Joint Strategic Needs Assessment Summary 2012

1. Joint Strategic Needs Assessment Summary 2012 Kate Gilchrist – Head of Public Health Intelligence, NHS Sussex (Brighton & Hove) / Brighton & Hove City Council Presentation to the Well-thy City Event 17th July 2012

2. What is the JSNA? An objective, evidence based, high level strategic overview of health and wellbeing to inform planning and commissioning City’s core evidence base to guide action to improve health and wellbeing, and reduce health inequalities Links to city wide strategies; Sustainable Community Strategy; Corporate Plan; NHS commissioning etc Statutory requirement for LA and NHS since 2007

3. JSNA as part of an City wide approach to needs assessment

4. From April 2013 JSNA is a duty of the Health & Wellbeing Board

5. Brighton and Hove JSNA: key changes 2012 Centred on 80 concise summaries on key topics Our population Life expectancy Wider determinants of health Improving health Specific health services End of life Structure has been informed by: Marmot / life course approach Local consultation Draft national guidance and national outcome frameworks (NHS, Social Care, Public Health) We have: produced a web based resource rather than document involved a wider range of authors and contributors included a greater focus on equalities groups used a consistent topic structure started to reflect local assets reviewed relative impact on health and wellbeing for the first time

6. Local consultation To date: Feedback from CVSF Health and Wellbeing Network and NHS & BHCC commissioners Jan-Feb 2012 Health and Wellbeing Board seminar March 2012 Now: Public consultation throughout July 2012

7. www.bhlis.org/jsna2012

8. Each summary has a consistent structure Why is this issue important? Key outcomes Impact in Brighton & Hove Where we are doing well Local inequalities Predicted future need What we don’t know Key evidence & policy Recommended future local priorities Key links to other JSNA sections

9. Example section – children & young people with disabilities

10. Impact of issues on health and wellbeing Aim is to highlight issues with greatest impact and support development of JHWS Informed by methods used in other areas’ JSNAs Topics reviewed against impact matrix Number of people affected Impact on life expectancy gap Impact on wellbeing (including healthy life expectancy) Impact on different population groups Key indicators Comparison to national A specific target not being met Direction of trend Matrix completed in two sessions involving NHS, BHCC, CVS Health & Wellbeing representatives & separate meeting with GPs from the CCG In summary A first attempt – could be refined further for 2013 Some important information not available e.g. cost impact Seeking feedback in the consultation

11. Highest impact health and wellbeing issues

12. Highest impact health and wellbeing issues

13. The consultation (2 - 27 July) We have expanded the scope and size of the JSNA summary To what extent do you agree that the JSNA Summary describes the health and wellbeing issues of the city? We have highlighted the highest impact health and wellbeing issues for the city. To what extent do you agree with these? (if you disagree the evidence this is based upon) Is the JSNA presented in a clearly understandable way? Please tell us what you like about it. Please tell us what could be improved In this summary we have used information and evidence from a wider range of sources. Do you know of or does your organisation have any other information or evidence that could be used in the JSNA in the future More people are now contributing to the JSNA How could we involve others in the future development of the JSNA?

14. The Joint Health and Wellbeing Strategy 2013-14 Giles Rossington Shadow Health & Wellbeing Board Business Manager, Brighton & Hove City Council Presentation to the Well-thy City Event 17th July 2012

15. A few words on the Health and Wellbeing Board National description of role (minimum) Overseeing and agreeing the JSNA – an ongoing analysis of health and care needs and provision in the area Agreeing a Joint Health and Wellbeing Strategy (JHWS) – a high-level plan for health, public health and adult and children’s social care services for the local area Holding local Clinical Commissioning Groups (CCG) to account for their commissioning plans Encouraging co-working between health and social care Encouraging public engagement with health and social care decision-making Locally Members: 7 elected members; DPH; DCS; DASS; CCG x2; HW; Youth Council Met in shadow form in May For first strategy HWS has prioritised Smoking; emotional health and wellbeing; healthy weight and nutrition; cancer and screening; dementia Consultation underway on these areas

16. Aim of the Joint Health and Wellbeing Strategy (JHWS) To jointly agree the greatest issues for the local community based on evidence in the Joint Strategic Needs Assessment, what can be done to address them; and what outcomes are intended to be achieved.” (from draft DoH guidance “JSNAs and joint health and wellbeing strategies” January 2012)

17. Underpinning principles of the JHWS Strategic, taking into account the current and future health and social care needs of the entire population Prioritise the issues requiring greatest attention, whilst avoiding trying to take action on everything at once Focus on things that can be done together Identify how local assets can be used to meet identified needs Key to understanding local inequalities and the factors that influence them (adapted from Draft DH guidance Jan 12)

18. Identifying the priority issues “The JSNA extracts and make sense of evidence and then the health and wellbeing board members should plan on the basis of the evidence, using the evidence to drive strategy and commissioning”. (Draft DH guidance Jan 12)

19. Identifying the priority issues for Brighton & Hove Identified from the highest impact JSNA areas those areas the Health and Wellbeing Board wishes to prioritise for the JHWS for 2013-14. High impact social areas and specific conditions reviewed by officers from the emerging Clinical Commissioning Group (CCG), children’s services, adult social care and public health. The key factors considered were: identification of common outcomes and priorities across organisations alignment with the key plans and priorities of local organisations including the nationally identified outcome frameworks. a focus on those areas which could be addressed more efficiently and effectively through stronger partnership working

20. Health & Wellbeing Board Priorities Smoking Emotional health and wellbeing (including mental health) Healthy weight and good nutrition Cancer and access to cancer screening Dementia

21. The wider determinants of health Education, employment, housing and child poverty were identified as stand-alone high impact areas in the JSNA, but are also clearly linked to the high impact social issues and specific conditions. Other local partnerships consider these broader areas. The relationship between the Health and Wellbeing Board and the other partnerships will develop over time as the Health and Wellbeing Board identifies areas where the wider determinants, can contribute to improved health and wellbeing outcomes.

22. Proposed structure of the Joint Health and Wellbeing Strategy A short document in plain English with a clear structure based on the life course. i.e. children, young people, working age adults, older people. A brief section describing the needs of the city from the JSNA and the prioritisation process to identify the priority outcomes. Section on Inequalities. Outline the main actions in the short, medium and long term to deliver the key priority outcomes identified by the Health and Wellbeing Board.

23. Inequalities Understanding local inequalities is one of the key principles underpinning the JSNA and JHWS. Outcome measures for the overarching vision for the Public Health Outcomes Framework 1: Increased healthy life expectancy 2: Reduced differences in life expectancy and healthy life expectancy between communities The JHWS will reflect the inequalities work being undertaken by local agencies across the local population and communities.

24. Fair Society, Healthy Lives (The Marmot Review) Key policy/priority objectives: 1. Give every child the best start in life 2. Enable all children, young people and adults to maximise their capabilities and have control over their lives 3. Create fair employment and good work for all 4. Ensure healthy standard of living for all 5. Create and develop healthy and sustainable places and communities 6. Strengthen the role and impact of ill health prevention

25. JHWS Consultation For each priority we are asking: What is currently working well in the city? What could be done better by local partners and organisations working together? How will we know that we were really making a difference (what’s the best way of measuring success)? Could your organisation contribute further to the development of the strategy for this priority?

26. Thank you for comments and input to date Questions? Please respond to the consultation by the 27th July www.bhlis.org/jsna 2012 summary on www.bhlis.org in September