2. Background
JSNA seen as an important tool for improving health of migrants
Funded by DH and developed by migrant health leads in NE, NY and Y&H
Work delayed until it was clear JSNAs were to be continued
Launched and available on LGID & NEPHO Websites

3. Purpose
This Guide is written to assist those writing a Joint Strategic Needs Assessment (JSNA) as part of the process of commissioning
It aims to demystify the topic by giving a practical approach and easy access to supporting resources
It is aimed at those who might do the work of JSNA, those who wish to influence the process and those who make prioritisation decisions
It takes a co-production approach

4. Why focus on migrants? Need to understand (changing) demography
Migrants have common vulnerabilities e.g.
need for language support
less aware of how NHS works
Discrimination
Migrants very heterogeneous group: need to have specific locally driven focus

5. Report Structure How to do it Notable examples Appendices Focusing
Information collection
Mapping
Interviewing and case studies
Storing and disseminating information
Creating conclusions and momentum for change
Notable examples
Appendices
Appendix 1 Who are migrants?
Appendix 2 Key features of co-producing JSNA
Appendix 3 Using routine data on migrants
Appendix 4 Starting contacts
Appendix 5 Resource list
Appendix 6 References

6. Co-production
“The central idea in co-production is that people who use services are hidden resources, not drains on the system, and that no service that ignores this resource can be efficient.”
The recognition that people are assets.
Valuing the full range of activities that organisations and individuals carry out.
Trust and reciprocity between statutory bodies and external agencies is promoted.
Building networks of individuals and agencies involved in knowledge production

7. Data are available but complex
Definitions of ‘migrant’ vary
several ways of grouping migrants
Legal status, country of origin, nationality, ethnicity
Some sources collect data on new arrivals, others count how many people are present, few data are collected on people leaving
‘Churn’ is important as pressure on services often relates to new contacts

8. Any Questions?
Dr David Chappel Assistant Director, North East Public Health Observatory Wolfson Research Institute, Durham University, Queen's Campus, Stockton University Boulevard Thornaby Stockton-on-Tees TS17 6BH United Kingdom T: F: E: or W: