Nottingham City

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Nottingham Citys JSNA harnessing the web for
intelligent commissioning

• East Midlands regional JSNA event, 28th June 2010
• Dr Jeanelle de Gruchy
• Deputy Director of Public Health,
• NHS Nottingham City

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Our approach

• Harnessing the web
• Intelligent commissioning

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Nottingham Insight
Profiles of key datasets by topic or area
Dynamic Mapping
JSNA
Data e.g. police, education, fire, health,
national indicators and local data
Documents e.g. prison HNA
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Chapters

• 1. Demographics and Social and Environmental
  Context
• 2. Life Expectancy
• 3. Behavioural Factors
• Alcohol, Problem drug use in adults, Substance
  Misuse in children and young people (alcohol and
  drugs), Diet and nutrition, Adult obesity, Child
  obesity, Physical activity, Smoking
• 4. Children, Young People and Families
• Avoidable injuries, Carers, Children in Care,
  Dental health, Disabilities and learning
  difficulties, Domestic violence, Immunisations
  and vaccinations, Maternities and pregnancy,
  Mental health, Safeguarding of adults children,
  Sexually transmitted diseases including HIV and
  AIDS, Teenage pregnancy
• 5. Adults
• Adult Dental Health, Asylum seekers, Refugee
  workers and Migrant workers, Avoidable injuries,
  Cancer, Cancer screening, Cardiovascular Disease,
  Carers, Chronic Obstructive Pulmonary Disease,
  Dementia, Diabetes, Domestic violence, End of
  Life, Homelessness, Housing, Immunisations and
  vaccinations, Learning disabilities, Mental
  health, Long-term health conditions and older
  people, Offenders health wellbeing, Physical
  and sensory impairment, Sex workers, Stroke

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Template

• Front page summary
• Whos at risk and why?
• The level of need in the population
• Current services in relation to need
• Projected service use and outcomes in 3-5 and
  5-10 yrs
• Evidence of what works
• User Views
• Unmet needs and service gaps
• Recommendations
• Further needs assessment
• Commissioning
• Key contacts
• References

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GIS team
Contributing authors
Stakeholders
Primary and secondary care Clinicians
Users
Lead authors (PCT and LA)
Steering group
Frontline staff
Information analysts
Chair Nominated deputies CPHM AD
Commissioning JSNA Manager Head of Information
Service managers
Policy, strategy and commissioning
officers CPHM Public health managers
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Risks Mitigation

• Loss of key posts
• Variable quality
• Not used

• Embed within LA structures
• Develop clear link to PBC
• Standard template
• Training
• Guidance notes
• JSNA manager edit
• Broad authorship
• Direct link into partners strategies
• Flexible to major and regular updates

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Development

• JSNA informing
• PBC commissioning
• Joint commissioning agendas
• Increasing stakeholder involvement

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• Nottingham Citys JSNA
• harnessing the web
• for intelligent commissioning