Joint Strategic Needs Assessment (JSNA)


Joint Strategic Needs Assessment (JSNA) has been a statutory duty on Primary Care Trusts and upper tier local authorities since 2007.

Aimed at commissioners and policy makers, JSNA provides a comprehensive picture of the current and future health and wellbeing needs of the population and informs commissioning in order to achieve better outcomes and reduce inequalities.

The Health and Social Care Act confirms a much more ambitious and central role for JSNA, including the expectation that JSNA inform new statutory Joint Health and Wellbeing Strategies (JHWS). This has certainly been the case in Essex as the JSNA has been central to the development of the Essex Joint Health and Wellbeing Strategy.

Responsibility to jointly produce JSNA and JHWS, and to commission with regard to them, is placed on Clinical Commissioning Groups (CCGs) and the local authority. Other key bodies will also be obliged to have regard to JSNA.


Introduction

This resource is the latest in the suite of Essex JSNA products being produced to generate meaningful information for commissioners and policy makers.

Together with the Countywide, District and CCG strategic reports it provides access to a number of resources such as specialist topic reports and the relevant supporting evidence and data.

If you have any comments or questions on the Essex JSNA please contact Duncan Taylor, Research and Analysis Manager, Essex County Council.



Countywide Strategic Report

This section contains a short document of the key issues and the latest copy of the JSNA Summary.

 


District Strategic Reports

This section contains a series of profiles for each of the districts and boroughs in Essex. The series forms part of the Essex Joint Strategic Needs Assessment which is intended to provide the evidence base for all commissioning across the county. The portraits paint a broad picture of the local authorities including data on lifestyles, health, education, inequalities, transport and housing. Each profile should raise questions for commissioning and direct further, more detailed analysis in priority areas.

Please refer to the metadata for the source details and Issues Log which details the feedback received during the development of the series

 


Clinical Commissioning Group (CCG) Strategic Reports

This section contains a series of profiles for each of the Clinical Commissioning Groups (CCGs) in Essex. The series forms part of the Essex Joint Strategic Needs Assessment which is intended to provide the evidence base for all commissioning across the county.

The profiles summarise some of the key issues facing the CCGs in Essex. It provides them with information around the areas of greatest challenge and supports the prioritisation of healthcare needs, areas of joint investment and suggests some key interventions that are evidence based.

2014 Profiles:

2013 Profiles:

2012 Profiles:

 


Pharmaceutical Needs Assessment

The NHS (Pharmaceutical Services and Local Pharmaceutical Services)(Amendment) Regulations 2010 introduced the requirement for Primary Care Trusts to publish a Pharmaceutical Needs Assessment (PNA) and use it as the basis for commissioning pharmaceutical services and determining applications from pharmacy contractors and dispensing doctors wishing to provide pharmaceutical services in the area. 

From the 1st of April, 2013, The Health & Social Care Act, 2012, transferred responsibility for the development and updating of Pharmaceutical Needs Assessments (PNA) to Health & Wellbeing Boards (HWBs). The PNA is a statutory document and is used as the basis for determining market entry onto a pharmaceutical list and HWBs must publish their first PNA by 1 April 2015.

The documents below form the complete Essex Pharmaceutical Needs Assessment (PNA) and the individual locality reports should be read with the Essex Overview report which provides all the necessary context, definitions and explanations.        

Essex Pharmaceutical Needs Assessment 2015-2017:

 

 


 

Children & Young People Locality Need Assessments

This section contains needs assessments and summaries that present the needs and key messages emerging from existing data sets for children, young people and families in Essex.

The series forms part of the Essex Joint Strategic Needs Assessment which is intended to provide the evidence base for all commissioning across the county.

It will provide the Children’s Partnerships in Essex with an overview of current and emerging issues and with information to help review commissioning priorities and better focus resources.  

 


Specialist Topic Reports

This section contains reports to help policy makers and commissioners by shedding light on problematic issues and also enriching the strategic reports above.

 


JSNA products currently underway

This section contains details of the JSNA projects that are currently being undertaken and who to contact if you would like to be involved or would like to find out more.

Title of report

Short description   Contact
Pharmaceautical
Needs Assessment
In 2009, the Health Act included two new clauses that determined that
PCTs had a statutory responsibility to develop and publish Pharmaceutical Needs Assessments (PNAs) for their area and to then use these PNAs as the basis for determining market entry to NHS pharmaceutical services provision. As of April 1st 2013, this statutory responsibility passes to the Health & Wellbeing Board of the local authority to publish and keep up to date this statement of needs for the population in its area. The current PNAs that used to cover each of the 5 PCTs in Essex are now being reviewed and written to combine the pharmaceutical needs into one document for the area of Essex.
  Dipti Patel
Primary Care and Pharmacy Lead
dipti.patel@essex.gov.uk

Equalities Monitoring JSNA   
 
This report is a high level overview of the demography of Essex from a diversity and equalities perspective, providing a picture of the population across a range of characteristics and experiences and showing, where possible, geographical variations. It also includes a selection of headline information supporting the priority groups and themes in the refreshed Diversity and Equalities Strategy.  
   
Victoria Robins 
Commissioning Intelligence Officer
Victoria.robins@essex.gov.uk 

Eye Health JSNA 

This is a new specialist chapter being developed in partnership with representatives from the Essex Vision Impairment Planning Group and Essex Local Eye Health Network.  

 
 
Zoe Bloomfield
Commissioning Intelligence Officer
zoe.bloomfield@essex.gov.uk 

Domestic Abuse JSNA
 
This JSNA report is being developed with partners to inform commissioing activity and provide an evidence base for decision making in this area.
   
Jenni Crawley
Commissioning Intelligence Officer
Jenni.crawley@essex.gov.uk

Sexual Violence JSNA

This JSNA report is being produced in partnership with the Police Crime Commissioner's office.
   
Victoria Wiens
Commissioning Intelligence Officer
Victoria.wiens@essex.gov.uk

 


Useful Links

Below are links to a wide range of further sources of data and evidence, arranged by category.

Data websites and observatories

NHS Information Centre – Indicator Portal
This website gathers together a number of health and social care indicators.
https://indicators.ic.nhs.uk/webview/ 

East of England Health Observatory
PCT indicators include ward-level data on mortality and admissions
http://www.erpho.org.uk/

Nomis
UK labour market statistics from the Office for National Statistics (ONS)
https://www.nomisweb.co.uk/

ONS Neighbourhood Statistics
Allows you to find detailed statistics within specific geographic areas, down to output area level.
http://neighbourhood.statistics.gov.uk/dissemination/

Office for National Statistics
Provides a range of national datasets across a range of themes.
http://www.statistics.gov.uk/hub/index.html

Network of Public Health Observatories
Formerly the Association of Public Health Observatories. Links to a range of data items.
http://www.apho.org.uk/default.aspx


Topic profile reports

Longer Lives
Longer Lives highlights premature mortality across every local authority in England, giving people important information to help them improve their community’s health.
http://longerlives.phe.org.uk/

Community Mental Health Profiles
Local authority based community mental health profile from the North East Public Health Observatory
http://www.nepho.org.uk/cmhp/

Children and Young People Diabetes Profiles
Child diabetes profiles from the Yorkshire & Humber Public Health Observatory
http://www.yhpho.org.uk/diabetes_profiles_children/Default.aspx

Diabetes Community Health Profiles
Diabetes profiles from Diabetes Health Intellegence at Yorkshire and Humber Public Health Observatory 
http://yhpho.york.ac.uk/diabetesprofiles/default.aspx
 
National Cardiovascular Disease (CVD) profiles
CVD profiles 
http://www.sepho.org.uk/NationalCVD/NationalCVDProfiles.aspx
 
Health Profiles
Overall health profiles produced by the Public Health Observatories 
http://www.apho.org.uk/default.aspx?QN=P_HEALTH_PROFILES
 
Child Health Profiles
Child health profiles from the Child and Maternal Health Observatory 
http://www.chimat.org.uk/resource/view.aspx?RID=101746&REGION=101633
 
End of Life Care Profiles
End of life care profiles from the National End of Life Care Programme 
http://www.endoflifecare-intelligence.org.uk/end_of_life_care_profiles/pct_pdf_profiles.aspx
 
Learning disability profiles
Learning disability profiles from the Improving Health and Lives Learning Disabilities Observatory
http://www.improvinghealthandlives.org.uk/profiles/

Local Alcohol Profiles for England (LAPE)
District-based alcohol profiles from the North West Public Health Observatory
http://www.lape.org.uk/index.html

GP profiles and data
National General Practice Profiles
Profiles for all GP practices in England from the Association of Public Health Observatories
http://www.apho.org.uk/PracProf/Profile.aspx

Quality and Outcomes Framework (QOF)
Annual QOF data from the NHS Information Centre, by region, PCT, and practice
http://www.ic.nhs.uk/qof

Hospital activity

NHS Comparators
Comparator information for hospital outpatient and inpatient activity (requires login)
https://www.nhscomparators.nhs.uk/NHSComparators/Login.aspx

Strategic Health Asset Planning and Evaluation (SHAPE)
Benchmarks activity to top 25% of trusts. Access for NHS and local authority staff only (registration required). 
http://shape.dh.gov.uk/
 
HESonline
Hospital Episode Statistics from the NHS Information Centre
http://www.hesonline.org.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=245

Evidence and reports
 
Kings Fund
Reports on all aspects of health and social care
http://www.kingsfund.org.uk/

National Institute for Health and Clinical Excellence (NICE)
National guidelines and evidence on clinical and public health interventions
http://www.nice.org.uk/

NHS Evidence
Web-based portal providing a gateway to clinical, public health and social care evidence and best practice. NHS Athens password required for access to full-text e-journals and healthcare databases.
http://www.evidence.nhs.uk

National Audit Office
Health and social care reports
http://www.nao.org.uk/our_work_by_sector/health_and_social_care.aspx

Surveys

Care Quality Commission
A range of reports, assessments and patient surveys. 
http://www.cqc.org.uk/public/reports-surveys-and-reviews
 
Health Survey for England
A series of annual surveys designed to measure health and health related behaviours in adults and children in England (such as prevalence of smoking and obesity).
http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england

e-Atlas and Instant Atlas web mapping
 
Older People's Health and Wellbeing Atlas
The Older People’s Health and Wellbeing Atlas provides a snapshot profile of each local authority in England. Interactive maps and charts enable comparisons to be made nationally for over 100 indicators.
http://www.wmpho.org.uk/olderpeopleatlas/default.aspx


 

 




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