with the rest of UK

Wide range of other related information

JSNA Components






What is said about JSNA• The array of national and regional comment

on JSNA• Latest guidance (May 2011)

LGID Springboard for Action• Further guidance from DH on JSNA & JHWBS • North West Transition Alliance• Local perspectives

http://info.wirral.nhs.uk/document_uploads/angela-denny/JSNA%20Springboard%20for%20Action.pdf

http://info.wirral.nhs.uk/document_uploads/health%20and%20wellbeing%20Board/JSNAsandJHWBDraftstrats.pdf

http://www.transitionalliance.co.uk/transition-alliance


What have we found out…..?

• People have used the JSNA• People value its availability• People see it being an important element within their future

work

• It is not always their first port of call for most recent data• It does not reflect changes to their area of expertise• It has had a limited impact on commissioning unlike that

intended in the original legislation

• Other needs assessments continue to be undertaken• The Health & Social Care Bill can have a major impact on the

JSNA


What are we doing?

• Meeting people, listening and understanding how they see the JSNA and what they need it to be

• Supporting development of governance structures• Reviewing JSNA - refreshing and developing sections• A continuous refresh process of data and narrative • Engagement through a wider group of authors and

reference groups


What else are we doing?

• Developing a continuous engagement process• Continuous review of Website• Understanding and developing the range and variety

of access routes to the JSNA• JSNA email bulletin*• Work with partners through Wirral Joint Intelligence

Group and others (public data hub)• Work with colleagues and partners to support their

strategy, policy and planning processes (EBDM)• Supporting Health & Wellbeing Board and

development of Joint Health & Wellbeing Strategy


Your involvement• As authors

• As reviewers

• As contributors

• As eyes and ears

• As developers

• As opportunists

• As partners

• As JSNA Users

It is about……

Evidence of needs

Gaps in knowledge

What worksKey Issues


What are the Key Issues??

• Drawn from the contents of the JSNA

• An overview from a number of aspects that affect local people

• Provide a starting point to develop priorities

• First year, first approach, first steps…


What to do with the Key Issues?

Consider document about to be handed out

Discuss and ‘in’s & out’s’, and the ‘pro’s & con’s’

Review the summary of each chapter together

Do you recognise these issues?Do they resonant with you and what you know?What are you aware of?

Go page by page – discuss – record – reach some consensus – consider if there are any priorities


Chapters and Key Issues

QuestionsDo you recognise these issues?Do they resonant with you and what you know?What are you aware of?

Approach•Go page by page•Discuss •Record •Each some consensus •Consider if there are any priorities


Review of session and summary

• Reviewed why we have JSNAs and JHWBS• Recognise Wirral’s approach and JSNA products and what

stage we are at…• Considered key issues as derived from JSNA Chapters• Discussed and debated the key issues and reached some

consensus to any priorities• Gathered more information on aspects that may not

appear in the key issues• Provide another opportunity to reflect at your leisure…• Let you know how you contribution has been used…


Thank you…

Any questions…?

joint strategic needs assessment & joint health & wellbeing strategy

Documents

recent needs assessment

ukhttp wellbeing

health wellbeing strategies

health act

future health

wellbeing strategy

local organisations

local authority area