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Joint Strategic Needs Assessment


The Joint Strategic Needs Assessment (JSNA) is an assessment of the current and future health and social care needs of the local community. The JSNA informs the Joint Health and Wellbeing Strategy (JHWS) which is a strategy for meeting the needs identified in the JSNA. These are needs that could be met by the local authority, Clinical Commissioning Groups or NHS England.

This refreshed JSNA follows a ‘life course approach’ which recognises that the conditions in which people are born, grow, live, work and age can lead to health inequalities. Chapters are more concise and include a more visual way to look at the data which allows users to explore it in detail by selecting geographies or indicators of interest.

The JSNA is a continuous process and is updated as additional information becomes available, as gaps are identified and in response to feedback received. We would welcome your feedback and suggestions on the priorities emerging from the JSNA. Please send your feedback and suggestions to

The grid below relates the chapters to each life stage. To read a chapter, please select a title from the grid.

Starting well arrow pink2.png Developing well arrow pink.png Transistion to adulthood arrow pink.png Living well arrow pink.png Aging well arrow pink.png

The Surrey Context: People and Places

Maternity and infant feeding       Multiple morbidities & frailty
      Long term conditions
 End of Life
  School and developing healthy lifestyles Improving Health Behaviours
Screening and Immunisations
  Children and young people with Special Educational Needs and Disabilities (SEND) Adults with Learning Disabilities  
  Substance misuse
  Sexual and reproductive health
Unintentional injuries across the lifecourse
Perinatal mental health Wellbeing, resilience and CAMHS Wellbeing and adult mental health Dementia
Early years and school readiness Young people Further education and training Adult Learning
Young carers and young adult carers Adult carers
Safeguarding children Safeguarding adults
Active travel, air quality, transport and roads
Physical activity, leisure and open spaces
Economy, employment and deprivation
Planning, housing and housing related support
Arts and Culture
Community safety

Archived chapters and chapters from the previous JSNA which have not yet been refreshed can be accessed here