1. Joint Strategic Needs Assessment (JSNA) 2012 - 2016 Update Jan Walker 27 th September 2011

2. JSNA - A Springboard for Action Provides a comprehensive analysis of local current and future needs for adults and children to inform commissioning Supports effective decision-making Ensures efficient use of limited public resources Makes sure services deliver public value by promoting the wellbeing of individuals, families and communities

3. Policy Context Statutory duty on upper-tier local authorities and local NHS since 2007 Key part of health and social care reform Under the Health and Social Care Bill Health and Wellbeing boards will be required to produce a JSNA and a Joint Health and Wellbeing Strategy that will drive all health and wellbeing strategic commissioning

4. Elements of the JSNA Population data - growth, migration, birth, gender, age, ethnicity Social and place - housing environment, employment, educational attainment, benefit uptake, vulnerable groups, crime and disorder and community cohesion Lifestyle determinants of health - exercise, smoking, diet, alcohol, drug abuse

5. Elements of the JSNA Epidemiology - mortality, life expectancy, long- term conditions, disease prevalence, immunisation uptake rates Service access and utilisation - emergency admissions, vulnerable groups receiving care, screening uptake, transport, children’s centres and welfare rights Evidence of effectiveness - good practice, literature reviews, National Institute for Health and Clinical Excellence (NICE) guidelines and quality standards

6. Elements of the JSNA Other local data - Information from the voluntary sector, qualitative sources, service providers, the private sector Community perspectives – the views, expectations, perceptions and experiences of service users and local communities about what contributes to good health.

7. Progress to Date Agreed timescale for production of 2012- 2016 JSNA by April 2012 JSNA Steering Group set up with cross- cutting membership from council Health and voluntary sectors Extensive Data collection exercise underway Vision for Trafford JSNA developed

8. Life Course Approach Pre-conception & Birth (smoking during pregnancy, birth & fertility rates, Infant mortality, etc) Children (Access to Sure Start, Obesity, Educational Attainment, Looked After Children, etc) Young People (Sexual Health, Teen Pregnancy, Skills & Employment, Alcohol/Substance Abuse, etc) Working Age Adults (Deprivation, Housing, Mental Health, Health Screening, etc) Getting Older (Demographics, Fuel Poverty / Winter Deaths, Dementia, Falls, etc) Mortality (Life Expectancy, Causes of Death, etc)

9. Vision for Trafford JSNA It will be web based using InfoTrafford infotrafford.org.uk It will present needs at different levels: Trafford Ward Profiles Communities Vulnerable Groups

10. Questions