Agenda item

Summary of the Joint Strategic Needs Assessment

To provide an overview of the Joint Strategic Needs Assessment.


The Board received a presentation providing an update on the Joint Strategic Needs Assessment – JSNA from Natasha Morris, Public Health.  She explained that the presentation would cover the process for the assessment, an update on the format and an opportunity for a discussion on outcomes/areas of concern.


The Board was reminded that the JSNA was a statutory requirement to undertake a continuous process of strategic assessment and planning with the key aim being to identify priorities for health and wellbeing.  The JSNA provided an evidence base around health and well-being drawing out needs and priorities and therefore can provide narrative on priorities for inclusion in other strategies.  Natasha highlighted the JSNA website which included data and needs assessments which were useful when putting funding bids together and for service planning and commissioning.


The Board was informed that the JSNA included many strands of insight which had been developed over the last couple of years.  Natasha explained that traditionally the JSNA was data driven whilst highlighting that there has been value in the wider insights including talking to people who work directly working with communities and understanding what kind of issues they were seeing.  She commented on participatory workshops with stakeholders including falls and emergency admissions which built the big picture of needs looking at data and insights across the system as well as breaking it down into geographical areas and locality profiles.  The Board was informed that this had been pulled into an annual thematic narrative on the strategic health and wellbeing issues for BCP which was currently being updated and would be brought back to the Board. 


The Board’s input was sought on the proposed structure for the update with the narrative covering the following three areas


  • Health of Our Communities
  • Health and Care themes
  • Integration opportunities  


The Board undertook interactive sessions using to respond to questions and provide feedback on the JSNA.  The Chair asked who had identified the proposed categories. Natasha explained that the aim was to cover the whole picture of health and wellbeing needs looking at health in general and population health outcomes such as life expectancy, healthy life expectancy and deprivation and how the system interacts.  The Chief Operations Officer asked if there was anything that was considered but not identified as a category.  Natasha confirmed that nothing had been excluded but she was keen for feedback from the Board.   The Director of Public Health reported that this related to the previous item and the need for a view from the Board in leading our places in the BCP Council area and providing clear signals on the what the integrated care partnership strategy should be focussing on rather than a data directory of health facts.  Jess Gibbons referred to the barriers to having healthy communities and the opportunities to inform the Council’s Local Plan and Transport Plan in shaping the Council’s policy around place with prevention and early intervention whilst emphasising the need to unlock the barriers.   Rachel Gravett in reflecting on the themes felt that the proposal was more informative than the previous data driven approach when deciding on the direction for services.    


Natasha identified how the themes may work and the issues that were already known.  Using life expectancy as an example the data provided a snapshot of mortality of those living in an area which can reflect different aspects, acknowledging the risk factors that people may have, the prevalence and severity of disease and the effectiveness of interventions. The Board was informed that the BCP compared well to the national averages however there were variations when looking at life expectancy by deprivation.  When looking at healthy life expectancy there was also variations which can affect quality of life and the care that people need as they go through life. Natasha referred to indicators the impact of income deprivation and those households living in income deprivations. 


The Board was informed of the health and care themes which highlight conditions where we can see variations using coronary heart disease there was a variation by area and a correlation with areas of deprivation which can apply to other conditions.  The Board was advised of the impact of hip fractures where one in three returns to independence with two out of three suffering impact on their quality of life including mental health issues from pain or reduced mobility resulting in a higher need for additional care and support.    Natasha outlined the integrated opportunities including a holistic approach, communication and engagement and effective collaboration.


Jess Gibbons left at 15.21


Councillor Iyengar asked if the answers to these questions were known from other pieces of work that had been undertaken as there were many groups that could be polled on the issues that need to be addressed. The Chair indicated that all contributions were welcome.  The Director of Public Health reported that it was a mixed picture in respect of the evidence base which was supported by data.  He explained that the process was trying to draw on the experience of Board Members and the connection with organisations represented on the Board.


Steve Place sought clarification on what was meant by integration opportunities.  Natasha reported that it was about how we work as a system, what issues can be tackled together and what barriers there may be.  Steve asked if this was about how delivering services could be improved to help address health outcomes. It was acknowledged that all ideas were welcome.  Louise Bate, Healthwatch emphasised that involving the voluntary sector more would definitely help with the need to balance data with real life experiences.


The Director of Public Health reported that the purpose was to engage on the questions and learn more from real life experiences. The Chair emphasised the need for challenge.  She highlighted the fuel increases and the potential for fuel poverty.  The Director of Public Health emphasised the importance of context and where we can act.  The Chair asked if a summary paper could be provided on the themes that had been highlighted together with published papers.  Steve Place referred to the data collection highlighting the qualitative information which was just as important as the health statistics as it explained how people were feeling about their health.


Councillor Mohan Iyengar left at 3.30 pm