Joint Strategic Needs Assessment 2017/18

Joint Strategic Needs Assessments (JSNAs) are assessments of the current and future health and social care needs of the local community. These are needs that could be met by the local authority, CCGs, or the NHS. JSNAs are produced by health and wellbeing boards, and are unique to each local area. This report is an assessment of the Health and social care outcomes framework. The framework was agreed by the Health and Wellbeing Board in 2017.

Key Themes:

  • An assessment of the Health and Wellbeing Outcomes Framework
  • Development of an inequalities dashboard
  • Undated geographically based profiles
  • An analysis of healthy places
  • An analysis of the changes in life expectancy in Doncaster

Headline Findings:

Starting Well

  • Smoking status at time of delivery is significantly worse than the national average, has been worsening over the past 5 years, and the gap between the national average has been widening.
  • The number of hospital admissions due to substance misuse (15-24 years) is significantly worse than the national average, has been worsening over the past 5 years, and the gap between the national average has been widening.
  • The number of children in care is significantly worse than the national average. 

Living Well

  • The number of people in sustained employment has been improving for the past 5 years. 
  • The number of admissions for alcohol-related conditions is significantly worse than the national average, and has been worsening over the past 5 years. 
  • The under-75 mortality rate from all cardiovascular diseases is significantly worse than the national average, but has been improving over the past 5 years. 

Ageing Well

  • The number of permanent admissions to residential and nursing care homes per 100,000 aged 65+ is significantly worse than the national average, though the 5-year trend is improving, and the gap between the national average is narrowing. 
  • The number of emergency hospital admissions due to falls in people aged 65+ is significantly higher than the national average.
  • The proportion of older people (65+) who were still at home 91 days after discharge from hospital has been improving over the last 5 years, and the gap between the national average is narrowing.

All-ages

  • Healthy life expectancy at birth for men and women is currently significantly worse than the national average, though the trend has remained stable over the past 5 years. 
  • Self-reported levels of wellbeing have been improving over the past 5 years, with the gap narrowing with respect to the national average. 
  • Family homelessness is significantly better than the national average, but has been worsening over the past 5 years. 

Actions: 

The following are some of the suite of JSNA 2018 related links, reports and actions:

Feature Images