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Joint Strategic Needs Assessment (JSNA)

What is a JSNA?

A Joint Strategic Needs Assessment, better known as a JSNA, is intended to be a systematic review of the health and wellbeing needs of the local population, informing local priorities, policies and strategies that in turn informs local commissioning priorities that will improve health and wellbeing outcomes and reduce inequalities throughout the Borough.

The definition from the Department of Health's JSNA Guidance is, "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". Producing a JSNA is a mandatory requirement designed to help organisations with service planning and the commissioning process.

This is a fundamental necessity of the Health & Social Care Act 2012 Local partnerships, but principally the local Health & Wellbeing Board and partners, are expected to prioritise based on the information and evidence in their local JSNA and other sources, as it highlights where there are gaps in knowledge or services and so helps inform effective decision making.

JSNA should also set out what people want from their services and should be underpinned by partnership working, community engagement and evidence of effectiveness. 

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JSNA Slide set What is JSNA and why have it?

The Health and Social Care Act 2012 (‘the Act’) amended the Local Government and Public Involvement in Health Act 2007 (’the 2007 Act’) to introduce duties and powers for health and wellbeing boards in relation to Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWSs). 

This statutory guidance explained the duties and powers relating to JSNAs and JHWSs. This guidance does not cover the wider membership of health and wellbeing boards, or what services should be commissioned in response to local JSNA findings and JHWS priorities – it suggests that these decisions need to be made locally, depending on circumstances, and subject to duties to have regard to the relevant JSNAs and JHWSs.

Statutory Guidance on Joint Strategic Needs Assessments and Joint Health and Wellbeing Strategies (March 2013)

The order the refreshes, renewing of content and creation of new sections will clearly be determined by the level of engagement with topic leads, commissioners and of course residents plus the need for the information to be available for imminent decision-making processes.

If you would like to join us in refreshing, renewing or developing content then please get in touch at 


Wirral Intelligence Service - JSNA content


Healthy Wirral

Older People and next topics

Full section

To be added to as required

Full section

From Previous Content – updates required with prior discussions (leads and others)

Infant Mortality

Short report (update)

Mental Health

Full section (update)

Drug Misuse

Full section (update)

Long Term Conditions

Full section LTCs  (new section)

(LTC) Multiple Sclerosis

(LTC) Parkinsons Disease

(LTC) Epilepsy

Excess Winter Deaths

Full section (update)


Full section (update)


Full section (update)

Eye Health (Adults)

Full section (update)

Previous Content provided by Public Health England– discussions with PH leads and others if more is required

Chronic Obstructive Pulmonary Disease

Local short report that supplements PHE - to be confirmed

High Blood Pressure

Local short report that supplements PHE - to be confirmed


Local short report that supplements PHE - to be confirmed

Others – various – see page 11

Local short report that supplements PHE - to be confirmed

From Previous Content – partners to lead (to be confirmed)


Short report (update)

Community Safety

Short report (update)


Full section (update)


Full section (update)


Full section (update)


Full section (update)

Learning Disabilities

Full section (update)

Adult Social Care

Full section (update)

Domestic Abuse and Domestic Violence

Full section (update)

Expected to be completed  through year

Child Sexual Exploitation

Ongoing throughout year


Ongoing throughout year

Review with Leads to consider if it is to be maintained

Children & Young People Hearing and Vision

Check with leads – Link to SEND


Equalities and Protected Characteristics

Develop with colleagues to improve content


How to search for content?

To view and consider the range of local needs you could look at the content in a number of ways

By This is Wirral topic

By A to Z 

By Search ... facility at the top of every page

Who is involved?

Information from Council, NHS and other partners is collected and collated to inform the JSNA and this reflects the important role that all organisations and sectors have (statutory, voluntary, community and faith) in improving the health and wellbeing of Wirral’s residents.

Wirral’s Joint Strategic Needs Assessment (JSNA) sets out to be an interactive and continuous process of the reviewing of current content, developing information for inclusion and working across sectors and partners to enhance the involvement, participation and communication of Wirral’s JSNA.

How can you help?

If you have ideas or any suggestions about issues, topics or things affecting your area then email us at 

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