The purpose of the JSNA is to analyse the current and future health and well-being needs of the local population (‘hard’ data i.e. statistics, ‘soft data’ i.e. the views of local people and service data), to inform the commissioning of health, wellbeing and social care services. The JSNA aims to establish a shared, evidence based consensus on the key local priorities across health and social care and is being used to develop Warwickshire’s Health and Wellbeing Strategy, Commissioning Plans for the Clinical Commissioning Groups (CCGs) and Transformation Plans for the local Health Economy.
The Health & Well Being Board (HWB) is statutorily responsible for developing joint Health and Well Being Strategies based on the assessment of need outlined in Warwickshire’s JSNA. Warwickshire has had a ‘Shadow’ HWB since May 2011 and the ‘formal’ HWB was formed in April 2013. To find out more about Warwickshire’s Health and Wellbeing Board, click on the tab at the top of the page.
JSNA stands for ‘Joint Strategic Needs Assessment’.
The term can be broken down as follows:
- Joint – they are carried out jointly by health, local authorities and community and voluntary organisations to produce a picture of people’s needs and to help them work together to find answers to those needs.
- Strategic –they identify the ‘big picture’ of the health and wellbeing needs and differences across Warwickshire. They do not try to find out the needs of individual people.
- Needs –they set out to find what people require to help their health and wellbeing and to identify where these requirements are not being met.
- Assessment – facts and figures, together with people’s knowledge, experience and opinions are used to find out what people’s current and future needs are. The JSNAs use a wide range of data collected from different sources including the Census, GPs, hospital admissions, social services, housing, police, leisure, education voluntary and community organisations.
The JSNA will help achieve the following outcomes:
- Define achievable improvements in health and Wellbeing outcomes for the local community;
- Target services and resources where there is most need;
- Support health and local authority commissioners;
- Deliver better health and Wellbeing outcomes for the local community;
- Underpin the choice of local outcomes and targets.
This information can then be used to identify the actions that local agencies will need to take to improve the physical and mental health and well-being of individuals and communities across Warwickshire.
In July 2015, a workshop was held focused on the Joint Strategic Needs Assessment (JSNA) and how it can inform and support Health & Wellbeing Board members in understanding the evidence base and utilising it as part of their decision making processes. The slides from the workshop are available via the following link:
The Local Government and Public Involvement in Health Act (2007) placed a duty on upper tier local authorities and PCTs to undertake a JSNA. In Warwickshire, work on the original JSNA started in 2007 and was completed in April 2009.
The Health and Social Care Act 2012 encouraged greater integration between health and care services and created a new body called the Health and Wellbeing Board to encourage the provision of seamless care to patients and the public.
On 1st April 2013 PCTs came to an end and the responsibility for Public Health transferred to local authorities. The JSNA is now produced in partnership across Health and Social Care in Warwickshire, although the strategic direction currently remains with the Director of Public Health and the Strategic Director for People Group.
In 2012, Warwickshire released its updated JSNA in a different format; incorporating the learning from the previous three years. The latest annual statement relates to 2017, see the JSNA Annual Statement 2017 update for further information.
The JSNA is a statutory requirement introduced by The Local Government and Public Involvement in Health Act (2007) now superseded by The Health and Social Care Act (2012).
The governance arrangements for and organisations involved in Warwickshire’s JSNA are explained in the document below and further information on the projects being delivered by Warwickshire’s JSNA can be found on the work programme pages:
Warwickshire’s JSNA governance (PDF, 218KB, as at January 2013)
Needs Assessment guidance
A brief template is available which outlines the key criteria which should feature within any needs assessment as a minimum.
- JSNA Needs Assessment Template (docx, 117KB)
If you want to complete a ‘light touch’ needs assessment the JSNA Needs Assessment Lite Template should be used:
- JSNA Needs Assessment Lite Template (dotx, 120KB)
The presentations below outline good practice when completing needs assessments and research which those completing needs assessments will find useful: