Joint Strategic Needs Assessment Workshop Crawley and Horsham & Mid Sussex CCGs May 2012 Catherine Scott Consultant in Public Health Aims of workshop Share information on health needs of the population Identify key priorities for each locality to inform commissioning intentions 2012/13 Identify areas where the JSNA needs to be developed to support CCGs JSNA document for each CCG to be used for authorisation process The process of Joint Strategic Needs Assessment (JSNA) JSNA what it is The overarching primary evidence base on factors that influence the health of a population including the social, environmental, economic determinants of health Support for decision making What are the gaps? What evidence is there that we could do better? What do we want to achieve? What are the most effective and cost effective interventions? A dynamic and flexible process A range of products IDEA Why do we need it? Statutory responsibility for CCGs and LAs Demand is not the same as need Partnership working is the only way to address some issues A single agreed picture of needs is essential for strategic planning JSNA framework Data collection Routine data Local research eg surveys Professional views Public/patient views Data analysis Ad hoc query based analysis Surveillance for unexpected Modelling Area based analysis Benchmarking Evaluation Cost benefit analysis Interpretation in context Statistical and methodological issues Evidence from research Experience of practice Local knowledge National policy Communication Website Reports Presentations Briefings What do we need to know? What are the outcomes and why? What do we expect to happen in future? What evidence is there that we could achieve better outcomes? What evidence is there that we could commission more effective and/or cost effective services without getting poorer outcomes? If we change one part of the system what impact will it have? High level priorities for West Sussex Children and families Child poverty Education Working age Cardiovascular disease Fair employment Older people Independence/Frail elderly Dementia Cross cutting issues Inequalities Housing Early intervention Carers Ageing population Mental health The population Definitions Registered population (June 2011) Resident population (2010 mid year estimates) Crawley123,900107,600 Horsham & Mid Sx 223,200212,235 High level health outcomes Trend in male life expectancy Trend in female life expectancy Disability Free Life Expectancy MalesFemales Life expectancy at birth (years) Disability free life expectancy at birth (years) % without disability Life expectancy at birth (years) Disability free life expectancy at birth (years) % without disability Crawley % % Horsham % % Mid Sussex % % Main causes of morbidity in males: UK 2004 : DALYs Main causes of morbidity in females: UK 2004 : DALYs All Deaths (2011) Crawley and Horsham & Mid Sx CCGs Registered population structure June 2011 Crawley Horsham and Mid Sx AGE - Actual and projected TFR, UK, (Slide from ONS) Unprecedented growth post-war to mid 1960s Huge fall afterwards, many baby boomers not having children themselves, increases in recent years Births Registered population Mother aged