Nottingham City JSNA

Apr 25, 2014

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.

 Introduction 
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.

Base line 

08/09 

09/10 

2010/11 

31%

n/a

28%

24%

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.

Key issues and gaps 
The British Crime Survey (BCS) indicates that domestic violence is chronically under reported, but research estimates that it:• Accounts for 16% of all violent crime (source: Crime in England & Wales 2004/05)• Has more repeat victims than any other crime (on average there have been 35 assaults before a victim calls the police)• One incident of domestic violence is reported to the police every minute• Costs the Country in excess of £23bn per year, of which £3bn falls to public services.

• Claims the lives of two women each week and 30 men per year

• Is the largest cause of morbidity worldwide in women aged 19-44, greater than war, cancer or motor vehicle accidents

• One in four women and one in six men will be a victim of domestic violence in their lifetime, with women at greater risk of repeat victimisation, serious injury and fear.

 

The high numbers of reported domestic violence in Nottingham is one of the highest in the UK which puts huge pressures on resources available. The unmet needs and service gaps have been outlined in detail in section 8 and the commissioning recommendations reflects these gaps.

Recommendations for consideration by commissioners 
Strategic multi agency commissioning, mainstreaming and capacity building of existing specialist domestic violence voluntary sector is required.Commissioning falls into 2 key areas, that which can be included in services as good practice (see below) and the commissioning of services themselves.Non financial commissioning of services and practice • All Agencies to develop and promote policy and procedures for work with survivors, children and perpetrators (including employee domestic violence policies)• Publicity of agency policy and procedures to all communities

• Publicity of domestic violence services to all communities

• All agencies and departments should have a domestic violence lead or champion

• Domestic violence awareness and skills training for all staff and management

• Data collection, evaluation and reporting across all agencies, including all equalities data

• Screening and risk assessment for survivors and for perpetrators who use agencies

• Increase reporting of domestic violence in ‘cold spots’ and develop flexible and creative ways to deal with repeats

• Early intervention with children and young people including appropriate identification and support of those children whose parents are drug and alcohol users

 

Services requiring commissioning include the whole specialist domestic violence voluntary sector and statutory domestic violence sector outlined in this document. Priority commissioning is also outlined previously in this document.

The Nottingham City Council ASH independent needs modelling indicates that 50 accommodation based units and 180 non accommodation based units for survivors of domestic abuse will be required.

To read the most report in full see below:

Nottingham City JSNA 2011

 

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