04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

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DRAFT accessed the service all benefit of it, increases cost-efficiency or added value of the services. The prioritisation process produces a list of potential interventions aiming at reducing or preventing health inequalities by ensuring that resources are distributed according to needs. There are several drivers that inform and affect public health priority setting. While there may be different approaches to priority setting, this process is largely driven by National priorities set through the Operating framework by the DH where providers need to explicitly plan for delivery especially in terms of following: • Cleanliness and healthcare-associated infections • Improving access • Keeping adults and children well, improving their health and reducing health inequalities • Experience, satisfaction and engagement • Emergency preparedness The Healthcare Commission’s annual health check drives improvements in healthcare for patients by monitoring progress of work towards meeting targets through the set of indicators included in the National and Local indicator set. A new approach within the Operating Framework 2008-09 for planning and managing priorities both nationally and locally are ‘vital signs’. ‘Vital signs’ can be used to develop local operational plans to deliver against national priorities and inform decisions on local targets. There has been a shift in approach to improving local services delivered by the NHS, local authorities and public services. The focus has shifted from nationally set targets driving service improvements to a focus on improved outcomes that matter for individuals and local communities, which respond to the local context. Integral to this is partnership working across health and social care and between local and regional organisations. The advent of local area agreements (LAA) and the recent requirement for PCTs and Local Authorities to conduct a Joint Strategic Needs Assessment will be changing the way we prioritise in public health. Local Area Agreements (LAA) and Joint Strategic Needs Assessment (JSNA) LAAs deliver prioritisation and co-ordination at a local level and provide a platform for local leadership. LAAs are an agreement between the public and the local authority/NHS. They set out the priorities for a local area agreed between central government and a local area (the local authority and Local Strategic Partnership) and other key partners at the local level. The Local Government and Public Involvement in Health Act (2007) [Clause 116] places a duty on upper tier local authorities and Primary Care Trusts (PCTs) to undertake a Joint Strategic Needs Assessment (JSNA). This provision has come into force since April 2008. The Director of Public Health, Director of Adult Social Services and Director of Children’s Services are jointly expected to take a lead in producing a strategic needs assessment through strong partnership. (Details in Chapter 6) Lambeth JSNA – Preliminary Assessment Version 4 October 2008 104
DRAFT The following describes the process of priority setting in light of JSNA and LAA. JSNA Primary Care Trust Local Authority LSP (Local Strategic Partnership) Priorities PCT Commissioning Priorities Local Area Agreement -Mental Health -Long term conditions - Sexual health -Children & Young People -End of Life care -Staying healthy -Healthier Communities & Older people -Economic Development -Children & Young People -Community Safety -Active Communities The following chart elicits the hierarchy that exists in terms of bureaucracy at present. Central Government Department of Health Govt Office For London (Monitoring) Communities & Local Government NHS PCT Local Authority Monitored by -Health Care Commission -Audit Commission Monitored through -CAA-Comprehensive Area Assessment -APA Annual Performance Assessment -CSCI – Commission for Social Care Inspection Lambeth JSNA – Preliminary Assessment Version 4 October 2008 105
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DRAFT LONDON BOROUGH OF LAMBETH JOI
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DRAFT Foreword (Director of Childre
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DRAFT 1. Introduction The concept o
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DRAFT - Health as a way of life. -
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DRAFT 6. End of Life Care over the
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DRAFT Lambeth Local Area Agreement
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DRAFT LAMBETH JOINT STRATEGIC NEEDS
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DRAFT Population - Mid Year Estimat
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DRAFT Lambeth Population Projection
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DRAFT Population Density People per
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DRAFT living in other boroughs but
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DRAFT How do they live? • There a
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DRAFT Town Centre Commn Town well t
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DRAFT How is Lambeth ranked on depr
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DRAFT People with substance misuse
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DRAFT there are approximately 1,000
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DRAFT admissions in 2007-08 over 20
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DRAFT • Trauma: falls - The morta
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DRAFT NATIONAL PRIORITIES Reference
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DRAFT GUM services • HIV/AIDS •
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DRAFT • Of the 95,726 people from
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DRAFT Overview of green spaces and
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DRAFT • The Home Office estimates
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DRAFT • Alcohol related ambulance
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DRAFT 5. Economic development - Are
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DRAFT • The business sectors with
Page 53 and 54: DRAFT • Lambeth residents are emp
Page 55 and 56: DRAFT benefit, job seekers allowanc
Page 57 and 58: DRAFT • With an average house pri
Page 59 and 60: DRAFT Safety, Parking and Enforceme
Page 61 and 62: DRAFT 6. CYP - Do they enjoy and ac
Page 63 and 64: DRAFT NI 88 NI 89 NI 90 NI 91 NI 10
Page 65 and 66: DRAFT Do the people of Lambeth part
Page 67 and 68: DRAFT Do they live in strong, cohes
Page 69 and 70: DRAFT statutory time limit (NI 132
Page 71 and 72: DRAFT NI 125 NI 129 NI 141 NI 142 N
Page 73 and 74: DRAFT Reference NI 4 Indicator % of
Page 75 and 76: DRAFT facilities good to excellent
Page 77 and 78: DRAFT 7. Are they safe? a. Are they
Page 79 and 80: DRAFT SIGNIFICANT INEQUALITIES IDEN
Page 81 and 82: DRAFT high crime partnership areas
Page 83 and 84: DRAFT Rowdy / Inconsiderate Behavio
Page 85 and 86: DRAFT NI 27 NI 21 NI 24 NI 25 NI 41
Page 87 and 88: DRAFT SIGNIFICANT INEQUALITIES IDEN
Page 89 and 90: DRAFT A great deal of useful feedba
Page 91 and 92: DRAFT The main finding of the consu
Page 93 and 94: DRAFT The entire review is enclosed
Page 95 and 96: DRAFT Licensing and community appro
Page 97 and 98: DRAFT keeping, use of electronic re
Page 99 and 100: DRAFT Physical activity Summary of
Page 101 and 102: DRAFT • Prisoners sometimes use n
Page 103: DRAFT 10. Lambeth priorities Priori
Page 107 and 108: DRAFT Lambeth JSNA - Preliminary As
Page 109 and 110: DRAFT The comprehensive discussion
Page 111 and 112: DRAFT Thomas’ Charity and Marie C
Page 113 and 114: DRAFT Initiative Outcome Indicators
Page 115 and 116: DRAFT Initiative Outcome Indicators
Page 117 and 118: DRAFT 2. Proportion of eligible pop
Page 119 and 120: DRAFT Chapter 6. Recommendations Th
Page 121 and 122: DRAFT LAMBETH JOINT STRATEGIC NEEDS
Page 123 and 124: DRAFT Objectives: • To develop a
Page 125 and 126: DRAFT 1. A population-based approac
Page 127 and 128: DRAFT C22a,c D13a,b&d Core standard
Page 129 and 130: DRAFT JSNA Steering Group membershi
Page 131 and 132: DRAFT Project timetable with provis
Page 133 and 134: DRAFT Appendix II Lambeth JSNA - Pr
Page 135 and 136: DRAFT Executive Summary This litera
Page 137 and 138: DRAFT Introduction What is the Citi
Page 139 and 140: DRAFT Service delivery The table be
Page 141 and 142: DRAFT treated with respect by their
Page 143 and 144: DRAFT (25%), that their personal da
Page 145 and 146: DRAFT are shown what has happened a
Page 147 and 148: DRAFT Although council tenants are
Page 149 and 150: DRAFT priority for improvement. The
Page 151 and 152: DRAFT Other issues that the CFP sho
Page 153 and 154: DRAFT Glossary A&E ACS AIDS BME C&Y
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04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council

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