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
Workforce
development
and training
Service review
design and
redesign
Web based portal, data sharing,
profiling tools
Pointers, address gaps –>
work programme
Horizon scanning
Broad baseline report minimum dataset
Info + data
sharing ->
intelligence +
dissemination
Needs
analysis;
Evidence;
Equity
Audits
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
Adult Health
and
Social Care
CCG
Functions
Children
and
Young
People
People and
Patients,Health
Watch, Carers,
Communities and
Services (inc.
Acute, VCS etc)
Public Health
Commissioning
Prevention, Risk
Assessment and
Targeted
Interventions
NHS CB
Functions
Wider
Determinants
of Health
From JSNA to Health and Wellbeing Strategy?
Taking the JSNA forward
Joint Health & Wellbeing
Strategy
Horizon
ows
Horizon
scanning
JSR
Joint
Service
Reviews
Knowledge
gap
+
gap
gap
analysis
analysis
JSNA
Joint
Strategic
Needs
Assessment
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 decisionmaking……………
2012 Strategic Summary- Bristol
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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