1. Using the Data Inventory Local Perspective Jacqueline Clay West Sussex Public Health SSRG 30 th January 2012

2. Good news if that I have all the figures…the bad news is I’m not sure what order to put them in. How things work in West Sussex Issues / challenges with JSNA work Use of data inventory to support improvement

3. Where the JSNA sits in West Sussex Public Health Research Unit West Sussex Public Health Observatory (PCT) West Sussex Social Research Unit (WSCC) Shared Intelligence (WSCC / PCT) Consultant – PH Director of Public Health, Wellbeing and Safeguarding

4. Our experience Tried to avoid the “the” On-going process Portfolio approach of products Work plan – anticipating “givens” and commissioning cycles Combination of in house work and commissioned needs assessments Local analysis Work with wider “public health” colleagues

5. JSNA framework Data collection –Routine data –Local research eg surveys –Professional views –Public/patient views Data analysis –Ad hoc query based analysis –Surveillance for unexpected –Modelling –Area based analysis –Benchmarking –Evaluation –Cost benefit analysis Interpretation in context –Statistical and methodological issues –Evidence from research –Experience of practice –Local knowledge –National policy Communication –Website –Reports –Presentations –Briefings

6. Scope – containing “everything, all the time, everywhere” Need better clarity on what is “in” and what is “out” Expectation – often seen as one stop shop to answer all requirements. Wide remit – determinants of health to health and social care outcomes Lower profile of social care in JSNA

7. Relationship between JSNA and other local needs assessments Some statutory requirements in place before JSNA (e.g. prison health) Some work entitled “needs assessments” centrally directed and some more akin to service evaluations (e.g. PNA) Need to improve how qualitative evidence incorporated – neighbourhood level needs assessments

8. Local not central Need to ensure local resources for analysis and interpretation in place Work with wider PH network e.g. housing departments, voluntary sector, EH, schools etc… Using wide range of evidence Understand local conditions, decision making - making evidence relevant to people using it. Increasing importance of how data are cut e.g. healthy children programme information being cut in over 100 separate geographies – most locally defined

9. How framework helps Using the framework to draft a revised county report Wider than DoH guidance and incorporates social care Closer to how the JSNA has panned out Guidance on content / structures and clearer understanding of identifying priorities

10. Criteria for identifying overarching priorities Important issue –Number of people affected –Size of effect –Cost Evidence that we can improve outcomes –Health or service inequity –Research evidence –Performance data Strength of public feeling