The process of writing the JSNA has already identified a number of key recommendations for the Health and Well Being board and the Partners to consider:

Recommendation 1

The JSNA process should be accountable to the Health & Well Being Board (HWB).

Recommendation 2

The JSNA process should be iterative, built upon a cycle of review, reflection and amendment.  The JSNA should be underpinned by questions in each planning cycle by the HWB.

Recommendation 3

The JSNA requires a strategy on how it updates its information, ensuring that this has an acceptable evidence base.  This should be informed and delivered by a partnership strategic intelligence board (PSIB) with lead officers from at least Health, Housing, Adult’s Services, Children’s Services, Planning, Leisure, and Culture, Sandwell and West Birmingham Health Trust (SWBHT), Research Sandwell and Sandwell Mental Health NHS and Social Care Trust. 

Recommendation 4

The JSNA will underpin the Health and Well Being Commissioning Strategy, a framework of which will come to the next HWB in July 2008.  Each partner will need to make a decision about where the JSNA fits into their own commissioning cycle and how the resource will be shaped and used. The PCT is addressing the JSNA findings through the commissioning strategy development process that is currently underway.

Step 2: Review

Following the conclusion of the assessment it will be disseminated to the service leads and responsible directors for them to reflect on how the findings compare to their published commissioning intentions.  A template will be produced to capture their response to the findings.  The collated responses will be reviewed by the project team and any additional analyses undertaken. 

Step 3: Present

The resultant document will then go forward to the Health and Well Being Partnership board (19 May 2008), PCT Board, and the Health and Older Peoples Overview and Scrutiny committees.  This should happen in May/June 2008.

Step 4: Engage

Before we set the priorities we need to ensure they met the population’s needs and therefore a series of consultation events will take place during May/June/July 2008.

Step 5: Re-prioritise

Based on the assessment, strategy review and the results of the consultation a series of priority issues will be produced.  Each recommendation will be underpinned by supporting evidence presented in the relevant section.   These recommendations will inform and direct the future commissioning and service development for health and social care by both organisations.  Many of these may already form parts of current strategy whereas others might require a re-focusing of intentions.  These will be published at the end of July 2008.

The JSNA process will continue beyond this date as it is likely that gaps will remain in our knowledge due to resource and information constraints.  Also there will be a need to monitor progress towards addressing the priorities identified.  A process of ongoing review will be developed between the PCT, Adults and Communities and Research Sandwell.