Health Needs Assessment. Dr Jean Robinson NHS Nottingham City. Learning Objectives. To understand what is meant by HNA Identify the drivers, purpose and applications of HNA and JSNA To increase awareness, through case studies, of how HNA is applied in practice. Health needs assessment.
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Dr Jean Robinson
NHS Nottingham City
The systematic method of identifying unmet health and healthcare needs of a population and making changes to meet those unmet needs.
Wright J, Williams R & Wilkinson J. BMJ 1998; 316: 1310-3.
A systematic review of the health issues facing a population leading to agreed priorities and resource allocation that will improve health and reduce inequalities.
Health Needs Assessment: A Practical Guide (NICE 2005)
NHS Planning Guidance 2005-2008
PCTs and their partners will need to consider the particular needs of their population, taking into account different needs and priorities within each community.
PCTs should demonstrate that, as well as using epidemiological data and general survey data to identify the differing needs of their populations, they have listened to the views of patients and the public and in particular have taken account of the results of patient and user surveys ....
Core standard C23
1. The PCT assesses the health needs of its local population, including analysis of its demography, health status, health and social care use and patient and public views.
2. The PCT’s commissioning decisions and local target setting are informed by its assessment of health needs ....
3. The PCT commissions or provides targeted programmes and services .... based on the needs of its local population.
*NB The Healthcare Commission are an Independent regulator of health and social care in England
World Class Commissioning (2008)
By identifying current needs and anticipating future trends, PCTs will be able to ensure that current and future commissioned services address and respond to the needs of the whole population, especially those whose needs are greatest.
PCTs should .... undertake robust and regular needs assessments that establish a full understanding of current and future local health needs and requirements
... and who to involve?
Identifying problems and challenges
perceptions of needs
Action planning for change
which issue(s) to tackle?
what are effective and acceptable interventions?
Proxy Mortality rates by GP practice (based on registered population)
Age standardised admission rate per 1,000 population
The model ranks 5 indicators of the burden of CHD at a practice level: