Agenda item

Joint Strategic Needs Assessment

Presentation by Gilly Brenner and Jessica Dunphy, Public Health


Gilly Brenner, Public Health Consultant, and Jessica Dunphy, Public Health Consultant, gave the following powerpoint presentation on the Joint Strategic Needs Assessment:-


What is the JSNA

-        “An assessment of current and future health and social care needs of the local community”

-        This includes specific health and social care behaviours e.g. smoking but also wider determinants of health such as housing and access to green spaces

-        The information found from the JSNA can be used to inform strategy, policy and action by an organisation in the Borough

-        All local authorities must produce a JSNA but there was no specific format meaning that they varied between areas

-        Rotherham’s version of the JSNA was the Rotherham Data Hub:


What does the Rotherham JSNA contain

-        People

-        Socio-economic

-        Environment

-        Community and neighbourhoods

-        Health behaviours


Structure of Theme Sections

-        Initial introductory page introducing the topic, its overall relevance to good health and key points for Rotherham

-        Covid lens – a page discussing the current impact of Covid on this topic and some potential impacts for the future

-        Data for Rotherham – local authority level data or, where available, Ward level or lower super output area (LSOA) level data

-        Useful links – links to further reading

-        List of data sources


Impact of Covid

-        The long term impacts of Covid were yet to be fully determined but they were likely to be worse in more deprived areas and to worsen any pre-existing inequalities in all areas

-        Deprivation in Rotherham was high compared to England as a whole.  A third of Rotherham residents lived within the top 20% most deprived areas in the country and overall deprivation increased between 2015 and 2019 according to the Index of Multiple Deprivation (IMD)


Risk Factors affecting DALYs (Disability Adjusted Life Years)

-        Smoking

-        High blood glucose

-        Diet

-        High BMI

-        High blood pressure

-        High cholesterol

-        Alcohol use

-        Occupational risk

-        Cold homes

-        Air quality


Headline Data Examples

-        75.6% of adults classified as overweight or obese

-        0.5% of workers cycle to work

-        25% of 16-64 year olds not economically active

-        14% of residents utilise outdoor space for health or exercise purposes

-        Gismo search for ‘weight’ – RUCST weight loss programme


Links to the JSNA

-        Homepage – Rotherham Data Hub

-        Socio-Economic – Rotherham Data Hub

-        Environment – Rotherham Data Hub

-        Community and Neighbourhoods – Rotherham Data Hub

-        Health Behaviours – Rotherham Data Hub

-        People – Rotherham Data Hub


Future Actions

-        Greater focus on prevention and inequalities

-        Greater input across place – CCG, Healthwatch Rotherham and VAR all contributed data this year

-        TRFT and RDaSH keen to contribute some data during this calendar year e.g. smoking, IAPT (Improving Access to Psychological Therapies)

-        As part of input across place, greater inclusion of information about long term conditions such as cancer and cardiovascular disease

-        Links to work around Population Health Management

-        Incorporating an interactive ‘Ward profile’ element within the JSNA, collating all data at Ward level into one place rather than having to go through each section individually

-        Acknowledging delays to data available at new Ward level

-        Changes to Ward boundaries this year may reduce the degree of comparable data available for the next few years

-        Incorporating a ‘lifecourse’ element where data relevant to each life stage (child, young adult, adult, elderly) across all themes was brought together


Discussion ensued with the following issues raised/clarified:-


·        A JSNA should provide a good starting point for understanding the issues in Rotherham, but also provides links to further detail held  

·        It was person-centred with demographic information together with other influencers on health, from health behaviours to wider determinants and the interplay between these factors

·        A summary of some key developing evidence or expected impacts of Covid.  Some of the information was based on national surveys but it be some time before a full understanding was gained and ability to analyse the wide range of impacts of the pandemic

·        The data page compared Rotherham to its nearest statistical neighbour and the England average as well as showing trends over time

·        Some pages would have the old Ward data; the new Ward data was available under the Ward profiles

·        The map was an initial look at the impact of Covid. It was already expected that areas with higher deprivation were likely to be impacted worse by the pandemic, due to higher rates of infection, loss of income, missed in-school education etc.

·        For a significant proportion of residents, the pandemic was likely to have had a negative impact that would exacerbate inequalities

·        DALYs = Disability Adjusted Life Years = The sum of years of potential life lost due to premature mortality and the years of productive life lost due to disability.  The top 10 risk factors were those that contributed most to ill health and reducing quality of life.  This inclusion was welcomed as the agenda was moved to prevention and early intervention

·        Whilst many of them were considered as health behaviours, it was known that they were highly influenced by the conditions in which people grow, play, learn and live

·        It was hoped to incorporate a more interactive version of Ward profiles to enable Members and others to better understand the issues specifically relevant to their local area, acknowledging the challenges that the new Ward boundaries brought to the availability of data and trends

·        It was also the aim to make it easier to see the data specifically relevant to different stages of the life-course

·        Importance of feeding the JSNA into Directorates

·        DALYs could be used to inform the Rotherham Place Plan

·        The importance of an understanding of the impact of Covid on socio-economic in terms of the response and recovery plan


It was noted that a seminar was to take place in the summer on the JSNA.


Gilly and Jess were thanked for their presentation.


Resolved:-  That the Joint Strategic Needs Assessments and future actions be noted.

Supporting documents: