Joint Strategic Needs Assessment Voluntary & Community Sector Assembly 21 st July 2011 Dr Pat Diskett (Deputy Director of Public Health, NHS Bristol) and Nick Smith (Bristol JSNA Project Manager) (0117) /

JSNA - What is it for?  JSNA is ongoing process to identify Bristol’s health and wellbeing needs - now & in the future  Jointly produced - City Council (CYPS & HSC) and NHS Bristol (Public Health), with input from LINk and VCS  Purpose is to help shape current services, and inform future commissioning plans – improve health outcomes  Strengthened influence in future - new statutory Health and Wellbeing Strategy (plus NHS commissioning plans)

JSNA 2010  2010 Update was end product of 3-year cycle, building on JSNA Baseline and interactive Atlas tool.  Strategic focus to support Commissioning, inc Model for Health & Wellbeing – preventative services  All JSNA Reports, inc Baseline and new Summary are at:

Some Key Findings to date  Population profile is changing - aging / growing faster than national rate / increasing BME % (28% of Reception yr)  Older people needs – as more older people / & more with long-term conditions, forecast increases in dementia, heart disease & diabetes  Children’s needs – High & increasing obesity levels (10% Reception; 18% Yr 6) / 7.5% have condition impacting on daily life  Mental Health - Increase since recession / Evidence suggests 75% of issues develop below the age of 25  Est. 40,000 unpaid carers in Bristol – many are aging, so further increase in needs  Lifestyle risk factors – impact on health outcomes (eg poor diet, obesity, substance & alcohol misuse, smoking, risky sexual behaviours)  Need for better planning – housing, transport, energy use, green space for a more healthy city

JSNA development  JSNA 2011: Refresh of “Baseline” datasets  Stakeholder engagement  2-way process re intelligence -Example 1: RNIB research – evidence-based input to Bristol JSNA, led to increased focus on sight loss and ultimately improved services [nationally-quoted example] -Example 2: Knowle West Health Park – uses JSNA data to shape services and demonstrate local need  Important role for VCS to feed into JSNA - Identify data gaps & local need

Why should you get involved? “In a time of major economic constraint, reductions in public service expenditure and significant change, JSNA offers a route to... better understand the needs of the local population, to innovate and provide quality and cost effective services within available resources” Voluntary Organisations Disability Group (VODG) “In the future, a JSNA will be an essential part of the commissioning cycle, guiding decisions made at all stages from strategic planning and service provision through to monitoring and evaluation.” NHS Confederation / Local Gov Improvement & Development

VCS and JSNA Opportunity for providers to shape local agenda: - providers hold wealth of data & information about service user needs - detailed knowledge about local services, including gaps in services and unmet need Benefits for providers: - inclusion in the planning process - identify gaps in provision / new & innovative services More resources at: [Developed jointly by VODG and Local Government Improvement & Development, to support VCS to contribute local intelligence to help shape local authorities and PCTs understanding of local need]

Taking the JSNA forward  Enhanced JSNA - evidence base for new statutory Health and Wellbeing Strategy – inform local commissioning (Local Authority and GP/clinical commissioning)  Partnership approach – Opportunity to expand focus around wider determinants of health – potential benefit for VCS  Well placed for transition to Children, Adults and Families, and for Public Health into Council  Embed JSNA key findings into strategic commissioning to influence health and wellbeing outcomes

JSNA: Future “Proofing”