Joint Strategic Needs Assessment & Joint Health & Wellbeing Strategy

1. http://info.wirral.nhs.uk

2. Joint Strategic Needs Assessment & Joint Health & Wellbeing Strategy • Wirral Shadow Health & Wellbeing Board is seeking to produce its first draft Joint Health & Wellbeing Strategy for summer 2012. • The board will be helped to set its priorities for the strategy through the review of the key issues in Wirral’s JSNA (Joint Strategic Needs Assessment). • This review will happen over the next 3 months, cover a wide variety of people and seek to collect the views, thoughts and ideas from Wirral residents and local organisations. http://info.wirral.nhs.uk/

3. Health & Wellbeing in Wirral: The Big PictureLINk, Joint Strategic Needs Assessment & Joint Health &Wellbeing Strategy http://info.wirral.nhs.uk/

4. What we hope to cover Why undertake a Joint Strategic Needs Assessment ? What is a Joint Strategic Needs Assessment ? What is a Joint Health & Wellbeing Board & Strategy? Wirral’s Joint Strategic Needs Assessment & Joint Health & Wellbeing Strategy - progress What are the key issues? What are you views? Today’s session http://info.wirral.nhs.uk

5. Original policy context The Local Government and Public Involvement in Health Act (2007) The duty to undertake JSNA is set out in section 116 and described in the draft statutory guidance ‘Creating Strong, Safe and Prosperous Communities’. The duty commenced on the 1 April 08. http://info.wirral.nhs.uk/

6. Current policy context Health & Social Care Bill (2011) Seeks to modify the original duty to undertake JSNA (section 116 of act) • Requires local authorities and their partner commissioning consortia to produce a joint health and well-being strategy to meet the needs identified in the joint strategic needs assessment. • Imposes a duty on consortia, the local authority and the NHS Commissioning Board to have regard to the joint strategic needs assessment and joint health and wellbeing strategy when carrying out their commissioning functions. • Requires a local authority, and each partner commissioning consortium to have regard to the most recent needs assessment and strategy when exercising relevant functions http://info.wirral.nhs.uk/

7. Details of the Bill (1) Joint Strategic Needs Assessments and Health & Wellbeing Strategies (1) • Guidance is “a process to identify the current and future health and wellbeing needs of a population in a local authority area”. • A duty to prepare a joint strategic needs assessment. • Duty to have regardto assessments and strategies placed into the 2007 Act. http://info.wirral.nhs.uk/

8. Details of the Bill (2) Joint Strategic Needs Assessments and Health & Wellbeing Strategies (2) • Local Authorities and their partner commissioning consortia to produce a joint health and well-being strategy to meet the needs identified in the joint strategic needs assessment. • Impose a duty on consortia, the local authority and the NHS Commissioning Board to have regard to the joint strategic needs assessment and joint health and wellbeing strategy when carrying out their commissioning functions. • A Local Authority, and each partner commissioning consortium to have regard to the most recent needs assessment and strategy when exercising relevant functions. http://info.wirral.nhs.uk/

9. H&SC Bill: JSNA impacts http://info.wirral.nhs.uk

10. What is JSNA? Identify current and future health and wellbeing needs Identify the “the big picture” Provide the information and evidence Have a strong public voice Be an iterative data process within a continuous cycle of collating needs What is a Joint Strategic Needs Assessment? http://info.wirral.nhs.uk/

11. Wirral JSNA • Coordinated by NHS Wirral and Wirral Borough Council • Delivered through strong partnership working, underpinned with dedicated resources and offers a strong base to develop future collaborative work • Detailed analysis of intelligence and engagement information • A focus on population groups & key conditions http://info.wirral.nhs.uk/

12. What is a Joint Health & Wellbeing Strategy? http://info.wirral.nhs.uk/

13. Wirral Health & Wellbeing Board (1) The general duties and powers relating to health and wellbeing boards. Statutory health and wellbeing boards • Build strong and effective partnerships • Improve the commissioning and delivery • Improve health and wellbeing for local people. • Establishment of a health and wellbeing board in every upper tier local authority by April 2013. Flexible geographical scope • All of the key health and social care commissioners • With Local HealthWatch • Co-terminus with CCG and local authorities. http://info.wirral.nhs.uk/

14. Wirral Joint Health & Wellbeing Board (2) Continued… Statutory minimum membership • A representative from local HealthWatch • At least one elected representative, • Nominated by the leader of the council or the Mayor, • A representative from each CCG within the local authority area, t • Local authority directors of adult social services, children’s services, and public health and • NHS Commissioning Board rep when it is requested to do so by the board http://info.wirral.nhs.uk/

15. Wirral Joint Health & Wellbeing Strategy Intends to … • Translate priorities into concrete actions • A local agreement increasing the local legitimacy • Setting shared priorities based on evidence of greatest need • Setting out a clear rationale for the locally agreed priorities • Strategic overview on how to address the key issues identified • Maximise resources and focus on issues where the greatest outcomes can be achieved • Addressing issues through joint working • Supporting increased choice and control http://info.wirral.nhs.uk/

16. Wirral Joint Health & Wellbeing Strategy (2) Prioritisation of the needs identified in JSNAs Agreed shared priorities Take actions to address Monitoring of outcomes http://info.wirral.nhs.uk/

17. JSNA Components JSNA covers: Dedicated resource Support from wider intelligence functions Summary documents of JSNA Chapters Latest versions of JSNA documents Interactive Maps and data via Instant Atlas, to enable users to compare Wirral’s performance with the rest of UK Wide range of other related information http://info.wirral.nhs.uk/

18. What is said about JSNA The array of national and regional comment on JSNA Latest guidance (May 2011) LGID Springboard for Action Further guidance from DH on JSNA & JHWBS North West Transition Alliance Local perspectives http://info.wirral.nhs.uk/

19. What have we found out…..? • People have used the JSNA • People value its availability • People see it being an important element within their future work • It is not always their first port of call for most recent data • It does not reflect changes to their area of expertise • It has had a limited impact on commissioning unlike that intended in the original legislation • Other needs assessments continue to be undertaken • The Health & Social Care Bill can have a major impact on the JSNA http://info.wirral.nhs.uk/

20. What are we doing? • Meeting people, listening and understanding how they see the JSNA and what they need it to be • Supporting development of governance structures • Reviewing JSNA - refreshing and developing sections • A continuous refresh process of data and narrative • Engagement through a wider group of authors and reference groups http://info.wirral.nhs.uk/

21. What else are we doing? Developing a continuous engagement process Continuous review of Website Understanding and developing the range and variety of access routes to the JSNA JSNA email bulletin* Work with partners through Wirral Joint Intelligence Group and others (public data hub) Work with colleagues and partners to support their strategy, policy and planning processes (EBDM) Supporting Health & Wellbeing Board and development of Joint Health & Wellbeing Strategy http://info.wirral.nhs.uk/

22. Your involvement It is about…… Evidence of needs Gaps in knowledge What works Key Issues • As authors • As reviewers • As contributors • As eyes and ears • As developers • As opportunists • As partners • As JSNA Users http://info.wirral.nhs.uk/

23. What are the Key Issues?? • Drawn from the contents of the JSNA • An overview from a number of aspects that affect local people • Provide a starting point to develop priorities • First year, first approach, first steps… http://info.wirral.nhs.uk/

24. What to do with the Key Issues? Review the summary of each chapter together Discuss and ‘in’s & out’s’, and the ‘pro’s & con’s’ Do you recognise these issues? Do they resonant with you and what you know? What are you aware of? Go page by page – discuss – record – reach some consensus – consider if there are any priorities Consider document about to be handed out http://info.wirral.nhs.uk/

25. Chapters and Key Issues Questions Do you recognise these issues? Do they resonant with you and what you know? What are you aware of? Approach • Go page by page • Discuss • Record • Each some consensus • Consider if there are any priorities http://info.wirral.nhs.uk/

26. Review of session and summary • Reviewed why we have JSNAs and JHWBS • Recognise Wirral’s approach and JSNA products and what stage we are at… • Considered key issues as derived from JSNA Chapters • Discussed and debated the key issues and reached some consensus to any priorities • Gathered more information on aspects that may not appear in the key issues • Provide another opportunity to reflect at your leisure… • Let you know how you contribution has been used… http://info.wirral.nhs.uk

27. Thank you…Any questions…? http://info.wirral.nhs.uk/