Discussion - what does JSNA tell us about Coastal areas?
for social care in particular
Are we making the most of JSNA?
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
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
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.
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
Index of Deprivation 2007 Overall Deprivation West Sussex Lower Super Output Areas (LSOAs) Coastal areas contain most deprived areas in West Sussex
Thinking ahead – health and social care have to expand horizon of what we need to influence and change.
= 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 %
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
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.
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
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.