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Using Insight to carry out a needs assessment

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1 Using Insight to carry out a needs assessment
22nd January 2013 Wendy Conibear/Susan Heath

2 Nottingham Insight… huge library
Where to start – holds documents, data, reports, statistics. Without knowing what you need, can be daunting to start. Various audiences for Insight: those wanting a quick overview of their area (councillors, members of the public) just tip their toes into it. Those applying for funding – looking to evidence the need for their project (similar to yourselves) NCVS run specific training for Voluntary groups Used by those who are undergoing inspections – evidence building, by commisionners – identifying gaps in service provision. Service project planning. Those that dive in a bit deeper. The site has about 100 unique visitors a day – 200+ visits per day. Monitor what is used on the site. We buy in national datasets updated on a quarterly basis, local datasets some monthly, some annually. By the end of the session we want you to feel more familiar with what is available on Insight – tools, resources. Please ask questions as we go along. Important that you gain as much out of the session as you can. Want you to dive in deeper – not feeling like it’s shark infested!

3 Aims of the session How to use the Nottingham Insight website
Demonstrate how your work aligns with Nottingham City’s priorities Knowledge of your area : statistics, profiles and health inequalities Indices of Multiple Deprivation Using evidence to identify the need for your project Evidence By the end of the session…. Help you navigate your way through Nottingham Insight – signpost you to key areas of the site. Understand how you can find out what Nottingham City determines to be it’s key priorities – looking at the Nottingham Plan. How your work aligns with these priorities. What do you know about your local area – demographics, profiles, statistics, what are the key health issues ? What is IMD (if not known) and what does this tell you? Finally collating all these evidence to carry out a needs assessment. Have made it an interactive session with some quizzes. Useful for us to to find out how easy it is to navigate the site. How many of you have been on Insight and are familiar with finding their way round?

4 Can you provide an overview of your project?
Start off with round the table – what is the problem you are looking to address with your project? If you can identify the target groups/individuals etc. you are providing support to.

5 Need The starting point for any project is to be clear on the needs it is addressing. Need is the term we use to describe a problem or issue, or situation where something needs to change to make things better, for a person, a group of people, an environment or an organisation. (Big Lottery learning zone) Big Lottery’s definition of need. Useful resources on the site. One approach to defining need is to view those in need as lacking particular resources or facing certain barriers, in accessing the support, information or care they need. Material need - to be adequately nourished, have somewhere to live, be warm, have a decent home, adequate transport, adequate income, employment, basic possessions and activities, basic skills and qualifications. Psychological need - mental health, self-esteem, competence, autonomy, good quality relationships, security. Some groups have needs that are more hidden than others. For example, many people with a learning disability who have high support needs also have needs related to connected problems, such as poverty, unemployment, social isolation and discrimination. A project that chooses to address only one or two needs, but that can demonstrate a good understanding of what those needs are and why they exist, stands a better chance of achieving its outcomes than a project that aims to address a range of needs but offers little analysis about why. 5

6 An example Need People with disabilities in St Anns need improved access to employment and training opportunities. Aim To improve the self-confidence, self-esteem and employability skills of people with disabilities by supporting them to access employment and training opportunities. The overall objective of the project is:- To improve the self-confidence, self-esteem and employability skills of people with disabilities by supporting them to access employment and training opportunities.

7 An example Outcomes People with disabilities will have increased self-confidence and are able to make more informed choices about their future employment.  People with disabilities will have improved employability skills.  People with disabilities will have an increased take up of suitable jobs and training opportunities.  Local employment agencies and employers will feel more informed about the support needs of people with disabilities and feel more confident about offering them a training or employment opportunity. 

8 Need - key points checklist
What is the problem or issue you want to address with your project? What evidence is there that this need exists? What are the reasons for the need? Have you carried out any research? Why have you prioritised this need? Why is your project an appropriate response to the need? (Big Lottery learning zone)

9 Why is it important to evidence need?
High demand for limited resources Clear vision of what the project will tackle Clear focus for all those involved on the priorities Proof that project is best way of addressing the need identified Proof that alternatives have been reviewed Understanding of community and needs

10 Sources of evidence Statistics/profiles Research (reports/surveys)
Consultation and Community Involvement Consultation with stakeholders/partners Strategies – local/national Evaluation of existing serices Anecdotal evidence Avoid using individual pieces of evidence in isolation Ask questions about the research data you‟re referencing to determine if it is a reliable source Try to ensure research is not biased Take care when wording questions and interpreting data Ensure surveys and statistics are representative Make sure consultations are inclusive of the whole Community You will need to demonstrate how you know the unmet need exists and will have to provide some recent and relevant evidence. This can come from a combination of sources, such as: asking people with experience of the need your own experience, or what you have seen research into the scale of the need local statistics about the population in the area or levels of deprivation (such as from the census or other more recent surveys) or other statistics local authority initiatives or partnership strategies between statutory and voluntary sector services that are in place because the need is already well known and evidenced. Some groups who are in most need do not engage with services and so current or recent evidence about their needs may be harder to access. When analysing the needs you are aiming to address, it is important to keep asking the question "why?" There may be a number of underlying problems and probing the reasons can really help clarify which needs you will address and which you will not and the best approach to designing your project.

11 Sources of evidence Letters of support
Other services/current provision

12 First stage in the journey…
Identify the need Develop an aim Develop project outcomes Work up activities Identify milestones Measure progress

13 Nottingham Insight Log on to www.nottinghaminsight.org.uk
Let’s look at Nottingham Insight log on to the site (if you haven’t already). Navigate to Partnerships/Community and Voluntary Sector hub. One central hub created for community and voluntary sector – 5 areas to consider when applying for funding, evidencing the need for your project. Area developed in conjunction with Community and Voluntary Sector (following been approached by big Lottery to help raise the standard of funding bids) invited a number of organisations to a workshop. We’ll take you through the 5 steps, and then talk a bit broader about other useful resources on the site.

14 Step 1 Nottingham’s Priorities
The Nottingham Plan to 2020 sets the overall strategic direction and long-term vision for the economic, social and environmental wellbeing of the City of Nottingham. Understanding what Nottingham City has determined as it’s priorities is key to your project. Nottingham Plan (or Sustainable Community Strategy) sets out the Council’s vision/goals up to 2020. It’s a meaty document (about 100 pages) but has been broken down on the website to make it more manageable. Set out in themes and cross-cutting aims. Each theme has a number of objectives - these are the objectives you will need to review to identify which ones fit with your project. i.e. Click on family and review the objectives. Definitely worth investing the time to look through and find the area your project will fit in. Use this as part of your needs assessment. It is important that the project sits under at least one of the Nottingham plan priorities. These are very broad. 14

15 Step 2 Nottingham’s Needs
Joint Strategic Needs Assessment (JSNA) The JSNA in Nottingham helps the local authority, Primary Care Trust and Local Strategic Partnership to better understand the needs of the population so they can plan and organise services. The main goal of a JSNA is to accurately assess the health needs of a local population in order to improve the physical and mental health and well-being of individuals and communities. The NHS and upper-tier local authorities have had a statutory duty to produce an annual JSNA since The JSNA is a useful source of evidence and similar to the Nottingham Plan, identifies key priorities and gaps in current service provision, but with the focus on health. Chapters authored by different experts in the different themes/topics. The JSNA is broken into a series of chapters, all set out in the same format. (Same chapter headings). 15

16 Nottingham JSNA Demography Chapter
This is a really useful resource. Updated annually. This chapter considers Nottingham’s population and how demographic factors impact on the health and wellbeing of its residents and influence the needs and demand for health and social care services. It also considers the impact of estimated population changes in the future. It is structured under the headings: Current Situation; Influence on Health and Wellbeing Projections Over 3 to 5 and 5 to 10 Years

17 JSNA Quiz time How many people in Nottingham are estimated to have a common mental health problem? What is the estimated number of people aged 18+ with a learning disability in Nottingham? What is the estimated number of students in Nottingham? What percentage of men and women are estimated to drink more than the recommended guidelines of alcohol? Quiz time.

18 JSNA Quiz time Teenage pregnancy. The national average is 41.4 conceptions per 1000 girls aged What’s the average for Nottingham? How many Children in Care does Nottingham City have?

19 JSNA Quiz time How many people in Nottingham are estimated to have a common mental health problem? 46,000 What is the estimated number of people aged 18+ with a learning disability in Nottingham? There are an estimated 6,086 adults with learning disabilities resident in Nottingham, of these 1,293 have moderate/severe learning disabilities and 99 have profound multiple learning disabilities. What is the estimated number of students in Nottingham? In 2009/10, across the two Universities there were 58,499 students located on several different campuses. 19% compared to a national average of 4%. Quiz time.

20 JSNA Quiz time What percentage of men and women are estimated to drink more than the recommended guidelines of alcohol? 26% of men and 17% of women now drink above the recommended limits. Teenage pregnancy. The national average is 41.4 conceptions per 1000 girls aged What’s the average for Nottingham? Quarter 3, conceptions/1000 females aged years (ONS, 2009 Q3). How many Children in Care does Nottingham City have? 541 children in care (27 March 2012)

21 Step 3: My area District (contextual) Ward/s Super Output Area/s
Area Committee/s Localities

22 My area Indices of Multiple Deprivation
A range of statistical indicators have been collected and grouped under seven domains. The overall score, the Index of Multiple Deprivation (or IMD), is calculated from the domain results. Some domains carry more weight in the overall score than others. The new Indices of Deprivation 2010 were published on 24th March 2011. The Indices of Deprivation is a group of ten Indices which all measure different aspects of deprivation – under seven domains They are used to analyse patterns of deprivation. The most widely used is the Index of Multiple Deprivation which is a combination of a group of indices. The Index of Multiple Deprivation 2010 combines a number of indicators, chosen to cover a range of economic, social and housing issues, into a single deprivation score for each small area in England. The weightings are shown in the table below. Each area is ranked relative to another area according to their level of deprivation. (1 is the most deprived, 32,482 the least deprived.) As with the 2007 and 2004 Indices, the Indices of Deprivation 2010 have been produced at Lower Super Output Area level, of which there are 32,482 in the country. The next set will not be published later on this year (2014) or possibly next year and will incorporate Census 2011 data. 22

23 My area Where does Nottingham city rank on the IMD compared to all other districts in the country?

24 Super Output Areas District Ward LSOA

25 Super Output Areas There are 20 wards in Nottingham City
There are 176 SOAs in Nottingham. (182 since Census 2011) 45 of them are in the 10% most deprived in the country 91 are in the 20% most deprived

26 Ward Profiles Click on the map Open the Berridge ward profile

27 Berridge Ward Profile How many people live in Berridge Ward?
What percentage are aged 0-4 years old? How many of the SOAs in Berridge ward are ranked in the worst 10% nationally for Crime and Disorder? How many of the SOAs in Berridge ward are ranked in the worst 10% nationally for IDACI? A profile gives you the latest data for an area. From my area – click on the map Includes demographics, crime, economic and health and social care. Shows comparator data – how the ward compares to England, Regional and Nottingham City. Show Profile library….different geographies (i.e. Area committee profile, by themes etc.) 27

28 Berridge Ward Profile How many people live in Berridge Ward? 18,651
What percentage are aged 0-4 years old? 7.79% How many of the SOAs in Berridge ward are ranked in the worst 10% nationally for Crime and Disorder? 7 out of 11 SOA’s How many of the SOAs in Berridge ward are ranked in the worst 10% nationally for IDACI? 3 out of 11 SOA’s A profile gives you the latest data for an area. From my area – click on the map Includes demographics, crime, economic and health and social care. Shows comparator data – how the ward compares to England, Regional and Nottingham City. Show Profile library….different geographies (i.e. Area committee profile, by themes etc.) 28

29 Step 4 : Population Useful page for copying and pasting – refers to Nottingham City. Useful contextual information. Popular page – one of the pages with the highest number of hits. Previously mentioned JSNA Demography chapter – figures may not always correspond (different dates/sources). Many different routes to similar data on Insight. More current figures may be available through a different route (not sure contact the team).

30 Step 5 My evidence base

31 Other useful areas Document library Data library Census 2011
Policy and Research Team Customer Insight Insightmapping 31

32 Document library Strategies and Policies Regular bulletins
Partner documents Research papers URL links Search by theme Use search box Type in “Benefits” Type in unemployment into the search box Youth (A Health Needs Assessment of Young Offenders in Nottingham City) Documents also available on different areas of site (will show you later)

33 Profile library Overview of an area By geography By theme Share link
Export to PDF/Word Advanced Profiles Search by theme Ward Profile Comparator data Advanced profiles

34 Data library Trend data Associate data Map data
Export components into a report Performance/Spine charts Search unpaid care Data Library (Census 2011 – Unpaid care) Select Wards – Nottingham Toggle associates Click on i – metadata about the indicator Click on x – delete indicator Selected dates Explain different reports – newer browsers (tablets) and existing Flash Click on the map – hold control down to select multiple areas Data – change indicator PHOF – click on an indicator metadata changes – area list to change an area – comparator data Require some interpretation

35 Census 2011 Datasets Analysis Profiles

36 Policy and Research Team
Population Deprivation Economy Information by area

37 Customer Insight Geo-demographic data from Experian
Profiles population based on postcode Characteristics of different groups/types Communication matrix Where are your customers? Case studies Data we buy in from Experian Has been used widely for years in private sector – more recently in public sector Market segmentation – splits population into groups (15) or types (41) based on characteristics (from a variety of inputs – attainment data, Mori surveys, financial, etc.) Useful if you want to understand customers in your area and how best to communicate with them. Review case studies

38 Consultation Hub Nottingham City based consultations
What’s happening in your area – can you tap into their consultation (make sure it isn’t duplicated) Shown by planned, open and closed consultations Not all results are yet available, but will have a contact

39 Need - key points checklist
What is the problem or issue you want to address with your project? What evidence is there that this need exists? What are the reasons for the need? Have you carried out any research? Why have you prioritised this need? Why is your project an appropriate response to the need? (Big Lottery learning zone) Nottingham Insight will provide some of the evidence – stats/supporting documents/perhaps other research that has been carried out. 39

40 Any Questions? Hope this answers some of your questions about NI and helps you appreciate the wealth of information and resources on the site. You can’t break anything – so please go and play. The search is fairly comprehensive so use it! If you can’t find what you need – contact us Following this, once you have carried out your needs assessment, I would be interested to put together a case study to help others…get in touch if you are interested.

41 Contact the team Wendy Conibear (64006) Susan Heath (64836)


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