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Jsna 29th Sept (Mike Link & Ed Cassidy)

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Presentation on the West Sussex JSNA made at the Turning the Tide Event on 29/09/09

Presentation on the West Sussex JSNA made at the Turning the Tide Event on 29/09/09

Published in: Health & Medicine

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  • 1. Joint Strategic Needs Assessment Turning the Tide 29th Sept 2009 Workshop C Mike Link & Ed Cassidy
  • 2. Workshop Format
    • Short presentation - JSNA re-cap and examples
    • Discussion - what does JSNA tell us about Coastal areas?
      • in general
      • for social care in particular
    • Are we making the most of JSNA?
    • Key messages
  • 3. Strategic Needs Assessment means: OUTPUTS Demography Joint Strategic Needs Assessment Desired health and well being outcomes in 3 – 5 years time for population Social & environmental Current health of population Current provision Patient voice Public demands Service Reviews Contracting & procurement Market development Investment decisions Capital Plans INPUTS Decisions made by: LA/LSP PCT SCS, LAA, Budget planning Prospectus & metrics
    • Inequalities
      • Outcomes
      • Access
    Budgets Effectiveness
  • 4. JSNA not a single product – but an ongoing process
    • On going process of examining needs, services and projecting forward.
    • Looking at each service in detail.
    • Breaking down what we know into smaller areas.
    • Includes the important aspect of “voice” - what people want or expect to change with time
  • 5. Assessment must reflect:
    • Need for data to inform short, medium and longer term – can get easily bogged down in performance targets and immediate delivery.
    • Changing nature of public services – less direct provision more promoting/fostering market.
    • Choice – people able to exercise choice and be supported to achieve good outcomes.
  • 6. Gap in life expectancy between the SHA bottom quintile and the rest of the SHA, by PCT. 2003-2005, with 95% confidence limits. Inequalities - one of the main priorities in the JSNA – huge challenge for coastal areas
  • 7. Index of Deprivation 2007 Overall Deprivation West Sussex Lower Super Output Areas (LSOAs) Coastal areas contain most deprived areas in West Sussex
  • 8. Thinking ahead – health and social care have to expand horizon of what we need to influence and change.
  • 9. Wider Determinants e.g Pupils obtaining 5+ A*-C Grades - ADUR
    • Need to break into cycle of deprivation in many neighbourhoods – education vital for longer term health and social care
    • Links to teenage pregnancy, obesity levels, smoking, some long-term conditions.
    31.0 25.9 23.2 21.3 50.7 37.6 37.7 35.0 2007/08 2006/07 2005/06 2004/05
  • 10.  = in top 25% of LAs  = in middle 50% of LAs  = in bottom 25% of LAs Wider Determinants – Mid Life Physical Activity Rates
    • Very important for later life health is health of “mid lifers”
    • Physical activity rates in coastal WSx poor
    • Important for mental and emotional health not just physical.
    • Raising activity rates will have pay-off for health and social outcomes (and budgets).
    • Need to push for some key client groups to access leisure (adults with learning disabilities, people with long-term conditions, older people)
    n/a ENGLAND 22.1% West Sussex  19.4% WORTHING  25.3% MID SUSSEX  24.1% HORSHAM  19.6% CRAWLEY  27.1% CHICHESTER  19.4% ARUN  19.9% ADUR NI 8 (from Active People 2) - adult participation in sport and active recreation %
  • 11. Knowledge – to keep/move people down the pyramid CHOICE / CONTROL COST/ RESOURCE INTENSIVE SPECIALIST INTERVENTION SUSTAINABILITY
    • Information required for all levels of support for health and well being - populations, specific groups or communities and services.
    Citizens Everyone Housing, employment, safety, lifestyle…… Individuals, groups, communities Organisations - statutory, voluntary, community Prevention policies Frail/vulnerable Acute Care Health, social care, housing Service users, patients, carers
  • 12. Some basic stuff - who is receiving a service, - who isn’t receiving a service - and who may need support in the future. e.g plotting where adults with a learning disability currently attend day centres, how far they travel and what facilities / activities they access.
  • 13. Dementia: prevalence assumptions applied to West Sussex Population Projections Source : Personal Social Services Research Unit (PSSRU) at the London School of Economics and the Institute of Psychiatry at King’s College, London, for the Alzheimer’s Society, 2007. Estimates of 10% increase by 2021, 16% by 2026 Planning for the Future – e.g Numbers of People with Dementia
  • 14. Shorter Term use of JSNA Being able to target specific work – e.g. Tackling Fuel Poverty SOLID WALLS – the map below shows the percentage of total dwelling in each ward estimated to have solid walls OFF GAS – the map below shows the percentage of total dwelling in each ward not on mainline gas.
  • 15. Challenges
    • Gaps in knowledge – e.g. Housing, homelessness, young people, time lags in data
    • Well being for mental and emotional health .
    • Treating families as a unit – not just treating individuals – relation between cared for and carer.
    • No longer provider of many services – need to ensure market is developed for people’s needs
    • How to keep track of outcomes on self directed support.
    • Prevention – ageing population means we need to be as healthy and as independent as possible.
    • Jointly planning and delivering services with health.