Report to: East Sussex Health and Wellbeing Board
Date of meeting: 12 December 2023
By: Director of Public Health
Title: East Sussex Joint Strategic Needs Assessment (JSNA) Update
Purposes: To present to the Health and Wellbeing Board an update on the JSNA for East Sussex.
RECOMMENDATIONS
The Board is recommended to approve the JSNA priorities and workplan for 2024.
1. Background
1.1 The Joint Strategic Needs Assessment (JSNA) programme was established in 2007 and reports on the health and wellbeing needs of the people of East Sussex. It brings together detailed information on local health and wellbeing needs to inform decisions about how we design, commission, and deliver services to improve and protect health and reduce health inequalities. The JSNA is an on-going, iterative process, led by Public Health within the County Council.
1.2 Statutory guidance for Joint Strategic Needs Assessments states that the responsibility for overseeing JSNAs lies with the Health and Wellbeing Board (HWB) and this has been reiterated in guidance on health and wellbeing boards published in November 2022. In East Sussex this process has been led by Public Health on behalf of the Health and Wellbeing Board.
1.3 Since January 2012, all JSNA work and resources have been placed on the East Sussex JSNA website so that it provides a central resource of local and national information relevant to East Sussex.
1.4 Resources include local needs assessments, local briefings on specific topics, direct links to national tools containing local data, Director of Public Health Annual Reports, and signposts to other useful resources such as East Sussex in Figures (ESiF).
2. JSNA developments since the last report to HWB
2.1 There have been many updates to the JSNA since last December, here are just a few highlights:
· New website launched February 2023
· DPH report 2022/23 - Connecting People and Places
· District and Borough Area Profiles
· Children and Young People Self-Harm Needs Assessment
· Pupil Health & Wellbeing Survey Data Summaries
· Several Census 2021 reports
· Creative Health, Arts and Culture resources
· Briefings on the economy and benefit claimants in East Sussex
3. JSNA Refresh progress.
3.1 There were five items presented to the board last December as part of the workplan for 2023/24. These were:
1. Complete the transfer of current JSNA resources to interim JSNA site whilst ESiF replacement is developed.
Ø This was completed in February 2023.
2. Publish accessible overviews of key issues across the life course.
Ø This was Published in June 2023
3. Publish strategic summaries for each of the Big Three JSNA questions.
Ø The Healthy Life Expectancy and Health Inequalities summaries are being finalised. The third summary relating to Need and Demand across the health and care system to be carried over in to 2024.
4. Publish the key priorities from the JSNA based on work to date.
Ø New JSNA priorities identified by the JSNA process are being presented to the board in this report to then be published in the New Year.
5. Continue integration with ESiF replacement developing area profiles and local data to be explored by users.
Ø Update on progress with integration is presented within this report.
JSNA Framework
3.2 The JSNA working group continue to meet monthly to ensure the work is on track and focused on the right tasks. In September the group reviewed the JSNA website content against the JSNA Framework (see Appendix 1) to feed into the JSNA workplan for 2024 to ensure that gaps are identified, and new resource requirements identified to go on the task list.
Integration with East Sussex in Figures (ESiF).
3.3 The ESiF website was first created at the request of the East Sussex Strategic Partnership 17 years ago to provide a single source of data and information about the county. It continues to be well used, both within the Council and by partner agencies, the voluntary, community and social enterprise sector, businesses, and members of the public. It is a trusted and valued source of information, particularly for demographic and economic statistics. As previously reported to HWB the current design of the site does not meet modern accessibility requirements as set out by the Public Sector Bodies (Websites and Mobile Applications) Accessibility Regulations 2018 and it is not possible to fix these without rebuilding the entire site and the software behind it.
3.4 The project to replace ESiF and integrate with the JSNA site has been overseen by the East Sussex County Council (ESCC) Digital Board and work has been taken forward by a working group to identify the technical requirements for the replacement solution. This included accessibility and security requirements. An assessment of the market identified one solution that met the requirements which is currently in the process of being procured for use.
3.5 The site will be launched in early 2024 and once the new site is up and running, the next stage is to integrate the ESiF and JSNA sites as planned.
Governance changes
3.6 Last December we agreed a governance structure with the HWB to support the East Sussex JSNA. Since then, there have been some changes to the East Sussex Health and Care system with a new governance structure for partnership planning, delivery and transformation at East Sussex Place level within the Sussex Integrated Care System (ICS). Within this new structure will be the creation of an East Sussex Population Health and Care Intelligence Group. This is shown within appendix 2 of this report. It is proposed that the JSNA working group feed into this group and receive requirements from this group in the planning and development of JSNA resources.
4. Proposed priorities for the system based on JSNA work to date.
4.1 The current JSNA priorities were based on work undertaken for the 2018/19 Director of Public Health’s annual report. Based on the JSNA work to date, here are the proposed new JSNA priorities for 2024.
Building blocks of good health – Decent Home, Education and Employment alongside Good Social Connections and Community.
Building on the following JSNA resources:
· Health and Housing – DPH report 2019/20
· Work Skills and Health – DPH report 2021/22
· Connecting People and Places – DPH report 2022/23
· Creative Health Position Paper
Importance of the Life course approach – Good Start in Life, Living Well, Ageing Well, A Good End in Life.
Building on the following JSNA resources:
Improving Healthy Life Expectancy – Extending years in good health by enabling healthy behaviours and reducing risk and impact of chronic disease and ill-health.
Building on the following JSNA resources:
· Healthy Life Expectancy Summary
Reducing Health Inequalities – Underpinning everything we do. Gaps are always changing and not always in the direction we want them to.
Building on the following JSNA resources:
· Health Inequalities summary
Mental Health and Wellbeing - focussing on prevention and early support.
Building on the following JSNA resources:
· Adult Mental Health Prevalence Briefing
· Pupil Health & Wellbeing Survey Data Summaries
5. Workplan for 2024
5.1 The proposed workplan below sets out some key pieces of work identified from the JSNA framework gap analysis and also requests received. This list is not comprehensive and there will be the need to respond to requests as priorities emerge throughout the year. Where appropriate the work will look at the whole life course.
Major work that takes substantial time to plan and complete.
· Integrated Community Teams (ICT) - Support development of data profiles across the whole of Sussex, with the first set delivered in December 2023.
· Mental Health – Work focussed on supporting the Mental Health Oversight Board.
· Frailty – Work to support the Health Outcomes Improvement Oversight Board.
· Oral health – Focussed work on priority groups for the NHS Sussex commissioners.
· Community survey – Creative Health and Wellbeing Community Survey.
· Climate Change JSNA – Working with the Healthy Places team in Public Health.
Briefings
· Healthy Ageing data pack
· Active travel.
· Learning disabilities, autism, and neurodiversity for adults.
· Air quality
· Cancer
Profiles
· Adding and updating profile pages on the site as they become available from organisations such as the Office for Health Improvement and Disparities (OHID), Office for National Statistics (ONS), other Government departments, Local Government Association (LGA) etc.
6. Conclusion and Reason for Recommendation
6.1 The Health and Wellbeing Board is recommended to:
1. Agree the approach and governance for the JSNA programme.
2. Agree the JSNA Priorities
3. Approve Sign-off the workplan for 2024
DARRELL GALE
Director of Public Health
Contact officer: Graham Evans, Head of Public Health Intelligence
Tel No. 07500 124081; Graham.Evans@eastsussex.gov.uk