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Health Needs Assessment

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Session 3 - Health Needs Assessment www.yhtphn.co.uk/win Group work: Ask groups to; define population for HNA, set clear aims & objectives for HNA, define key ... – PowerPoint PPT presentation

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Title: Health Needs Assessment


1
Session 3 - Health Needs Assessment
www.yhtphn.co.uk/win
2
Ground Rules
  • Listen to others and value the diversity of
    opinions in the group
  • Be constructive
  • Value the differences there are no rights or
    wrongs, no good or bad
  • Be open and honest
  • Keep to agreed time, especially start and finish
  • Mobile phones!
  • (extracted from, Working with Groups. General
    Improvement Skills. Modernisation Agency)

www.yhtphn.co.uk/win
3
Outline of session
  • Discuss the concept of need and how it is
    defined.
  • Explain the importance of developing needs led
    projects / activities.
  • Discuss the importance of engaging and involving
    communities in health needs assessment.
  • Examine the purpose of a health needs assessment.
  • Explain the Health Needs Assessment process.
  • Examine practical health needs assessments that
    have been carried out in Leeds.

www.yhtphn.co.uk/win
4
A main government aim is to reduce health
inequalities.
  • A Health Needs Assessment can be a useful tool in
    this process through targeting services and
    support towards the most disadvantaged groups.

www.yhtphn.co.uk/win
5
What is need
  • Felt and expressed needs are defined by the
    population, community or individuals.
  • Normative needs by those delivering services.
  • Comparative needs by managers and commissioners.

www.yhtphn.co.uk/win
6
  • The planning and commissioning of services should
    be from a needs led approach (What service does
    our population need)
  • Rather than
  • a service led approach
  • (how can our population use the services we have)

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7
NICE Definition of Health Needs Assessment
  • A Health Needs Assessment is a systematic method
    for reviewing the health issues facing a
    population, leading to agreed priorities and
    resource allocation that will improve health and
    reduce health inequalities.

www.yhtphn.co.uk/win
8
Why carry out a HNA?
To understand the health needs of your population.
IDENTIFYING THE NEEDS
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9
Why carry out a HNA
  • A tool to provide evidence about a population.
  • Address health inequalities.
  • An opportunity to engage with specific
    populations.
  • An opportunity to target service planning
    resource allocation.
  • An opportunity for cross sector partnership
    working.
  • Develop a health strategy that is responsive to
    patients needs.
  • Promote evidence based practice.

www.yhtphn.co.uk/win
10
Health Needs Assessment is......
  • Systematic
  • Population based
  • An approach used to find out about health issues

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11
What is need
  • The steps for a health needs assessment used in
    the session come from
  • A Health Needs Assessment tool, developed by
    Candia Allen, Public Health Nurse Facilitator
  • The tool can be accessed at via the following web
    link
  • http//www.leedspct.nhs.uk/archive/northeast/attac
    hment/00000000edcf3591017443e65dddbba8/00000000b4a
    3c1b00af59b534fe3632b/guidefinal(6)ed.pdf

www.yhtphn.co.uk/win
12
Steps to HNA
  • Getting started, establishing aims, objectives
    a project framework.
  • Building a picture of your community.
  • Feeding-back the evidence.
  • Action planning.
  • Moving on / review.

www.yhtphn.co.uk/win
13
Step 1 getting started
  • - Define population.
  • E.g All people living in Beeston.
  • - Define subpopulation group.
  • E.g Children under 5 their families.
  • - Reasons why this group has been chosen.
  • Clear aims objectives for the project need to
    be identified. Who needs to be involved.
  • Identify key stakeholders for HNA.
  • Decide who will do the HNA.
  • - Adequate resources to conduct HNA.
  • - Be aware of Government Health policy key
    objectives for improving health.

www.yhtphn.co.uk/win
14
COFFEE
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15
Step 2 Building a picture of your Community
  • Map existing community strengths, resources and
    services.
  • Involvement of key stakeholders.
  • Collect data.
  • 1) Secondary data.
  • 2) Primary data, new data that you and your
    colleagues will collect.

www.yhtphn.co.uk/win
16
Step 2 Building a picture of your Community
  • Collecting secondary data
  • District profiles and statistical information can
    be accessed on the following websites
  • www.leeds-statistics.org
  • www.neighbourhood.statistics.gov.uk
  • www.statistics.gov.uk/census
  • Examine existing local research that has been
    done. E.g. studies done by statutory / voluntary
    organisations.
  • Community practitioners practice profiles.

www.yhtphn.co.uk/win
17
Step 2 Building a picture of your Community
  • Collecting primary data by
  • a. Market research
  • Quantitative surveys
  • Focus groups
  • Interviews with users and others
  • b. Democratic methods
  • Meeting people in their own groups
  • Stakeholder conferences
  • Consultation workshops
  • Public meetings

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18
  • c. Rapid Appraisal
  • Written records
  • Interviews from a range of informants
  • Observations made in neighbourhoods or interviews
    in homes
  • d. Participative community research
  • All of the above (as in rapid appraisal) but
    includes using local people as researchers.
  • e. Consultation
  • Service users
  • Carers
  • Representatives

www.yhtphn.co.uk/win
19
Step 3 Feeding-back the evidence
  • List your main findings
  • in order of importance
  • ? Detailed report to professionals and summary to
    the community
  • Find appropriate neutral places for dialogue to
    take place
  • Make sure that data is not misinterpreted or
    misrepresented
  • Avoid jargon and confusion in language
  • Commit to action plan to take recommendations
    forward

www.yhtphn.co.uk/win
20
Step 4 Action Planning
  • Formulate a plan of action with time scales.
  • Keep the plan on track.
  • Keep people motivated and enthusiastic.
  • Have regular progress meetings
  • Capture what is happening - on paper, photo,
    tape...

www.yhtphn.co.uk/win
21
Step 5 Moving on review
  • Evaluation must involve an honest description of
    what happened
  • It is not meant to prove that everything went
    brilliantly
  • But to celebrate successes
  • Share difficulties encountered

www.yhtphn.co.uk/win
22
PDSA Cycle ref Langley et al 1996
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23
Group Work
  • Peer review of health needs assessments that have
    been carried out in Leeds
  • In groups, using the checklist review the health
    needs assessment provided.

www.yhtphn.co.uk/win
24
Health Impact Assessment
  • What were the outcomes?
  • How effective were they?
  • Are they reaching the target population?
  • Were there any negative effects?
  • Review the data collection method.

www.yhtphn.co.uk/win
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