Locality JSNAs: A tool to support commissioning at local level

JSNA National Dataset Project Final Workshop, London 26th November 2009

Neil BendelManchester Joint Health Unit

Contents

Local context

Why produce Locality JSNAs?

Project structure and governance

Locality JSNA working groups

Project timeline and action plan

Project outputs

Review of success/failure factors and recommendations

Progress status and future plans

Local Context

Adult Social Care 6 Districts, sub-divided into 2 Localities District commissioning currently being established 6 lead commissioners each with district-wide responsibilities

Children’s Services 6 Districts, sub-divided into 2 Localities District commissioning since 2007 Led by multi-agency District Wide Leadership Teams

Primary Care Trust 3 Practice Based Commissioning (PBC) Hubs Formed in June 2006 Led by an Ass. Director of Commissioning and management team

Districts, localities and PbC Hubs

Why produce Locality JSNAs?

Commissioning decisions are increasingly being devolved to locality/district level.

These decisions need to be based on a good understanding of local needs, drawn from both a sound analysis of statistical data and from an awareness of the views of local residents and service users, as well as comprehensive review of the relevant evidence base.

At present, commissioners at locality level may not have the information, skills or capacity needed to understand the population in this way or the ability to use this information to drive commissioning decisions

Aims and objectives

Increase level of engagement with JSNA process among commissioners working at locality level

Build up local skills around needs assessment, data analysis and community engagement

Stimulate joint working between commissioners in NHS, Adult Social Care and Children’s Services

Improve extent of community and user involvement in identifying local priorities via JSNA

Greater synergy between commissioning intentions and delivery of services at neighbourhood, locality and citywide levels

Governance and project responsibilities

Who Role

Manchester Public Service Board (PSB)

Overall project sponsorship

Manchester JSNA Working Group

Ensure consistency between Locality and citywide JSNAs

Locality JSNA Working Groups

Production of the Locality JSNA and ownership of the final outputs

Health Intelligence Team Specialist technical and analytical support

Locality JSNA Working Groups: Membership

Lead Commissioners and Policy Officers from Adult Social Care (x2)

Children’s Services District Partnership Coordinators (x2)

PBC Hub commissioning leads and Service Improvement Managers

Public Health leads for each locality

NHS Engagement Managers

Programme management plus specialist project and administrative support from the Joint Health Unit

Locality JSNA Working Groups: Terms of Reference (1)

To provide overall guidance and direction for the development of the JSNA within the locality

To coordinate the Locality JSNA programme within organisations and facilitate the use of the Locality JSNA as the common vehicle for needs assessment

To oversee the prioritisation of topics within the Locality JSNA and coordinate the development of local intelligence on the chosen topics

To take responsibility for making links with local communities and service users

Locality JSNA Working Groups: Terms of Reference (2)

To provide editorial advice and oversight of the Locality JSNA document

To embed the Locality JSNA recommendations within local commissioning activities and service delivery

To advise on the technical and managerial input needed to support the development of the Locality JSNA

To liaise with other Locality JSNA Working Groups to develop an appropriate support infrastructure

To oversee the future updates to the content of the Locality JSNA and ensure effective version control

Phase 1: Project set up Phase 2: Identifying Priority Need Phase 3: Identifying Commissioning Need June 2009 - October 2009 October 2009 – December 2009 December 2009 – March 2010 Briefings Identify key strategic priorities Start “writing” the document Setting up Locality Identify data and evidence to Review working group membership Working Groups support key priorities Identification of Leads Populate prioritisation matrix Identify commissioning priorities Priority Setting Narrative to support key priorities Finalise documents Finalise a brief for commissioning

a “writer”

Project Timeline

Project Action Plan

1. Identify up to 5 strategic priorities per agency

2. Identify data to support the strategic priorities

3. Populate strategic prioritisation matrix and identify gaps

4. Report to boards

5. Identify leads/take on writer/start to speak to printers

6. Agencies to provide narrative around priorities

7. Review membership of working groups

8. Identify commissioning needs

9. Finalise writing

10. Printing

Output 1 – Core dataset

70+ indicators grouped within 11 topic areas

Data drawn from existing national and local datasets and information products (e.g. Paycheck)

Consistent with Manchester Partnership “State of the Wards” Report

Supplemented with data supplied by partner agencies

Ward level cross-referenced with districts, PBC hubs and Strategic Regeneration Framework (SRF) areas

In-built charting functionality

Number of wards in locality 11

District 12 Ward Value Manchester EnglandCentral East Ardwick 22,860.4 29,967.4 35,408.3Central East Gorton North 25,693.8 29,967.4 35,408.3Central East Gorton South 25,552.6 29,967.4 35,408.3Central East Levenshulme 30,625.8 29,967.4 35,408.3Central East Longsight 22,284.0 29,967.4 35,408.3 ---------- #N/A 29,967.4 35,408.3Central West Chorlton 41,246.5 29,967.4 35,408.3Central West Fallowfield 27,601.2 29,967.4 35,408.3Central West Hulme 30,049.0 29,967.4 35,408.3Central West Moss Side 23,051.6 29,967.4 35,408.3Central West Rusholme 25,191.6 29,967.4 35,408.3Central West Whalley Range 31,462.3 29,967.4 35,408.3

Mean Income (£)

Central

title

0.0

5,000.0

10,000.0

15,000.0

20,000.0

25,000.0

30,000.0

35,000.0

40,000.0

45,000.0

Ardwick

Gorto

n Nor

th

Gorto

n Sou

th

Leve

nshu

lme

Long

sight

------

----

Chorlt

on

Fallow

field

Hulme

Mos

s Side

Rusho

lme

Wha

lley R

ange

Ward Value Manchester England

Mean Income (£): Values for wards in Central Manchester locality

Output 2 – Strategic Prioritisation Matrix

District Children’s Services

Adult Social Care

PBC Hub NHS Manchester

North West

North East

Central West

Central East

South

Wythenshawe

Success/failure factors

What’s worked well?

Gaining high-level buy-in to the Locality JSNA Process at both strategic and operational levels

Engaging local officers via the Locality JSNA Working Groups

Construction of Locality JSNA Core Data Set

What’s worked less well?

Lack of real engagement with local residents and service users

Time and resource constraints of local partners

Sustainability of the Locality JSNA process beyond the timelines of the project

Lessons learnt

Enthusiasm for work but it takes longer than you think !

Not starting from scratch – partners already have existing strategic priorities that they are working to

Data is available but not always held in one place

Difficult to build and maintain consistent buy-in from partners over a long period of time

Good coordination and project management essential

Recommendations

Local Partners should:

Address lack of analytical and intelligence capacity at both a locality and corporate level.

Embed community engagement as a core component of the JSNA process at both citywide and locality level.

Ensure that resources are in place to sustain the JSNA process beyond the production of an initial document.

Consider from the outset the capacity to conduct a process and outcomes evaluation of the JSNA and take steps to address gaps in capacity where necessary.

Progress status and future plans

Work to identify and collate existing strategic priorities is underway

Further develop Core Dataset using service data from Adult Social Care and PCT

Plan to recruit writer to edit local contributions to JSNAs and coordinate production of final documents (Jan 2010)

Proposal to make some of the data held in Core Dataset available online using Instant Atlas software (work funded by Manchester Partnership)