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.


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.
[This section of the JSNA page is currently being updated]
Title of report

Short description   Contact






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. 

East of England Health Observatory
PCT indicators include ward-level data on mortality and admissions

UK labour market statistics from the Office for National Statistics (ONS)

ONS Neighbourhood Statistics
Allows you to find detailed statistics within specific geographic areas, down to output area level.

Office for National Statistics
Provides a range of national datasets across a range of themes.

Network of Public Health Observatories
Formerly the Association of Public Health Observatories. Links to a range of data items.

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.

Community Mental Health Profiles
Local authority based community mental health profile from the North East Public Health Observatory

Children and Young People Diabetes Profiles
Child diabetes profiles from the Yorkshire & Humber Public Health Observatory

Diabetes Community Health Profiles
Diabetes profiles from Diabetes Health Intellegence at Yorkshire and Humber Public Health Observatory
National Cardiovascular Disease (CVD) profiles
CVD profiles
Health Profiles
Overall health profiles produced by the Public Health Observatories
Child Health Profiles
Child health profiles from the Child and Maternal Health Observatory
End of Life Care Profiles
End of life care profiles from the National End of Life Care Programme
Learning disability profiles
Learning disability profiles from the Improving Health and Lives Learning Disabilities Observatory

Local Alcohol Profiles for England (LAPE)
District-based alcohol profiles from the North West Public Health Observatory

GP profiles and data
National General Practice Profiles
Profiles for all GP practices in England from the Association of Public Health Observatories

Quality and Outcomes Framework (QOF)
Annual QOF data from the NHS Information Centre, by region, PCT, and practice

Hospital activity

Strategic Health Asset Planning and Evaluation (SHAPE)
Benchmarks activity to top 25% of trusts. Access for NHS and local authority staff only (registration required).

Evidence and reports
Kings Fund
Reports on all aspects of health and social care

National Institute for Health and Clinical Excellence (NICE)
National guidelines and evidence on clinical and public health interventions

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.

National Audit Office
Health and social care reports


Care Quality Commission
A range of reports, assessments and patient surveys. 
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).

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.




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