Joint Strategic Needs Assessment

Transcription

1 Joint Strategic Needs Assessment Where are we now? Dr Julie Sin, Consultant in Public Health Associate Director of Public Health CECPCT Prepared by the Public Health Department, Central & Eastern Cheshire 24 th October 2012

2 Joint Strategic Needs Assessment (1) The JSNA is a local assessment of current and future health and social care needs that could be met by the local authority, the clinical commissioning groups (CCGs) or the NHS Commissioning Board Local authorities and CCGs have an equal and joint duty to prepare JSNAs and, using the JSNA, the Joint Health and Wellbeing Strategy, through the Health and Wellbeing Board

3 Joint Strategic Needs Assessment (2) JSNAs must consider: The health and social care needs of the whole community including socially excluded and vulnerable groups The wider social, environmental and economic factors that impact on health and wellbeing The health and social care information that is needed by the local community. JSNAs should also consider what local communities can offer in terms of assets and resources to help meet the identified needs

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8 Population The number of people over 75 will grow by 2.7% each year between 2011 to 2020 (higher than the England rate of 2.3%) all ages aged ,000 19, ,500 21, ,100 24, ,900 29,500 Implications: More dementia Increased cancer Solid Bars = Eastern Cheshire CCG population Lines = England population Increased co-morbidity Loss of function

9 Deprivation Quintiles Eastern Cheshire CCG and its partners may need to target some interventions at a very localised level The health and social care needs of these communities are already understood by general practices The next step is to introduce systematic and evidence-based approaches to improve health and wellbeing in these areas Population Distribution Deprivation Quintiles least deprived Quintile % Quintile % Quintile % Quintile 2 8.8% Quintile 1 4.5% most deprived

10 Scale of 0% to 100% represents the national variation from worst area (0%) to the best area in the country (100%).For each of the ten indicators shown here, the national average is 50%. Eastern Cheshire CCGs - Grey vertical bars; Cheshire East Borough Council - Black circles; Individual LAP areas- coloured triangles.

11 Low referrals and low conversion Two week wait referrals (and with cancer), 2010/11 Rate/100,000 2 week referrals With cancer Total Rate Total Rate Congleton LAP 1, % Crewe LAP 1, % Knutsford LAP % Macclesfield LAP 1, % Nantwich LAP % Poynton LAP % Wilmslow LAP % Cheshire East 6, % England % Low numbers of survivors People living with cancer, 2010/11 Rate/100,000 Both sexes Total Rate Congleton LAP 1, Crewe LAP 1, Knutsford LAP Macclesfield LAP 1, Nantwich LAP Poynton LAP Wilmslow LAP Cheshire East 6, England An illustration: Cancer in Macclesfield High emergency presentation (late stage) Routes of Presentation of 1,542 People Diagnosed with Cancer in 2008 Macclesfield LAP Crewe LAP South Cheshire CCG Cheshire East Knutsford LAP Eastern Cheshire CCG Congleton LAP Poynton LAP Wilmslow LAP Nantwich LAP In England, 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 23.8% of people presented as Eastern South Nantwich Wilmslow Poynton Congleton Knutsford Cheshire Crewe Macclesfie an emergency Cheshire Cheshire LAP LAP LAP LAP LAP East LAP ld LAP CCG CCG Other (including screening) Managed referral Emergency presentation High mortality

12 What next for the Cheshire East JSNA? Live tracking of changes in key outcome indicators (and accounting for why these outcomes are changing) See changes in commissioned services (quality and activity) Greater use of Life Course approaches and NICE pathways to link the individual JSNA themes together An increased contribution from the voluntary, community and faith sector Improving the evidence base (anticipating challenges to commissioning decisions) Using comparative currencies where feasible (disabilityadjusted years, clinical and patient-reported outcomes) Greater geographical detail (towns, MSOAs, some LSOAs)