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Redesigning Joint Strategic Needs Assessments: an assets based approach

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Redesigning Joint Strategic Needs Assessments: an assets based approach
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
NHS - Local Authority - LSP/CVO partners
Statutory duty since 2007
Public involvement
Health & Social Care Act 2012
JSNA and JHWS
From evidence to service planning
Needs and Assets
Deficit approach
Assets 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
• Values skills, knowledge,
connections, capacity &
potential of communities
• Positive, aspirational
• What works well
• Active participation in
solutions
• Co-production in health
& wellbeing
A glass half full
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 2013-14 will begin to
incorporate an assets
assessment into its JSNA/
commissioning process.
• UEL brief: develop a local
JSNAA model
Approach
Toolkit
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
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
Thank you
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