London Borough of Croydon

Health and wellbeing boards are under a duty to prepare a Joint Strategic Needs Assessment (JSNA). A JSNA is a process by which local authority areas review and describe the health and wellbeing needs in their local area together with existing services, facilities and assets for meeting those described needs. Where there is a mismatch, a joint health and wellbeing strategy (JHWS) would describe how the mismatch is to be matched. The JSNA provides information for future service planning.

The JSNA is: 

Joint: it is a partnership between the statutory bodies, agencies, public and patient representatives who meet as the Health and Wellbeing Board

Strategic: it looks across a broad timeframe both medium term (3 to 5 years) and the longer term (5 to 10 years)

Needs: it examines needs not wants or demands. Its focus is on the needs of the population rather than the needs of the individual. (It’s further focus is on "relevant needs" - a "relevant" need is a) a need capable of being met to a significant extent by the local authority’s exercise of functions; and which could also be met or affected, to a significant extent, by the partner CCG or NHS England’s exercise of functions in Croydon; or b) a need which is capable of being met to a significant extent by the partner CCG or NHS England’s exercise of functions in Croydon; and which could also be met or affected, to a significant extent by the local authority’s exercise of functions) 

Assessment: it attempts to assess needs and to place them appropriately in context

 
Joint Health & Wellbeing Strategy 2013-18

JHWS is a strategy for meeting the needs identified in JSNAs. In preparing JHWSs, the health and wellbeing board has had regard to the Secretary of State’s mandate to NHS England which sets out the Government’s priorities for the NHS. The Croydon strategy explains what priorities the health and wellbeing board has set in order to tackle the needs identified in the JSNA.  It provides a framework for decision making and action by the Council and NHS bodies as well as their private and voluntary sector partners.

As the Needs Assessment and the Strategy is evidence based, decisions and actions of Commissioners should have regard to the JSNA and the JHWS. One role of the HWB therefore is to ensure that commissioners Commissioning Plans are evidence based, in other words, based on the JSNA and the JHWS. There would be no point in spending time and money assessing needs and setting out a strategy only for the commissioners to ignore them.  The Law requires local authorities and CCGs, in exercising any functions and NHS England, in exercising its commissioning functions in relation to Croydon area, to have regard to any JSNA and JHWS which is relevant to the exercise of those functions.  

JSNA Overview Chapter

Each year the JSNA is published with an overview, covering all the approved key topics, together with the key data set and detailed chapters on the key topics.  (See links at the end of this page for more information).

Key Data Set - this describes Croydon’s position relative to London and England for over 200 indicators relating to health and well-being.   It is compiled from a variety of sources and provides the information on which commissioning decisions are based.
 
Each year key topics are identified for 'deep dives' a more detailed analysis. The suggested list is considered by the JSNA Steering Group, which produces a final list which is sent to the Health and Wellbeing Board for approval.

Key Topics for 2015-16

  • Analysis of the Croydon key data set
  • Health literacy and personal activation in people with long term conditions
  • People with learning disabilities
  • Social isolation

Key Topics for 2014-15

  • Service provision for the over 65s
  •  Respiratory illness, children and young people
  •  Maternal health

Key Topics for 2013-14

  • Homelessness
  • Alcohol
  • Domestic Violence
  • Healthy Weight

Key Topics for 2012-13

  • Depression in adults
  • Schizophrenia
  • Emotional health & well-being of children aged 0-18 years