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Solihull Health and Well Being (Solihull Metropolitan Borough Council)

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Solihull Health and Well Being

Needs Assessment

Application pack

Welcome to application pack. You will find all of the

documents you need here to apply for a needs assessment

(NA) to become part of the rolling programme, to structure the

needs assessment if approved and a quality assurance

checklist to ensure that the needs assessment is fit for

purpose.

Separate application guidance is available to help you

complete the application form and structure the needs

assessment.

Please note that the commissioning intelligence group (CIG)

does not have all the resources to complete all the needs

assessments/ detailed analyses. If you are requesting a needs

assessment to be part of the Solihull NA rolling programme

and it is approved, you will be considered, as the lead

commissioner for that needs assessment, and will be

expected to lead a working group and submit the final product

to the NA CIG for quality assurance.

This pack contains:

1. Explanation and flowchart of process

2. Application form

3. Criteria for assessing applications

4. Needs assessment workbook

5. Quality assurance form

Needs Assessment Process document

 Making a request

Any requests for a needs assessment

should be presented to the

commissioning intelligence group (CIG). This request should be submitted on a

standard request form that outlines the reason for the request, and the intended

outcome – change in service, addressing inequalities etc. It should also detail

any resource that can be provided to support the needs assessment.

 Prioritisation

The commissioning intelligence group will follow a transparent process to

prioritise all requests for inclusion. Requests will be assigned as high or low

priority after assessment against the following criteria:

 Does it support a priority area(s) of the Health and Wellbeing Strategy, CCG

and other organisations priorities?

 Is it cross cutting across more than one theme of the HWBS?

 What is the population impact?

 Purpose / intended outcomes of the work

 Resourcing

If a request is assessed as high priority and cross cutting, the commissioning

intelligence group will have the capability to co-opt people to join a small multi-

disciplinary, multi-organisational group for the piece of work, which will be led by

requestor of the needs assessment. This will include analytical / evidence

support, commissioners / experts in the field, member(s) of the commissioning

intelligence group, provider organisations and Healthwatch where they feel it is

appropriate.

If a request is assessed as low priority, the commissioning intelligence group may

be able to offer to provide some data / evidence to support the requestor, but

they will be advised that the work would not form part of the annual work

programme.

 Content of the Needs Assessment

A template and guidelines have already been drawn up to illustrate the areas that

should be covered in a health and wellbeing needs assessment. This will include

a summary page.

A Health Needs Assessment is a systematic method for reviewing the health/wellbeing/ social care issues

facing a population, leading to agreed priorities and resource allocation that will improve health/ wellbeing/

care and reduce inequalities

 Quality Assurance

Final drafts for comment and the final needs assessment should come back to

the commissioning intelligence group. There will be a transparent process of

quality assurance based on a checklist, included with this guidance.

 Communications

The process paper, template for making a request, criteria for prioritisation and

quality assurance form will all be made available on the JSNA page of the Solihull

website. This will also include record of commissioning intelligence group

meetings throughout the year so requestors can see when discussions will occur.

Summary pages from completed needs assessments will be circulated to JSNA

steering group (JCOG/JCB). They will be included as items for discussion on

agendas where advised by the commissioning intelligence group or as

information items to assist the communication and awareness of results. The

commissioning intelligence work plan will also be included in any newsletter for or

from the Health and Wellbeing Board.

 Other

In addition to new needs assessments it is recognised that other agencies may

from time to time generate specialist reports that could contribute to the evidence

base on health and wellbeing. These will be reported to the commissioning

intelligence group and, if agreed, links will be added to the Solihull JSNA website.

Read through process pack and complete NA registration form available from

the JSNA website:

Submit form to commissioning intelligence group

Establish needs assessment steering group

Low priority – limited involvement of

commissioning intelligence group

Needs assessment undertaken in line with workbook

Final needs assessment returned to commissioning intelligence group for quality assurance

High priority

Add to work

programme

Does it support

identified

priorities?

The process

Assessment/ scrutiny

NA Application Process

Solihull Needs assessment Application Form

Title of proposed needs assessment:

Date:

You can register a needs assessment into the Rolling Programme if you can answer ‘Yes’ to any of the

following:

The needs assessment is linked to an impending commissioning or business development decision

There is a gap in our health & wellbeing knowledge

I need to develop a service strategy

I need answers to questions described in the Workbook

SECTION 1 – Originator’s details

Name:

Job Title:

Email:

Department:

Tel. no.

Date:

SECTION 2 – About the assessment

Who is the commissioner that will use this needs assessment?

What is the timescale for any related commissioning / business development decision?

What is the likely impact of this issue on the population of Solihull and how many people is it

likely to affect? (The impact may be related to health, or could be political, economic, social or

technical)

1. Level of need – Volume

2. Level of need – Severity

3. Level of need – Trend

4. Level of need – Benchmarks

Yes

5. Does the topic have early intervention implications? Is it an emerging issue which is likely to cause further problems in the future?

6. What level of qualitative information do we have on the issue?

7. What is the scale of inequality?

8. What broader impact does the topic have on the local population?

9. What is the magnitude of potential health benefit from dealing with the issue? What is the ability to benefit?

10. Estimated economic cost associated with tackling the topic in Solihull ?

Brief Background:

Objectives:

Scope:

Expected outcomes

Any interrelated Deadline:

Explanation of deadline

SECTION 3 – Project management

Is there a project group with representation from commissioners/ providers and the staff doing the

needs assessment? Please detail members of the group and their role. Do you need support from the

Criteria for inclusion in NA Rolling Programme

The aim of the NA Rolling programme is that needs assessments drive

commissioning decisions and business development.

These questions will be used by the CIG to screen applications for the NA rolling

programme.

Question

Yes/No/Partially

Importance of the issue

1. Is the needs assessment linked to an impending

commissioning or business development

decision?

2. If no, is there a compelling reason to include this

needs assessment in the NA programme?

commissioning intelligence group to establish the project group?

What resources do you anticipate needing to complete the needs assessment (people, equipment etc)

and have you arranged for these?

SECTION 4 – Additional information

Please provide any information that might be useful.

To be completed by the CIG Team

Prioritisation Checklist

Current work Programme checked

Date Received:

Decision: Yes No

Priority score:

Action to be taken:

By Whom: Date:

✔

Email form

Print form

3. Is the issue one with potential significant impact

for the population of Solihull?

NB impact could be on Health and or it could be

Political, Economic, Social or Technical.

Consider is it:

Project Management

4. Is there a project group with representation from

commissioners/ providers and the staff doing the

needs assessment?

5. Have you identified the resources to complete

the needs assessment eg people, equipment.

Administration

6. Is the NA rolling programme registration form

complete?

Notes

If answer to 3 is 0, it is unlikely that the needs assessment will be included in the NA

programme.

After the screening programme the

Low impact, high numbers affected

Solihull’s

Needs Assessment template

1. executive summary

2. What is the issue and why is it important for Solihull? Include current key

challenges/opportunities such as legislation changes.

3. Which population is this needs assessment about?

4. What is the focus of this needs assessment?

a. A specific population group; are services meeting current and future

need? OR

b. A disease or condition; are services meeting current and future need?

5. Using available literature, data and any other sources, what are the

expected numbers, distribution and pattern by person, place and time?

a. Person

i. Prevalence - How many people with X?

ii. Incidence - How many new people with X?

iii. Mortality - How many people die from X (if applicable)?

iv. What are the features of the population affected? Are some

groups over or under represented?

v. Consider equality: age, gender, ethnicity, sexual orientation, faith,

disability, deprivation/poverty/socioeconomic class and particular

vulnerable groups including adults and children in need of

safeguarding.

vi. Is there a gap in services in different geographies?

vii. Risk factors – are any groups more susceptible?

b. Place

i. Where are the people with the issue locally?

ii. Is it what is expected from regional and national comparisons?

c. Time

i. What are the trends – past and future over time?

ii. Is there anything that could change the need for services in the

future e.g. population change, legislation?

d. How does our picture of services and burden compare nationally,

regionally and with counties of similar characteristics?

6. Existing services

a. What are the services available? Include prevention, primary, secondary

and tertiary services.

b. How do people access them?

c. Where are the services?

d. How does our picture of services and burden compare nationally,

regionally and with counties of similar characteristics?

7. Using data available from existing services, what are the observed

numbers by person, place and time?

a. How many people use the services (observed number with issue with

need for service)?

b. What are the characteristics of the people who use the services (observed

characteristics of people with issue who have a need for services)?

c. Are any subgroups not accessing services and why?

d. Do any population groups/communities have a differential experience of

services?

e. How does our picture of services and burden compare nationally,

regionally, against any prescribed levels and with counties of similar

characteristics?

8. Service user experience

a. What are the experiences of people (incl carers or population groups)

of using the services?

b. Consider all categories of service user experience:

i. Access and waiting

ii. Safe, high quality, coordinated care

iii. Building closer relationships

iv. Better Information, more choice

v. Clean, friendly and comfortable place to be

c. What are the views of non-service users?

d. What do service users, carers or population groups think would improve

services?

e. What are the opinions of professionals on services in terms of met and

unmet need?

f. What do professionals think would improve services?

9. Evidence of Effectiveness

a. Is current service provision effective?

b. How much do services cost?

c. What does the evidence suggest is the most cost-effective way of

providing care?

d. How will you know when services are right?

10. Information gaps

a. What are the gaps in information?

b. How might they be filled in the future?

11. Conclusions

a. What is your opinion based on the evidence you have gathered. How

well or otherwise do you consider services are meeting needs

currently?

b. Are some groups of people getting a raw deal? Compare the expected

number and characteristics of those with issue with those observed

accessing services to identify potential unmet need.

12. Recommendations

a. What changes do you think are needed to get the best value services

in place for the people that need them? Consider effectiveness and

efficiency, disinvestment as well as investment.

b. Consider the impact on the environment, or how services could be

developed to support the sustainability agenda.

13. Glossary

a. A glossary of terminology used.

NA Review Quality Assurance Checklist

The commissioning lead is responsible for filling this out to ensure that the needs

assessment meets their requirements. It will then be sent with the needs

assessment to the NA CIG for sign off before being published. Please score each

statement between 0-5, with 0 meaning the NA has not considered this area and 5

meaning it has been fully considered. If the NA CIG approves the needs

assessment, future refreshes can aim to undertake work to address areas that have

a low score.

Title of needs assessment:

Date of completion:

What is the focus of this needs assessment?

Commissioning Lead:

Project group members:

Question

number

Review question

Complete

Executive summary

Is the needs assessment complete?

Is it clear why this issue is important for Solihull including the national and

political context?

Is it clear which population this needs assessment is about?

Is it clear what the focus of this needs assessment is?

Have expected numbers, distribution and pattern by person, place and trends

over time been considered for each population/condition group?

Have potential inequalities been considered including:

 Age

 Gender

 Ethnicity

 Sexual Orientation

 Faith

 Disability

 Deprivation/Poverty/Socio-economic class

 Geography / rurality

 Adults and Children in need of safeguarding

 Families / Parents / Children

Have existing services been considered?

Has patient and public opinion on those services been considered?

Has this needs assessment been benchmarked against its predecessor if any?

Has evidence of best practice and literature on the most effective ways of

providing interventions been analysed?

Has current service provision been compared to best practice?

Have the outcomes we want to achieve been explicitly stated?

Have gaps in information been explicitly stated and do these relate to

recommendations for future service commissioning?

Does the needs assessment have a comprehensive glossary?

Is there a clear structure? (Intro, body, conclusion)

Are there clear, actionable recommendations on what needs to change to get

the right services available to the people who need them?

Has a date for review been entered into the status report?

Are there any inter-relations with other needs assessments that this needs to

involve?

Comments

Score

High

Medium

Low

Zero

Score

Weightin

What’s the evidence?

10 points

6 points

4 points

0 points

Criteria

Estimated Level of Need

Level of need – Volume

Topic covers an

estimated large ‘in

need’ population

(>25,000 people).

Topic covers an

estimated medium

sized ‘in need’

population

(10,000 – 24,999).

Topic covers an

estimated small ‘in

need’ population

(<10,000).

1.5

Level of need – Severity

The population

concerned have

‘severe’ needs.

The population

concerned have

‘considerable’

needs.

The population

concerned have

‘moderate’ needs.

1.5

Level of need – Trend

Available evidence

suggests rapidly

worsening situation

over time.

Available evidence

suggests worsening

situation over time.

Available evidence

suggests situation

has remained

stable over time.

Available evidence

suggests improving

situation over time.

Level of need –

Benchmarks

Available evidence

suggests very high

prevalence relative

to comparator

areas (the County is

a clear statistical

outlier).

Available evidence

suggests above

average prevalence

relative to

comparator areas.

Available evidence

suggests

prevalence in-line

with comparator

areas.

Available evidence

suggests relatively

low prevalence

relative to

comparator areas.

What is the magnitude

of potential health

benefit from dealing

with the issue? What is

the ability to benefit?

Large potential

health benefits to

be gained.

Medium potential

health benefits to

be gained.

Small potential

health benefits to

be gained.

Early Intervention

Does the topic have early

intervention implications?

Is it an emerging issue

which is likely to cause

further problems in the

future?

Clear, demonstrable

evidence that there

is a strong case for

early intervention.

Some evidence

which highlights

areas suitable early

intervention.

Weak evidence that

the topic has areas

suitable early

intervention.

No evidence to

suggest that the

topic contains areas

suitable early

intervention.

Consultation &

Engagement

What level of qualitative

information do we have

on the issue?

Consistent evidence

of strong views from

stakeholders,

patients, residents

and/or service users.

Some evidence of

strong views from

stakeholders,

patients, residents

and/or service users.

Weak evidence of

views from

stakeholders,

patients, residents

and/or service users.

No evidence of

views from

stakeholders,

patients, residents

and/or service users.

Inequalities

What is the scale of

inequality?

Persistent, wide

scale geographic and

population-based

inequalities are

clearly apparent.

Some notable

geographic or

population-based

inequalities are

apparent.

Some minor

inequalities exist.

Little or no evidence

of inequalities.

Wider Impact

What broader impact

does the topic have on the

local population?

A number of

significant, clear and

obvious direct

impacts.

A moderate direct

and/or indirect

impact.

A minor indirect

impact.

Unclear, little or no

impact.

Cost Implications

Estimated economic cost

associated with tackling

the topic in Warwickshire

High levels (multi-

millions of £s) of

both direct and

indirect estimated

economic costs both

now and in the

future.

Medium levels (c. £5

million) of direct

and/or indirect

estimated economic

costs both now and

in the future.

Low levels (<£1

million) of estimated

economic costs

either now/and or in

the future.

1.5

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