JSNA Best practice Calderdale summary report

NATIONAL JSNA DATA SET PROJECT
PROJECT SITE SUMMARY REPORT
GENERAL INFORMATION
Field Site Name:
NHS Calderdale
Web address:
www.calderdale-pct.nhs.uk
Type of Site:
Please give some context to your LSP including how the local authority is arranged, e.g.
unitary, two-tier etc. Please also comment on the alignment of health and local
authority boundaries, the local JSNA process and extent of partnership working with
wider partners.
Calderdale is a Metropolitan Borough Council which has co-terminous boundaries with the PCT.
The Local Strategic Partnership has 6 key theme groups and these have representation from all the key partners
and stakeholders. A cross theme working group is responsible for developing the JSNA which is led by the Joint
Director of Public Health. The findings of the JSNA and any subsequent gaps are discussed within each theme
group.
Primary JSNA contact(s): [email protected]
[email protected]
Contact details:
Tel: 01422 281300
Tel: 01422 281477
Mobile: 07881627432
Mobile:
Email:paul.butcher@calderdale-
Email:[email protected]
pct.nhs.uk
PROJECT DETAILS
Project overview,
outcomes and output:
Please give a summary of the project you chose to undertake and why. Briefly explain
the methodology for the work you have carried out, detailing the outcomes and outputs
available to share nationally.
The aim of the project was to develop a cost effective and robust methodology for eliciting information from
adults about lifestyle behaviours and perceptions of the local community.
Our JSNA identified huge gaps in data on lifestyle behaviours and community perceptions, which needed to
be addressed for our next version. Historically surveys are used to gather this kind of information to inform
local planning. However getting the balance right between a robust survey methodology and low cost is
often problematic.
We commissioned Huddersfield University to carry out the following pieces of work:
1. A review of lifestyle surveys in current use – this involved collating information about:
a) lifestyle surveys/instruments used by PCTs/LAs /PHOs, etc
b) mode of administration, response rates and strategies for targeting particular populations.
c) costs associated with administration
NATIONAL JSNA DATA SET PROJECT
PROJECT SITE SUMMARY REPORT
2. A scoping exercise to identify the feasibility of lifestyle survey methodologies not yet adopted routinely by
PCTs/LAs/PHOs, (for example the use of technology in survey administration) and production of best
practice recommendations.
A draft report is currently available: McClusky S, Topping A (2009) Increasing response rates to lifestyle
surveys: A review of good practice. University of Huddersfield, which has been circulated to members of the
JSNA data set project. It is expected that the final report will be available to be shared nationally by the end
of November
What worked well?
The project is directly beneficial to Calderdale and it ties in, not only with our JSNA,
but also the Healthy Halifax work. Therefore the results of this work will be widely
used within Calderdale.
The results of this project have implications for any life style surveys carried out
within the UK therefore the findings are applicable nationally and can be easily
shared in the form of a report/presentations.
The approach we took of commissioning another organisation to carry out the work,
rather than conducting it in house worked well as we wouldn’t have had the capacity
to complete the work and employing temporary staff may have been
problematic/time consuming.
We’ve delivered in producing a piece of work within the timescales given.
What didn’t work well?
There were certain barriers to overcome during the project. Most of the work for this
project was dependent on the co-operation and support of other organisations.
The communication/co-operation between the project and the PHO network could
have been more we believe this may have had an impact on the quality and quantity
of the case studies presented in the report. We would have liked the case studies to
be much more comprehensive, but we could only request information from contacts
that we had (which were mainly from the Northern and Yorkshire region). Delays in
this area resulted in a knock on effect for the rest of the project.
NATIONAL JSNA DATA SET PROJECT
PROJECT SITE SUMMARY REPORT
What would you do
differently?
What barriers did you
have to overcome?
If we were to do a project like this again we would spend more time at the beginning
ensuring that everyone was totally clear on the purpose and outcomes of the project
Timescales were one of the main barriers as at the start of the project we were
told that we would need a product ready for September.
Differences in culture between the NHS/LA and the University.
Differences in approach
NATIONAL JSNA DATA SET PROJECT
PROJECT SITE SUMMARY REPORT
Looking ahead, how
has your JSNA work
helped to prepare you
for the new policy
landscape of "Total
Place", QIPP,
"Personalisation" and
"World Class
Commissioning"?
What concerns do you
have about making
your JSNA useful for
this new context?
With regards to world class commissioning the project has been very useful in
providing methods to gather further information to support/monitor our WCC
outcomes and also to develop a story of place and focus on priorities for
commissioning.
The work done for the project should assist with the prevention element of QIPP
however we feel it ‘s too early to say
The main concern is that the JSNA started off as a health needs assessment to
inform ‘world class’ commissioning but it now appears to need to be everything to
everybody. There needs to be some limitations on the scope of the JSNA otherwise
in trying to cover everything it may end up not being useful for anything
ADDITIONAL INFORMATION
Please provide any additional information you deem useful, and any other relevant comments and list attached
documents, presentations and web-links.
The paper on lifestyles is still in draft form and we have highlighted the following issues to be addressed within the
final report





Clear recommendations for NHS/LA organisations. At the moment the research evidence is presented, it needs
taking a stage further to provide recommendations on the best course of action. . Also there is quite a bit of
discussion around incentives, but is this something that would be practical for NHS organisations to do or would
there be ethical/political problems with this?
Cost/benefit analysis for certain aspects i.e. if you've got x amount of money to spend to improve your response
rate where's the best place to spend it. For example there is mention of recorded delivery, first class stamps etc to
increase response rate in postal surveys, but it's not clear which course of action gives the best response rate and
the cost, so would I be best spending my money on first class stamps or would I be better using recorded delivery?
Information on how migrant/traveller populations could be targeted
Additional context around the diversity of our population at the beginning of the report and stress how important it is
that all sectors of society are represented (
More information on how mixed methods can be used practically, for example can data from interviews and
surveys be analysed together
NATIONAL JSNA DATA SET PROJECT
PROJECT SITE SUMMARY REPORT
Please return completed forms to [email protected]
Many thanks for completing this form and for your engagement and enthusiasm for the project!