JSNA & INTELLIGENCE Dr. Ash More Lambeth & Southwark Public Health Sep 2013

LAMBETH: JSNA since 2008 Understanding the concept 1. What is a JSNA? Understanding the process and conducting a JSNA 2. How to do a JSNA? Presenting findings to enable decision making 3. How to present JSNA findings?

LAMBETH: JSNA since 2008 Understanding the concept 1. What is a JSNA? Understanding the process to conduct a JSNA How to do a JSNA? Presenting findings to enable decision making How to present JSNA findings?

Ways to explain JSNA to stakeholders 1. Complex 2. Simple

COMPLEX PERFORMANCE Performancemanagement Developing Commissioning & Provider strategies & plans Engagement with all key stakeholders on prioritisation PublicHealthRole Knowledgemanagement Continuous cycle

J = JOINT S= STRATEGIC N = NEEDS A = ASSESSMENT SIMPLE

LAMBETH: JSNA since 2008 Understanding the concept What is a JSNA? Understanding the process and conducting a JSNA 2. How to do a JSNA? Presenting findings to enable decision making How to present JSNA findings?

Lambeth Governance model – Local Strategic Partnership JSNA STEERING GROUP JSNA WORKING GROUP

ELEMENTS OF A GOOD JSNA 1. Includes Health, Social and ‘Wider determinants’ analysis 2. Good understanding of risk factors (preventable and non-preventable) 3. Good analysis of performance against outcomes 4. Stakeholder consultation to understanding needs 5. Evidence base of what works 6. Understanding Service provision 7. Identifying unmet needs, gaps in provision/information 8. Market capacity analysis 9. Findings – to influence strategic prioritisation of short, medium and long term priorities. NHS, CCG, PH outcomes NCHOD, NASCIS, PHBF, PHMF SUS, QOF, HES Linkage Anlaysis Provider Data INTELLIGENCE Qualitative

ANALYTICAL REVIEW: PRINCIPLE DATAINFORMATIONINTELLIGENCE

DATA & ANALYSIS DATA ANALYSIS NCIN, PROFILES ETC. PC, SUS, PROVIDERS HSCIC, NASCIS

National Obesity Observatory DATA SOURCES

PUBLISHING JSNA FINDINGS JSNA REPORT (2009) Appendix 1: Statistical Bulletin Appendix 2: SMALL AREA ANALYSIS Appendix 1: Qualitative Intelligence

LAMBETH: JSNA since 2008 Understanding the concept What is a JSNA? Understanding the process to conduct a JSNA How to do a JSNA? Presenting findings to enable decision making 3. How to present JSNA findings?

LAMBETH JSNA PUBLICATIONS ( )

LAMBETH JSNA PUBLICATIONS ( )

LEARNINGS

JSNA Process Evaluation: Findings

JSNA Evaluation findings

JSNA IN LAMBETH GOOD EXPERIENCE 1. Agreement and buy-in from partners on the importance of conducting a JSNA. 2. Provision of timely intelligence to influence strategic prioritisation. 3. Engagement with stakeholders to discuss health issues and impact of wider determinants. 4. Partnership working and contribution from various stakeholders (LA, PCT, CVS, LiNK, etc) CHALLENGES 1.Lack of understanding of what is a ‘JSNA’? – “…a process not a product” 2.Lack of ownership of JSNA - as business of, & for all. 3.Expectations of stakeholders. 4.Translating and communicating findings to influence the right priorities at the right time.

LEARNED PROCESS - JSNA to HWBS PH STATS BULLETIN (Prevalence Models refresh) WARD PROFILES PRACTICE PROFILES OUTCOMES REVIEW [Qualitative & Quantitative] HEALTH INTELLIGENCE ANALYSIS JSNA REPORT - HNAs PNA HEAs HIAs Economic Modelling Market capacity analysis Care Pathway Reviews Evidence base Stakeholder consultation JSNA STRATEGY PRIORITIES DELIVERY PLAN SUCCESS MEASURES H&WB STRATEGY

FUTURE ANALYTICAL NEEDS.. Expectations from PHE: 1. Outcomes analysis – CCG, NHS & PH. (Like 2. Practice profiles – Annual update for CCGs with PDF reports 3. ASC Outcomes – Update on outcomes presented with benchmarks and trends. 4. Disease chapters - Presented with health & social care outcomes data as guidance for commissioning – E.g. Cancer, CVD, Obesity etc. 5. CENSUS 2011 – Chapters for each borough 5. Evidence base – By disease or conditions (NICE, SCIE). 6. MAPS - Web function with map of local health and social care services (e.g. like SHAPE)