Tameside Strategic Partnership

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Introduction

Development of the Joint Strategic Needs Assessment

This Joint Strategic Needs Assessment (JSNA) has been developed in partnership by the shadow Clinical Commissioning Group (CCG), the public health team at NHS Tameside and Glossop, and Tameside Metropolitan Borough Council (TMBC) with input from other strategic partners and diverse groups and communities.

This was overseen by the JSNA steering group, which is a sub group of the Tameside Health and Well-being Board, and includes representation from CCG Board Members, TMBC Directors of Adult’s and Children’s Services, and the Director of Public Health. See Appendix 4 for a full list of steering group members. The content of the JSNA has been aligned to the indicators from the NHS, Public Health and Adult Social Care Outcomes Frameworks, which the CCG and local authorities are responsible for delivering.

How the Joint Strategic Needs Assessment will be used

The JSNA is a comprehensive description of the current health of the population of Tameside and Glossop, and recommendations for action that will lead to improvements. As a result, it provides the following for the CCG, Health and Well-being Board and local authorities:

  • Assurance that current priorities, identified in 2012 for action, should remain
  • Confirmation that some of the more longer term priorities should remain. Examples include teenage conceptions, early identification of people with HIV, dementia, reducing falls & their impact in older people, reducing emergency admissions, reducing cancer mortality, increasing breastfeeding, increasing access to rehabilitation etc
  • A benchmarking exercise on a range of areas across the health and social care system that can be used as a reference document around the current position, where progress has been made and recommendations for further action that would improve outcomes. These are wide ranging in nature. This JSNA can then be reviewed at a reasonable interval to determine if measures in place have made a notable difference.
  • Gives an overview of the NHS outcomes that the CCG will be specifically responsible for delivering against.
  • Provides an outline for a number of thematic areas such as a healthy start in life, support for vulnerable groups, active ageing etc that could be strands in a life-course approach to commissioning.
  • Enables areas across the NHS, social care and public health to be seen as part of a range of measures to improve health and support independence. One example is reducing the number of people in residential and nursing care linked to carer’s quality of life, reducing the impact of falls, incidence of HCAI, preventable sight loss, health related quality of life for older people and proportion of older people offered rehabilitation following hospital discharge. These outcomes provide a framework for working through collaborative approaches to joint working.
  • There is a focus on vulnerable groups who have traditionally not had the same level of access to healthcare, employment and other supportive systems. This review enables a number of indicators to be viewed together to inform joint working.
  • There are some indicators on access to primary care and dentistry that are useful markers.
  • There are a number of outcomes where there is limited action in place at the moment but where data indicates there is a higher prevalence which will need to be considered: suicide prevention, hospital admissions as a result of self harm, children and adults with autism, domestic violence,

The recommendations in the JSNA have influenced the investment priorities for the shadow CCG. For example, previous JSNAs highlighted the issues that underpin the high rates of All Age All Cause Mortality (AAACM) locally. Summaries and profiles of these health issues were presented to the CCG and Health and Well-being Board (H&WB) and used within their investment and prioritisation processes. As a result, the CCG have approved business cases which enabled investments in programmes, interventions and services which tackle these causes of ill-health and premature mortality.

 
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