Date reviewed: 06-01-10
'- Joint Strategic Needs Assessment describes a process that identifies current and future health and wellbeing needs in light of existing services, and informs future service planning taking into account evidence of effectiveness.
'- Joint Strategic Needs Assessment identifies 'the big picture' in terms of the health and wellbeing needs and inequalities of a local population.
'Needs assessment is an essential tool for commissioners to inform service planning and commissioning strategies. For the purpose of JSNA, a clear distinction should be made between individual and population need. JSNA examines aggregated assessment of need and should not be used for identifying need at the individual level. Specifically, JSNA is a tool to identify groups where needs are not being met and that are experiencing poor outcomes.'
[...]
'Building on the new duty place upon local authorities and PCTs and commencing 1st April 2008, the key focus of JSNA includes:
- understanding the current and future health and wellbeing needs of the population; over both the short term (three to five years) to inform Local Area Agreements, and the longer term future (five to ten years) to inform strategic planning commissioning services and interventions that will achieve better health and wellbeing outcomes and reduce inequalities. In particular, JSNA will address those outcomes described in both the National Indicator Set for local authorities and local authority partnerships, and the 'vital signs' referred to in 'The NHS in England: the operating framework for 2008/9'.
'The JSNA process will be underpinned by:
- partnership working; JSNA will be undertaken by Directors of Public Health, Adult Social Services and Children's Services working in collaboration with Directors of Commissioning
- community engagement: actively engaging with communities, patients, service users, carers, and providers including the third and private sectors to develop a full understanding of needs, with a particular focus on the views of vulnerable groups
- evidence of effectiveness: identifying relevant best practice, innovation and research to inform how needs will best be met.
'JSNA is a continuous process. All contributing actors should engage with each other throughout and refine their analyses as part of this ongoing process.' (1)
Department of Health
Working together for change: Using person-centred information for commissioning. (19 August 2009)
The Joint Strategic Needs Assessment (JSNA) core dataset. (1 August 2008)
Guidance on Joint Strategic Needs Assessment. (13 December 2007)
The operating framework for the NHS in England 2010/11. (13 December 2007)
Joint Strategic Needs Assessment. (PowerPoint.) (9 May 2007, via South East Public Health Observatory website)
Operational plans 2008/9 - 2010/11: National planning guidance and "vital signs" (January 2008)
Communities and Local Government
National indicators for Local Authorities and Local Authority partnerships. (2008)
Care Services Improvement Partnership
Key activities in commissioning social care: lessons from the Care Services Improvement Partnership Commissioning Exemplar project (2nd ed.). (See especially Chapter 2, 'Understanding demand or strategic needs assessment'.) (June 2007)
Annex A: Joint Strategic Needs Assessment. (2007?)
Podcast and transcript on CSIP's range of Readiness Tools
Health Protection Agency
Joint Strategic Needs Assessment - South West Briefing Tool.
Yorkshire and Humber Public Health Observatory
JSNA Resource pack:
South West Public Health Observatory
Quality standards for preparatory stage of Joint Strategic Needs Assessment. (Working draft.) (13 November 2007)
Joint Strategic Needs Assessment tools and resources
London Health Observatory
Commissioning - Joint Strategic Needs Assessment. Includes background resources, web resources and London work in progress.
NICE
Guidance on community engagement (February 2008)
Local examples:
Bury Metropolitan Borough Council
Bury: Strategic Community Needs Assessment. (October 2007)
Strategic Community Needs Assessment. (Example of a response to the need to produce a JSNA.) (2007)
Bury's Strategic Community Needs Assessment. (With Dr Foster and CPC, 2007)
East Sussex Downs and Weald PCT
Joint strategic needs assessment.
Southampton City PCT
Joint Strategic Needs Assessment for health and wellbeing 2008 to 2011.
Oxfordshire Partnership
Joint Strategic Needs Assessment.
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Reports and Consultation Documents |
Joint strategic needs assessment - progress so far (IDeA, July 2009)
Creating strong, safe and prosperous communities: statutory guidance. (Communities and Local Government, July 2008)
Implementing Joint Strategic Needs Assessment: pitfalls, possibilities and progress. Appendix 1, Appendix 2 and Appendix 3. (Health Services Management Centre, June 2008)
Policy briefing: World Class Commissioning: NHS Operating Framework 2008-9: Guidance on Joint Strategic Needs Assessment. (Care Services Improvement Partnership, January 2008)
Delivering health and well-being in partnership: the crucial role of the new local performance framework. (See especially pp. 5, 'Joint Strategic Needs Assessment'.) (Communities and Local Government, 20 December 2007)
Local government and public involvement in health bill: regulatory impact assessment. (See especially pp. 69-77, 'Improvements to commissioning for health and wellbeing through a Joint Strategic Needs Assessment') (Communities and Local Government, 24 May 2007)
Commissioning framework for health and well-being. (NHS Confederation, April 2007)
Joint Strategic Needs Assessment. (Transcript of an 11-minute video podcast in which Seamus Breen, a commissioner, explores the statutory requirement of JSNA with the author of the guidance, Dr Renu Bindra.) (Care Services Improvement Partnership, 2007?)
Strong and prosperous communities: the Local Government white paper. (Communities and Local Government, 26 October 2006)
Our health, our care, our say: a new direction for community services. (Department of Health, 30 January 2006)
Independence, well-being and choice: our vision for the future of social care for adults in England: social care green paper. (Department of Health, 21 March 2005)
Oxfordshire's Joint Strategic Needs Assessment 2008: using information to keep people well Further information available here.(Oxfordshire Partnership, 2008)
| Press releases and news coverage |
New data and indicators from Joint Strategic Needs Assessment (JSNA) now available through National Adult Social Care Intelligence Service (NASCIS) (The Information Centre, December 2009)
The NHS Information Centre to provide key JSNA indicators (The Information Centre, October 2009)
Community engagement key to Enfield's JSNA strategy (Improvement and Development Agency, October 2009)
Lifelong commitment. (Guardian, 30 January 2008)
Communities and Local Government
Integrated Care Network (Care Services Improvement Partnership)
Joint Strategic Needs Assessment (Department of Health)
Joint Strategic Needs Assessment (North West Commissioning Roadmap)
Association of Public Health Observatories
The Information Centre - JSNA - National Adult Social Care Intelligence Service (NASCIS) - key indicators and data to help commissioners across health and social care complete JSNA.
| Articles and Parliamentary Reports |
Local Government and Public Involvement in Health Act 2007. (Office of Public Sector Information, 30 October 2007)
Health services: standards. (Question relates to guidance for commissioners in assessing the predicted health needs of the populations they serve.) (House of Commons Hansard written answer, 24 October 2007)
Health services: social services. (Answer provides main pieces of legislation governing co-operation between the NHS and local authorities providing social care.) (House of Commons Hansard written answers, 19 June 2007)
1. Joint Strategic Needs Assessment. (Department of Health, 13 December 2007)
