Transcript Manchester Joint Strategic Needs Assessment (JSNA)

Joint Strategic Needs Assessment
(JSNA) – The Manchester way
Neil Bendel
Manchester Joint Health Unit
David Whyte
NW Joint Improvement Partnership (NW-JIP)
Starting Point - What is a JSNA?
What it is
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Common baseline to
underpin the development
of the Community Strategy,
Local Area Agreement and
Commissioning Strategic
Plan (CSP)
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Tool for use by
commissioners within both
health and social care
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A starting point!
What it isn’t
 An ‘super’ information
profile of the City
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A detailed commissioning
strategy
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An academic exercise
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A one-off piece of work
Process
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Multi-agency Working Group established
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Representatives from
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NHS Manchester (Public Health/Information/Commissioning)
Adults Social Care
Children’s Services
Manchester City Council (Research and Intelligence/Policy
Analysis Teams)
Local Involvement Network (LINk)
Overall project management/co-ordination through Joint
Health Unit
Ownership and engagement
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Executive sponsorship by Public Service Board (PSB)
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Regular feedback to Adults Health and Wellbeing
Partnership Board, Children’s Board and PBC Hubs
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Input from policy leads for relevant topic areas
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Local community and user engagement
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Representation from Manchester LINk on Working Group
Talking Health Discovery Survey (NHS Manchester)
Public summary produced with input from freelance
journalist
Methodology
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Compilation of data from existing information reports,
strategy documents and needs assessments
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Mixture of text, data tables and charts/maps
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“What do commissioners need to consider?” boxes
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Common framework for each chapter/sub-section
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Cross-referenced with existing strategies to ensure
consistency of approach and recommendations
Example – Chronic Obstructive Pulmonary
Disease (COPD)
Headline statistics
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National models suggest that
there are aprox.16,500 people
with COPD in Manchester
(5.5% of the population aged
15 and over).
The prevalence of COPD in
Manchester is higher than the
England average but lower
than other comparable cities
(e.g. Liverpool, Newcastle)
Between 2005 and 2007, 146
people presented to Adult
Social Care due to COPD.
What do commissioners need
to consider (examples)?
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Use of spirometry in schools
and community pharmacies to
test lung function
Investment in social marketing
programmes to support public
health messages about the
links between smoking and
COPD
Identify models of service
provision to support the care
needs of people using
Individual Budgets
Milestones
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December 2007 - Project Initiation Document (PID)
agreed
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May 2008 - First draft presented to Manchester Public
Service Board (PSB)
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June/July 2008 - Presentation to PCT Board, Adults
Health and Wellbeing Partnership and Children’s Board
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July/August 2008 – Presentations to PBC Hub Boards
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October 2008 – Full reference document and public
summary signed off
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November 2008 – Formal launch at IHiM Conference
Next Steps
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Further analysis
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Locality JSNAs to support PBC Hubs, Children’s Services and
Adult Social Care Districts etc.
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Application of population impact measures to key areas of JSNA
JSNA website (http://www.manchester.gov.uk/jsna)
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Hub for sharing documents and data
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Evaluation and self-assessment
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Feed into the LAA refresh, future community strategies
and updated Commissioning Strategic Plan
NW Survey: JSNAs and Commissioning –
What Helps?

Is the JSNA written in
such a way that it enables
commissioners to identify
the actions required of
them?
JSNA
Commis
sioning
Commissioning
Priorities
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If the JSNA is written with
commissioners in mind,
then do they possess the
skills required to deliver
the agreed commissioning
priorities?
Manchester JSNA Partnership Self-assessment
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Participated in regional review of JSNAs being
undertaken by NW Public Health Observatory
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SWOT Analysis undertaken by members of JSNA
Working Group
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Plans to assess views of wider-stakeholders using
framework provided by JSNA Readiness Tool/Quality
Assurance Toolkit
SWOT Analysis - Strengths
“Further strengthened existing partnership arrangements”
“Represents a collaborative and joined-up approach to
needs assessment between sectors”
“Strong support and ownership by key players”
“Provides a very sound basis for raising challenging
questions about the future commissioning of services”
SWOT Analysis - Weaknesses
“Community Engagement - challenges of getting best bits
from Children’s Services, ASC and NHS Manchester and
emerging LINk and getting it all to gel together”
“Not sure all commissioning staff are aware of/using the
information – especially in PbC”
“Available data may not fully meet the needs and
expectations of commissioners”
“Evaluation of impact on commissioning - discussed, but
as yet not fully developed”
SWOT Analysis - Opportunities
“Links to other needs assessment work under umbrella of
PSB (e.g. Crime and Disorder) and LAA (review and
refresh)”
“Development of Joint Commissioning Approach Manchester Model and better access to and utilisation of
expertise in Universities (e.g. predictive modelling)”
“To embed intelligent, needs-led commissioning processes
across health and social care”
“Locality JSNAs offer real and worthwhile opportunities to
develop the thrust of the JSNA process and principles”
SWOT Analysis - Threats
“Lack of consistency of commissioning streams e.g. PbC
x3; Children’s services; NHS/MCC shared commissioning
not fully developed”
“Ensuring that the JSNA is not seen as the answer to
everything - rather a crucial part of the intelligence
required by a range of services to better understand what
provision is required in the future”
“Capacity of PBC and district level partners (Children’s and
Adults) to take on Locality JSNA development”
Impact to date
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NHS Manchester Commissioning Strategic Plan (CSP)
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Adult Social Care Change Programme and Prevention
Strategy Implementation Plan
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Manchester City Council Carers Strategy 2008-2011
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Drugs and Alcohol Commissioning Strategy
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North West Strategic Migration Partnership
Making JSNAs work for commissioners
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How do we engage with commissioners across different
parts of the system?
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NHS (PCT and PBC)
Adult Social Care
Children’s Services
Third sector organisations
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How should we best design and structure the content and
outputs of the JSNA to make it useful for commissioners?
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How might we evaluate the impact of the JSNA on
commissioning behaviours and decisions?
What can we offer?
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Experience of making the best use of political structures
across the NHS and local government to ensure wider
ownership of JSNA beyond commissioning
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Understanding of joint working arrangements and links
between JSNA, Community Strategy, LAA and CYPP
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Knowledge of ‘soft’ information sources held by local
authority departments
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Links with other local partnerships to identify and access
best practice across the North West
Contact details
Neil Bendel
Manchester Joint Health Unit
Phone: (0161) 234 4089
E-mail: [email protected]
David Whyte
David Whyte (Consulting and Contracting) Limited
Phone: (0161) 408 6732
E-mail: [email protected]