INFORMATION RESOURCES ON JOINT STRATEGIC NEEDS ASSESSMENT
Joint Strategic Needs Assessment (JSNA)
This web page is aimed at people who are involved in the JSNA process at a local level. It consists of a series of signposts and links to web pages and information sources which will be of use in local JSNA development.
The Commissioning Framework for Health and Well-being was published in March 2007 and introduced the concept of a joint strategic needs assessment (JSNA) for each local area. The purpose of JSNA is to provide the underpinning health information that is required for the effective commissioning of health services, resulting in a needs assessment that encompasses health and social issues as well as the broader determinants of health.
The NHS and upper-tier local authorities have had a statutory duty to produce a JSNA since 2007 and the Department of Health produced guidance in 2007 to inform this process. The coalition government has signalled an ongoing and central role for JSNAs in the NHS White Paper, 'Equity and excellence: liberating the NHS'. Health and wellbeing boards, convened by local authorities, will be responsible for leading the JSNA process. This will bring together partners from across the NHS (including Clinical Commissioning Groups), local government and the voluntary sector to analyse current and future health needs of populations. JSNAs will be used to inform Joint Health and Wellbeing Strategies which, in turn, will drive local commissioning decisions. A background and summary of the principles underlying JSNA can be found in the NHS Confederation JSNA Briefing.
An at a glance summary has been produced by EMPHO to keep the East Midlands JSNA community up to date with recent guidance and policy in addition to other useful information. It also highlights what Public Health Observatories are working on in terms of JSNA nationally.
JSNA guidance and background information
- The Small Area Indicators for Joint Strategic Needs Assessment have been updated. The work has been led by the East Midlands Public Health Observatory (EMPHO) on behalf of the Public Health Observatories in England. The datasets are likely to be of interest to any organisation involved in needs assessment and commissioning of services for local populations, including local authorities, PCTs and the emerging clinical commissioning groups. The data are available at both middle layer super output area (MSOA) and local authority level. The data are also available to view through the Local Health website as part of the national Health Profiles project. This allows calculation of the indicators for user defined combinations of MSOAs or local authorities.
- The Department of Health has published draft guidance to support health and wellbeing boards and their partners in developing joint strategic needs assessments (JSNAs) and health and wellbeing strategies. Views are currently being sought.
- The Department of Health JSNA website offers background information on JSNA and related information, documents, tools, resources and links.
- The Local Government Improvement and Development (LGID) website contains links to case studies and a guide to the good JSNA practice toolkit ‘Joint Strategic Needs Assessment: a springboard for action’. LGID also produced another review ‘JSNA: Progress so far’ which highlights the variety of approaches taken to JSNA.
- The NHS Information Centre for Health and Social Care website signposts a range of tools and information resources including a project to identify and develop examples of Best Practice in JSNA nationally.
- The Association of Public Health Observatories (APHO) JSNA Resource Pack contains 5 guidance documents:
- JSNA Core Dataset: a list of indicators for use in the JSNA divided into five domains; Demography, Social and Environmental Context, Lifestyle/Risk Factors, Burden of Ill-health, and Service Utilisation.
- Guidance on statistical validity: presenting an overview of some statistical issues that may be of relevance to those handling data during JSNA analysis.
- Projection methods for use in JSNA: Routinely available projections are signposted within this document, and potential methods for obtaining user-generated predictions are described.
- Data sharing for JSNA: Guidance is given on how to share data in a legal and effective manner.
- Measuring Health Inequalities: Defines the notion of ‘inequality’ and offers examples of how to understand different inequalities-based measures.
- The JSNA data inventory published in 2011 (developed by LGID and APHO) builds on the original JSNA core dataset and updates it with new indicators.
Other public health observatory JSNA resources include the web pages below which signpost relevant data sources and provide links to examples of JSNA within different regions:
East Midlands Joint Strategic Needs Assessments
This section links to regional JSNAs available on the internet. More recent JSNAs may be published online and these links will be updated as further documents are published.
Key JSNA resources
This section gives examples of some data sources which may be useful to assist JSNA:
- The Public Health Observatories in England Health Profiles give a snapshot overview of health for each local authority in England.
- The Public Health Observatories in England GP Practice Profiles consist of a range of indicators including local demographics, estimated prevalence rates, Quality and Outcomes Framework (QOF) and patient satisfaction. Practice level data can be aggregated to new Clinical Commissioning Consortia.
- The Marmot indicators for local authorities show key indicators of the social determinants of health, health outcomes and social inequality that correspond, as closely as is currently possible, to the indicators proposed in Fair Society, Healthy Lives.
- The Public Health Observatories in England Health inequality indicators provide data on health inequality in each local authority, county council and primary care organisation in England using the slope index of inequality in life expectancy, for males and for females.
- The Child and Maternal Health Intelligence Unit (CHIMAT) provide child health profiles and needs assessment tools for children.
- The Public Health Observatories in England Small Area Data for JSNA provide health-oriented information for needs assessment which will be useful across a range of health profiling and needs assessment activities. The datasets cover: Population, Demography, Socio-economic Indicators, Lifestyle/Behaviour, Mortality/Life Expectancy and Hospitalisation/Service Utilisation.
- The EMPHO Small Area Health Datasets aim to inform local health inequalities work. They consist of a range of small area health indicators including; life expectancy, under 75 mortality and synthetic lifestyle estimates. There is also hospital episode analysis for some common chronic conditions.
- The Public Health Observatories in England Health Inequalities Intervention Tool outlines the diseases which result in a low life expectancy for the spearhead areas and models the effect on the life expectancy gap of increasing interventions e.g. smoking cessation.
- The Clinical and Health Outcomes Knowledge Base is a source of information on health outcomes including comparative data for 700 health and local government organisations in England.
- The Neighbourhood statistics contain a wide range of health and social care measures varying from crime, education, health and housing (click on ‘topics', then click on topic of choice e.g. Health and Care under 'Neighbourhood Statistics' topics.)
- The Office for National Statistics (ONS) produces information which features extensively in the JSNA core dataset. Examples of the data provided are: mid-year population estimates, experimental population estimates at LSOA and MSOA level, sub-national population projections, births (rates and counts) and population estimates broken down by ethnicity.
- The NHS Information Centre holds data sources, including the Quality and Outcomes Framework and the Health Survey for England.
- The Projecting Adult Needs and Service Information System (PANSI) and Projecting Older People Population Information System (POPPI) tools are designed to explore the possible impact that demography and certain conditions may have on populations aged 18 to 64 (PANSI) and aged 65 and over (POPPI).
- NHS Comparators provides comparator data for NHS commissioning and provider organisations, enabling users to investigate aspects of local activity, costs and outcomes. GP level data can be aggregated to form new primary care geographies.
- National Adult Social Care Intelligence Service (NASCIS) provides a single national resource of timely, relevant and useful information for social care services across England (you will need to register to use this website). Several key JSNA indicators are available through the site.
- The National Dementia Strategy Joint Commissioning Framework for Dementia includes a template for a specific dementia JSNA. The same principles may be applied to other disease areas.
Presentations from events on JSNA in the East Midlands.
CYP JSNA Event – 1st November 2011
If there are any questions about the information on these web pages please contact
PAGE CREATED: 28 September 2011 | REVISED: 9 March 2012