Joint Strategic Needs Assessment (JSNA)

YHPHO has become part of Public Health England, joining its Knowledge and Intelligence Team (Northern and Yorkshire).

For access to over 100 data and analytical tools from across Public Health England, please visit the PHE Data and knowledge gateway

The Joint Strategic Needs Assessment (JSNA) has been a statutory requirement for upper-tier local authorities and primary care trusts since 2008. The JSNA is a tool to help identify groups where needs are not being met and that are experiencing poor outcomes. This will lead to agreed commissioning priorities that improve outcomes and reduce health inequalities.

The NHS White Paper, 'Equity and excellence: liberating the NHS' (2010) proposed the establishment of ‘health and wellbeing boards’ by April 2012. They will take on the function of joining up the commissioning of local NHS services, social care and health improvement and will be responsible for leading the JSNA process.
Find out more about JSNA at the Local Government Improvement and Development website www.idea.gov.uk.

Supporting JSNA in Yorkshire and the Humber


Highlights JSNA workshops
We have organised a series of workshops with Minding the Gap.
  • 5th November 2012, Conference "Asking the difficult questions - making the difficult decisions - how to develop powerful locally owned evidence based commissioning"
    Download the presentations and materials.
  • 17th May, 2012 "Can your JSNA pass the Marmot test?"
    This conference provided an opportunity to explore what the new enhanced JSNA will need to do in order to contribute to a stronger focus on the social determinants of health.
    Download the presentations and materials.
  • 8th November, 2011 "Strengthening the voluntary sector role in JSNA and Commissioning for Health in Yorkshire and the Humber"
    Download the presentations and materials from the workshop.

  • 28th November, 2011 "Poverty, debt and financial inclusion: health impacts and commissioning to address them"
    Download the presentations and materials from the workshop.

We produce a range of tools, data and resources to support JSNA. Browse the content here and follow the links to go directly to the online tools and resources you need.


You can also download a leaflet on Supporting JSNA in Yorkshire and the Humber (updated November 2012).

Details of resources relevant for each area in Yorkshire and Humber are also available from our by place section www.yhpho.org.uk/place.
Key JSNA resources
Health profiles for Yorkshire and the Humber
Further resources for JSNA
Contact Us

Key JSNA resources

    Asking the difficult questions: making the difficult decisions: exploring the role of Commissions in developing powerful locally owned evidence based commissioning
    Access the report.

    Moving to an enhanced JSNA: a temperature check on progress across Yorkshire and Humber during transition
    This report aims provides a snapshot of some of the common challenges currently facing local areas in Yorkshire and Humber in developing enhanced JSNA. It focuses on the effective use of evidence and intelligence at local level, showcases examples of good practice from across the region and identifies key messages to support improvements in local JSNA programmes.
    Access the Moving to an enhanced JSNA report.

    The JSNA Navigator - Children and Young People
    This resource aims to take you directly to the data which you need when conducting a JSNA locally for children and young people. It is divided into five domains (population; social and place well-being; lifestyles and health improvement; health and well-being status; and service utilisation).
    Access the JSNA Navigator from the ChiMat website.

    Maps of deprivation for Yorkshire and Humber districts
    Maps of the Index of Multiple Deprivation 2010 have been produced for the region and for each district within the region. These maps aim to highlight where the population lives as well as the more and less deprived areas.
    Access the maps of deprivation

    Health inequality indicators 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.
    Access the indicators from the APHO website

    Marmot indicators for local authorities
    Charts for each local authority showing the 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.
    Access the Marmot indicators from the London PHO website

    APHO resource pack
    APHO have produced a five-part resource pack based upon the data and information needs of the JSNA process. Included within this work is an enhanced Core Dataset for JSNA, and also a national set of small area data at MSOA level geography.
    Access the APHO resource pack.

    National JSNA small area dataset
    Population estimates, mortality, life expectancy, hospitalisation, lifestyle and socio-economic indicators at Middle Super Output Areas (MSOA) level for England.
    Access the National JSNA small area dataset from the APHO website

    Regional enhanced small area dataset
    YHPHO has also produced a regional level small dataset as part of the HIYAH programme with data available at Local Super Output Areas (LSOA) and MSOA geographies.

    The big opportunity report
    Two reports addressing health inequalities in Yorkshire and the Humber. The second report "acting on the wider determinants of health" (March 2011) identifies information at a local level to help organisations understand the position in relation to the six policy themes identified in the Marmot review. The part one report (March 2010) highlights challenges relating to the changing population, current lifestyles and variations in the management of long term conditions.
    Access The big opportunity reports

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Health Profiles for Yorkshire and the Humber

A number of health profiles are also available for the region and include:

    Local authority Health Profiles
    ‘At a glance’ description of people’s health in the area and 'spine chart' showing the difference in health between the area and the average for England/Region/SHA for 32 indicators.
    New Neighbourhood Profiles will be available in 2011/12.
    Access the profiles from the APHO website.

    Local Health
    Access interactive maps and reports at a Middle Super Output Area level, local authority level, and any user defined combination of these geographies.
    Access the profiles from the APHO website.

    Health Inequalities Dashboards
    Dashboards depicting the progress made in reaching targets in life expectancy and all age, all cause mortality.
    Further indicators help to give further insight into what may be contributing to local life expectancy figures.
    Access the Health inequalities dashboards

    GP Practice Profiles
    Indicators include local demographics, estimated prevalence rates, Quality and Outcomes Framework (QOF) and patient satisfaction with sections on diabetes, COPD and CVD.
    Compare practices sharing similar characteristics.
    View GP Practice Profiles

    Child Health Profiles
    Snapshot of child health and wellbeing using key health indicators.
    Access the Child Health Profiles available from the ChiMat website

    Wider determinants of health profiles
    A series of single page profiles focusing on the wider determinants of health for the districts of Yorkshire and the Humber built around Marmot review domains.
    View the wider determinants of health profiles

    Migration Profiles
    Produced by the Yorkshire and Humber Regional Migration Partnership. Main migration and trends and data based on information in the regional migration bank.
    Access the Migration profiles available from the Yorkshire and Humber Regional Migration Partnership website

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Further JSNA resources

    Health and lifestyle surveys report
    A scoping project undertaken as part of our HIYAH work programme to understand, in the context of JSNA, the range of surveys carried out by PCTs across the region and recommend a future approach.
    Access the Health and lifestyles surveys report

    Local authority population forecasts
    A set of PCT/LA specific briefings setting out key local data from a set of new age and ethnic group specific forecasts which have been produced by the University of Leeds.
    Access the local authority briefings on age and ethnic group population projections
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Contact us

Last Updated: Thursday, 11th April 2013

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