JSNAs are local assessments of current and future health and social care needs that could be met by the local authority, Clinical Commissioning Groups (CCGs), or the NHS Commissioning Board (NHS CB). Following the ascent of the Health and Social Care Act 2012 local authorities and CCGs have an equal and explicit duty to prepare Joint Strategic Needs Assessments (JSNA) and Joint Health and Wellbeing Strategies (JHWS), through the Health and Wellbeing Board.
The aim of a JSNA is to improve the health and wellbeing of the local community and reduce inequalities for all ages. It is used to help to determine what actions local authorities, the NHS and other partners need to take to meet health and social care needs and to address the wider determinants that impact on health and wellbeing.
|Domestic violence (DV) is “any incident of threatening behaviour, violence or abuse (psychological, physical, sexual, financial or emotional) between adults who are or have been intimate partners or family members, regardless of gender or sexuality”. This includes issues of concern to Black and Minority Ethnic and Refugee (BMER) communities such as so called “honour based violence”, Female Genital Mutilation (FGM) and forced marriage. (Home Office, 2008)Domestic violence impacts on all women irrespective of class, ethnicity or sexuality, it also affects men, including in same sex relationships. Domestic violence is linked to child abuse, adult abuse and also affects animals.Violence against women and girls can have a devastating effect on individuals and the communities in which they live. It ruins lives, breaks apart families and has an impact across the generations.A strategic approach, mirroring the governments aims of managing domestic violence through prevention, provision and protection has been taken to reduce domestic violence in Nottingham, which includes;1. Preventing domestic abuse, including through early intervention. This is about changing attitudes and preventing violence
2. Ensuring provision of support services for survivors and children. This includes effective provision of services, advice and support; emergency and acute services; refuge and safe accommodation.
3. Protecting survivors through the criminal justice system and holding perpetrators to account.
Nottingham Local Area Agreement (LAA)
The Nottingham Domestic Violence Local Area Agreement includes a target on domestic violence in the Young Nottingham theme. The priority outcome is to improve the safeguarding and outcomes for children and families with complex needs.
The National Indicator (NI) 32 to reduce repeat incidents of domestic violence at Multi Agency Risk Assessment Conference (MARAC). The baseline is based on the national average of a mature MARAC.
An important addition to the Domestic Violence JSNA chapter is the recently produced (2011) Domestic and Sexual Violence Strategic Needs Assessment. For the first time, it brings together the assessment of domestic violence and sexual violence – two complex areas that have substantial overlap. When making any future commissioning decisions please do not read this JSNA chapter on Domestic Violence in isolation. The Domestic and Sexual Violence Strategic Needs Assessment can be found here.
To read the most report in full see below: