Redesigning Joint Strategic Needs Assessments: an assets based approach Patrick Tobi, Gail Findlay, Kevin Sheridan, Faye Adams-Eaton Institute for Health and Human Development

JSNA Statutory duty since 2007 Health & Social Care Act 2012 NHS - Local Authority - LSP/CVO partners Public involvement

JSNA and JHWS From evidence to service planning

Needs and Assets Assets approach Values skills, knowledge, connections, capacity & potential of communities Positive, aspirational What works well Active participation in solutions Co-production in health & wellbeing Assets approach Values skills, knowledge, connections, capacity & potential of communities Positive, aspirational What works well Active participation in solutions Co-production in health & wellbeing Deficit approach Focus on needs and deficiencies Understand communities by their problems Services commissioned to fill gaps/fix problems Dependency on professionals Individuals/communities disempowered and passive recipients Deficit approach Focus on needs and deficiencies Understand communities by their problems Services commissioned to fill gaps/fix problems Dependency on professionals Individuals/communities disempowered and passive recipients

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Across the UK National pilots –NHS North West – Stockport, Liverpool, South Cumbria, Central and West Lancashire –NHS Wakefield NESTA The Kings Fund I&DeA Marmot

Reformatting the JSNA In relation to the JSNA, it is recognised that the routine intelligence provided needs to be expanded to include ‘both intelligence about assets and the evidence of what has worked elsewhere in meeting the needs or enabling the assets identified’ and to ‘embed assets in strategic processes’ ( NHS North West)

Greenwich JSNA From will begin to incorporate an assets assessment into its JSNA/ commissioning process. UEL brief: develop a local JSNAA model

Approach Scoping Develop and apply a systematic framework to scope existing assets based work locally Case studies In-depth exploration of selected exemplars Interviews Discussions with local informants and assets experts Concept framework Develop a conceptual assets model that maps unto commissioning cycle Toolkit Co-produce operational model/toolkit with the Greenwich JSNAA Assets Working Group

Challenge An assets based approach challenges how services are designed and delivered and requires a fundamental realignment of the relationship between commissioners, providers, service users and communities

Emerging issues Language Mindset Organisational culture Political buy in Power shift

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