1. Joint Strategic Needs Assessment (How does this link to research)? December 2012 Pat Diskett (Deputy DPH, NHS Bristol)

2. Background  Requirement since end of 2007 (2008)  Joint = PCT (DPH) + LA (HSC/CYP)  National Best Practice Guidance  Strengthened Influence – has to inform new statutory Health and Wellbeing Strategy (plus CCG + NHS commissioning plans)

3. Overview of the JSNA  Identifies Health and Wellbeing needs, now and into the future (predicts changing needs/trends) – on-going process  Informs local (joint) priority setting and has local engagement: to improve health outcomes and reduce inequalities – and informs H&WB Strategy development  Strategic to inform commissioning and planning decisions and help shape services/provision (use of resources): Commission or deliver differently in the future? Helps shape both current and future services

4. Joint Process - > JSNA Outputs Broad baseline report - minimum dataset Web based portal, data sharing, profiling tools Horizon scanning Pointers, address gaps –> work programme Workforce development and training Needs analysis; Evidence; Equity Audits Info + data sharing -> intelligence + dissemination Service review design and redesign Strategic Analysis + Prioritisation

5. JSNA 2012  2012 JSNA - Transitional new Baseline 2011 New structure / new guidance / new stakeholders (inc CCG Localities)  Evidence base for Health and Wellbeing Strategy  Potential to use JSNA to help shape/inform research questions?

6. People and Patients,Health Watch, Carers, Communities and Services (inc. Acute, VCS etc) Adult Health and Social Care Children and Young People NHS CB Functions Wider Determinants of Health Public Health Commissioning CCG Functions Secondary Care and Specialist Services Primary Care and Interface services Prevention, Risk Assessment and Targeted Interventions From JSNA to Health and Wellbeing Strategy?

7. Baseline report Horizon scanning Horizon Joint Health & Wellbeing Strategy Taking the JSNA forward ows gap analysis JSR Joint Service Reviews JSNA Joint Strategic Needs Assess- ment Know- ledge gap + gap analysis

8. What Next: How can we make the JSNA “Truly Strategic”?  Programme Budgeting/Economic Analysis?  New Tools/Techniques/Academic Support?  Evidence into practice e.g. opportunities for better alignment of academic research and NHS/LA knowledge/evidence gaps?  Role of CCGs? GP Data?  H&WB Strategy?

10. Final Thoughts  Good Intelligence and High Level Strategic (Economic) Analysis is …. still no guarantee of effective decision- making……………

11. 2012 Strategic Summary- Bristol  Population Change  Economic Outlook  Children and Young People  Adults and Older People  Health Inequalities  Lifestyles and Health Improvement  Healthy City (inc wider determinants of health)  Service Landscape, Service Utilisation and Needs  Challenges for commissioners & planners over 3-5 yrs