Joint Strategic Needs Assessment
for the Royal Borough of Windsor
and Maidenhead
Allan Brown
Head of Adult Services
RBWM
What is a Joint Needs Assessment
(JSNA)?
The JSNA is a new process being carried out by the Royal
Borough of Windsor and Maidenhead and Berkshire
East Primary Care Trust to identify :
• Health & wellbeing needs
– Now & future
• Informs
– Sustainable Community Strategy
– LAA
– Commissioning of services
The JSNA identifies “the big picture” in terms of health and
wellbeing and inequalities of a local population.
Why do we need the
Joint Strategic Need Assessment?
• The Local Government and Public Involvement
in Health Act (2007) made carrying out a JSNA
is a legal duty for local authorities and Primary
Care Trusts from April 1st 2008
• To provide an understand current and future
health and well being needs of the local
population to inform LAA and strategic planning
• To provide evidence based information in order
to commission future services and interventions
which will achieve better health and wellbeing
outcomes and reduce inequalities.
What does the JSNA do which is new?
1.
2.
3.
4.
Provides a process which allows us to know
the needs of our local population across
health and social care. Eight principles
Putting people at the centre of commissioning.
Understanding the needs of populations and
individuals.
Sharing and using information more effectively.
Assuring high quality providers for all services.
What does the JSNA do which is new?
5. Recognising the interdependence between work,
health and well-being.
6. Developing incentives for commissioning for
health and well-being.
7. Making it happen – local accountability.
8. Making it happen – capability and leadership.
RBWM JSNA Development Process
• JSNA group LA/PCT
– Identified potential/suspected needs
• General brainstorming
• By category
– Evidence sought & collated
• Generally qualitative
• Evidence had often involved public consultation
– Summaries circulated / iterative process
– Reports written / drafts circulated
• Core dataset
– Generally quantitative
Results - some themes…
• General determinants
– Adult learning
– Affordable housing
– Accessing services without
a car
– Fear of crime
– Reduce environmental
impact
– Work-related stress
• Individual/lifestyle risk
factors
– Tobacco, drug, alcohol use
– Obesity, diet, exercise
• Population groups
– Rising elderly population
– Rising prevalence longterm conditions
– Better services for
vulnerable / those with
complex problems
– Offender health
• Specific illnesses
– Mental health in adults &
children
– Falls prevention
JSNA for RBWM
Health and Social Care Services
• Ensure hospital and social care are easy to reach and
of a high standard
• Continue to plan for major emergencies
• Improve information leaflets in GP surgeries
• Plan to provide services for a larger population
JSNA for RBWM
Alcohol Misuse
• Tackle social problems associated with alcohol
• Improve services for people who abuse alcohol
Obesity, diet and exercise
• Improve our knowledge about obesity in the Royal
Borough
• Encourage healthy eating in adults and children
• Promote exercise in adults and children
JSNA for RBWM
Older People
• Plan for anticipated rise in social care needs
• Improve co-ordination between community and
hospital care
• Improve services for older people with mental health
problems
• Improve availability of dedicated ‘end of life’ care.
JSNA for RBWM
Black and minority ethnic (BME) communities
• Ensure health and council services available to BME
Communities.
• Increase support to BME carers.
JSNA for RBWM
Long-term illness
•
Plan for increase in people with long-term conditions
Physically Disabled
• Improve access for disabled people in schools and other
buildings
• Continue to provide care where needed for physically
disabled
• Improve access to transport
JSNA for RBWM
Tobacco Use
• Continue to encourage people to quit smoking.
Drug Use
• Increase number of drug users accessing
treatment services
• Continue to provide information on drug misuse.
JSNA for RBWM
Learning Disabled and Autistic Spectrum Disorder
• Plan for more learning disability care packages
• Reduce health inequalities for those with learning
disabilities
• Improve opportunities for employment
• Improve access to services for people with Asperger
syndrome
JSNA for RBWM
Carers
• Reduce health and social inequalities for carers
• Improve support for carers of all ages, especially the
young and old
JSNA for RBWM
Mental Health
• Improve mental health support for children and young
people
• Plan for rise in people with mental health problems
• Plan for increase in people with dementia
• Reduce social exclusion and discrimination and
tackle bullying.
Adult Plan – approved 2008
Local Delivery Plans
Autistic Spectrum Disorder
Carers
Physical Disability
Drugs and Alcohol
Learning Disability
Long Term Condition
Mental Health – Adults
Older Persons Mental Health
Older Persons
Sensory Needs
JSNA and it’s propose for the future…
• Always know the needs of our local population
–
–
–
–
Easily available
Up-to-date
Evidence-based
Know where gaps exist
• In order to…
– Commission local services which are:
• Appropriate to the population
• Responsive to local needs
• Cost-effective
– Improve efficiency
Thank you
Any questions?