1. Joint Strategic Needs Assessment
Techniques and approach
Shane Mullen – Public Health Intelligence Manager

2. Who we are
Public Health is part of the local authority (for this moment in time)
Commissions various services such as the Healthy Child Program and smoking cessation etc.
Supports the Clinical Commissioning group with its commissioning
the future STP and MCP may change things up

3. What we do in PH Intelligence
Surveil the health and wellbeing needs of the population served
Inform local and national policy
Monitor and evaluate services
The strategic bit of medicine
Commissioning cycle

4. Our Process
We usually work back from what is killing people at greater rates compared to benchmarks.
Routine reports on routine data for diseases that are consistently a problem for out area
Gather relevant information/intelligence
Demonstrate this need in a useful way to policy makers Link
Triggers for this are mixed, maintenance, service recommissioning or emerging area.
Statutory duty for the JSNA joint with CCG and health watch
Bother the providers of services information teams a lot. Synth with routine and health watch survey
Tableau self service
Collection of need and assets
Public Doc

5. Our Process Demonstrate the inequality within a disease area
Produce a detailed needs assessment or an update to the JSNA site (or both)
Communicate the findings to all those broadly to inform new or developing policy
Poverty, gender ethnicity or other protected characterises where appropriate.
Trigger dependant specialist services wont make it to a public site.
The report briefings presentations, increasing social media.

6. Our Process Monitor performance of commissioned services
Evaluate any interventions
Evaluate any change in the need of the population
Feed the findings back to things like contract negotiations or service redesign, as part of commissioning

7. Our Challenge Public facing Board audience
Not so Joint as the name implies

8. Trend to ascertain importance
You can do all the stat but leaders like to chase red pvalues CI stats process control we love them but leaders don’t care.
Its about shaping the information to stop that.
Trend is invaluable in terms of pop need.
This is about to go red in the next period because we understand the stats, its our duty to prevention communication

9. Trend to ascertain importance
It you do go for a stats display it has to be obvious otherwise the message is lost.

10. It would not be PH presentation without a map…
Wider determinants correlation with illness
Displaying things spatially improves communication we find

11. What we know about Wakefield
Variation in an area
Health commissioned like to get unto a certain grade
The lay and council colleagues are not

12. Outcomes based accountability
The first thing we start with… what need are we addressing?
What will the population outcome be
What does an interventions activity look like to achieve that outcome
Link – Future in Mind
Sounds obvious, but I am sure some of you are victims of commissioner missing this step

13. Evaluation and survey
An evaluation would be against an interventions outcomes framework
Often qualitative studies are commissioned to understand users and/or staff perspective
Population survey are used to understand changing need and effectiveness of interventions Link

14. Any Questions?

15. Shane Mullen Public Health Intelligence Manager smullen@wakefield. gov
Shane Mullen Public Health Intelligence Manager