Agenda item

- http://www.rotherham.nhs.uk/files/Organisational/Comissioning/JSNA%20Report%202011.pdf

Please note this is a large document and has not been included in the agenda pack

The Director of Health and Wellbeing presented, on behalf of the Strategic Commissioning Manager, the refreshed Joint Strategic Needs Assessment which had been produced by the Joint Commissioning Team working in collaboration with various key partners in Local Authority, Health and the Voluntary and Community sector.

The design and format of the refreshed JSNA would act as an up-to-date platform to support the development of the Borough-wide strategic needs assessment.  It was sufficiently versatile to support ongoing updates and addition of new areas of assessment. 

The emerging needs were:-

-        Rotherham’s ageing population – growing pressure on health, social care, informal care and supported housing

-        Growing ethnic diversity which had changed the community and customer profile particularly for Children and Young People’s Services

-        Growing gap between the most deprived areas of Rotherham and the rest of the Borough

-        Maintenance of existing housing stock and major structural repairs required – the poorest housing conditions tended to be in the private sector

-        Energy efficiency in housing

-        High levels of unemployment and long term sickness

-        Lifestyle risk factors – promotion of healthier lifestyles

-        Second highest rate of Accident and Emergency admissions in the region

-        Above regional and national averages for cancer deaths

-        Need for Mental Health Services to work in partnership

-        Development of an effective community service which promoted independent, maintained cognitive function and prevented secondary conditions whilst supporting carers

-        Reduce health inequalities in terms of mental health related hospital admissions where deprivation and unemployment may be a factor

-        Respond to the increasing demand proposed by people living with learning disabilities for longer

-        Season flu immunisation

-        Essential Uptake of Long Acting Reversible Contraceptives for reducing teenage pregnancy rates

-        Develop public and patient engagement so both NHS Rotherham and the Council could maintain a regular dialogue with Service users

-        Support for parents of disabled children in making the best possible choices for their child’s health and social care needs

-        Need to increase the skill  base of Rotherham’s school leavers

The document was available through the Council and NHS Rotherham internet and intranet sites.

Discussion ensued on the document with the following comments made:-

o       This should be one of the key documents which informed and guided the strategy not just for the local authority but Health and other partners, it should have reference to the wider strategic framework, including Adult Social Care outcomes

o       There had been no Elected Members involvement

o       The report was submitted for endorsement but was already available on the NHS website

o       The JSNA informed PCT Operational Plans but should refer to the current agendas e.g. Public Health, Health and Wellbeing Board

o       No mention of Adult Services outcomes, the Armed Forces Protocol etc.

o       Should be far greater involvement by Elected Members and should be considered by the Cabinet.

Resolved:-  That due to the Cabinet Member being of the opinion that the document was not complete and, in light of the comments above, the document be not endorsed and referred to the Cabinet for consideration.