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Idiot’s guide to writing a JSNA chapter Nottingham JSNA Development Workshop 1 st October Idiot’s guide to writing a JSNA chapter Nottingham JSNA Development Workshop 1 st October 2009

Why a JSNA? • Statutory Duty, joint responsibility of DCS, DASS & DPH Why a JSNA? • Statutory Duty, joint responsibility of DCS, DASS & DPH

Nottingham’s JSNA • Current and future health and wellbeing needs • Services and interventions Nottingham’s JSNA • Current and future health and wellbeing needs • Services and interventions to meet the needs • Leads to agreed commissioning priorities

Nottingham JSNA • 42 chapters, refreshed annually – 1 st drafts of refreshed chapters Nottingham JSNA • 42 chapters, refreshed annually – 1 st drafts of refreshed chapters due 11 th December • Wide authorship: including you! • Wide readership: online at www. nottinghaminsight. com • Project manager – Louise Noon

Aim of this workshop • To improve the quality of chapters • To improve Aim of this workshop • To improve the quality of chapters • To improve the read-across between them

Workshop objectives • Collective understanding of: – What information required – Where to source Workshop objectives • Collective understanding of: – What information required – Where to source it – How to interpret it – How to present it

Template 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Who’s at risk Template 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Who’s at risk and why The level of need in the population Current services in relation to need Projected service use and outcomes in 3 -5 and 5 -10 yrs Expert opinion and evidence base User views Equality Impact Assessments Unmet needs and service gaps Recommendations for commissioning Recommendations for further needs assessment

User views • PCT: – led by Joy Cummings-Jones and PPI Team – focus User views • PCT: – led by Joy Cummings-Jones and PPI Team – focus on PCT and SCS priorities, NSR • LA: – Hetha Copland Tony Leafe – focus on SCS priorities • Nottingham Insight Network: – workstream around engagement: residents survey – use of Nottingham Insight to capture user views

How can we best get user views into JSNA? How can we best get user views into JSNA?

1) Who’s at risk and why? • From the literature – Who is at 1) Who’s at risk and why? • From the literature – Who is at risk of developing condition – Why are they at risk? • Modifiable risk factors i. e. risks due to socioeconomic context and lifestyle • Fixed risk factors e. g. age, ethnicity and family history • Don’t discuss local data yet

2) Level of Need in the population • Level of need in the (local) 2) Level of Need in the population • Level of need in the (local) population – Prevalence (and Incidence if appropriate) – Trends – Benchmarking • Inequalities - are some areas / ethnic groups / age groups / etc. more affected?

3) Current Services in relation to need • • • Describe current services Highlight 3) Current Services in relation to need • • • Describe current services Highlight trends in service use Professional and service users views Progress or changes since previous JSNA Don’t discuss gaps yet (section 8)

4) Projected service use and outcomes • In 3 -5 and 5 -10 years 4) Projected service use and outcomes • In 3 -5 and 5 -10 years • Consideration of effect of pop. change • Is the condition/disease being more prevalent? • Is prevalence increasing?

5) Evidence of what works • Expert opinion • Evidence base • Details of 5) Evidence of what works • Expert opinion • Evidence base • Details of national and local evidence e. g. NICE, local evaluation • Key evidence on effectiveness- both clinical and cost • Highlight any key changes in evidence to inform de-commissioning

7) Equality Impact Assessment • Need to summarise findings from relevant EIAs in this 7) Equality Impact Assessment • Need to summarise findings from relevant EIAs in this section • Carried out by all services provided that we commission • Carried out on all policies, strategies and plans • PCT ones available on PCT external website • LA ones available on LA website, and findings summarised in LAA target sheets

8) Unmet needs and service gaps • Compare level of need to available services 8) Unmet needs and service gaps • Compare level of need to available services • Identify groups excluded or not accessing • Highlight any over-provision to inform decommissioning

9) Recommendations for commissioning • Identify the areas of need to address through commissioning 9) Recommendations for commissioning • Identify the areas of need to address through commissioning • Identify any services that may require decommissioning • Rank your recommendations

10) Recommendations for further needs assessment • Document and prioritise gaps in information • 10) Recommendations for further needs assessment • Document and prioritise gaps in information • Identify clear tasks to improve needs analysis

Support • • Data sources- check Nottingham Insight first Information teams Knowledge and resources Support • • Data sources- check Nottingham Insight first Information teams Knowledge and resources PCT team APHO toolkit Projections tools Mosaic Core Dataset

Data Sources • Nottingham Insight – Demography chapter- with new pop figures on Nottingham Data Sources • Nottingham Insight – Demography chapter- with new pop figures on Nottingham Insight • Information teams – Individual service data • NCHOD • Dr Foster • Comparators • NASCIS • ONS/ Neighbourhood statistics • EHealth. Scope

Information teams • PCT Information team- Jean Robinson • PCT performance information team- Chris Information teams • PCT Information team- Jean Robinson • PCT performance information team- Chris Curtis/Neil Jones/Andrew Edwards • GIS team- Mick Dunn, Laura Denny • Children’s services information teams- Luke Murray/ Elise Darragh • ASH performance team- Emma Stow • Policy team -Graham Gardner

Policy team • Led by Graham Gardner in the City Council • Involved in Policy team • Led by Graham Gardner in the City Council • Involved in many projects including: – Census 2001 analysis – the ward report – analysis of place survey – demography chapter of JSNA • Expert in local population, including ONS projections, local house building impact etc • Most of their work available on Nottingham Insight

PCT Information team • Experts on many of the data sources- happy to upskill PCT Information team • Experts on many of the data sources- happy to upskill staff who need help • Info skills course- email if interested • Workshop- treasure trail • Specific analyses of health data if needed- but as much notice as possible please! • Communal email address City. Analyst. [email protected] nhs. uk

PCT Knowledge teamwhat we can do for you • Complex enquiries (literature searches) • PCT Knowledge teamwhat we can do for you • Complex enquiries (literature searches) • Training programme – Finding & appraising the literature (key databases, websites, tools) – Continuing Professional Development (CPD), service development, commissioning evidence – Finding Information for Patients and Carers • Resources – A multi-media library loans collection at the Resource Centre, Aspect House – A small management and Public Health collection at HQ • Current Awareness and Knowledge Management – Knowledge bulletins for both PCT staff and senior management

KR Supporting the JSNA • Referencing – Need a common approach to improve look KR Supporting the JSNA • Referencing – Need a common approach to improve look and feel of JSNA – Harvard – Formatting & Consistency • Hypertext links – Internal e. g. the Drugs chapter – External e. g. Referral guidelines for suspected cancer (CG 27, June 2005) • Evidence Base – Up-to-date – Knowledge gaps

Harvard Referencing (University of York) • Book (Corporate Author) – In-text: (Department of Health, Harvard Referencing (University of York) • Book (Corporate Author) – In-text: (Department of Health, 1999) – Bibliography: Department of Health(1999), Code of Practice: Mental Health Act 1983. London: Department of Health. • Journal Article (electronic): – In-text: (Walters, 1998) – Bibliography : Walters, R. (1998) Promoting the health of older people: making it happen. Internet Journal of Health Promotion [online]. Available at: http: //www. ijhporg/articles/1998/1/index. htm [Accessed 8 December 2000]. • Website (with no author): – In-text: (Acknowledging your Sources, n. d. ) – Bibliography: Princeton University (n. d. ). Acknowledging your sources. Available at www. princeton. edu/pr/pub/integrity/pages/acknowledge. html [Accessed 5 November 2008]

Projections • • • Poppi 65+ Pansi 18 -64 Diabetes model- estimated no. s Projections • • • Poppi 65+ Pansi 18 -64 Diabetes model- estimated no. s and projections APHO paper ONS pop projections- can apply to any data - used and discussed in demography chapter - Now updated- please use new figures as Graham’s update of demography chapter in progress

Mosaic • • Socio demographic profiling tool What type of people What interventions/approaches work Mosaic • • Socio demographic profiling tool What type of people What interventions/approaches work with them? Used in smoking HEA, Older people chapter, Childrens trust needs assessment • PCT has licence, as does children’s services and LA • Ask Louise Noon for advice if you want to use in your chapter

APHO JSNA toolkit 1. JSNA Core dataset http: //www. dh. gov. uk/en/Publicationsandstatistics/Publications. Policy. And. APHO JSNA toolkit 1. JSNA Core dataset http: //www. dh. gov. uk/en/Publicationsandstatistics/Publications. Policy. And. Guidance/DH_086676 2. Statistical Validity 3. Projection methods for use in JSNA http: //www. yhpho. org. uk/resource/item. aspx? RID=9954 http: //www. yhpho. org. uk/resource/item. aspx? RID=9955 4. Data sharing for JSNA 5. Measuring Health inequalities http: //www. yhpho. org. uk/resource/item. aspx? RID=9957

Core dataset • List of useful data to include in a JSNA • With Core dataset • List of useful data to include in a JSNA • With hyperlinks to where to find it! • Under these headings: – Demography – Social and Environmental context – Lifestyle/risk factors – Burden of ill-health – Services

Next steps • Summary of issues incorporated into guidance • Glossary • Get in Next steps • Summary of issues incorporated into guidance • Glossary • Get in touch with Louise Noon if you need advice • 1 st drafts of updated chapters 11 th December