Joint Strategic Needs Assessment
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 population of Surrey. It supports local leaders and commissioners to make informed decisions and to shape services in a way that best serves their communities. The JSNA informs the Health and Wellbeing Strategy (HWS) which outlines the collective health priorities for all partners across Surrey.
The JSNA adopts a ‘chapter’ structure, where each chapter describes the needs around a specific area of health and social care. Selected chapters reflect the needs of the Surrey system and are framed around a ‘life course’ approach.
The production of the JSNA is a dynamic process and chapters are updated as new information becomes available. All feedback and suggestions are welcome, please direct these to jsnafeedback@surreycc.gov.uk.
Update 2023: JSNA refresh
The emergence of COVID-19 saw the whole of the Surrey system placed under unprecedented levels of pressure. Like many areas of work, the JSNA programme was paused during this time to support the collective effort to respond to the pandemic. To view our work on the health impact of COVID-19 on vulnerable populations, please click here.
The JSNA is now undergoing a refresh to update the chapters and ensure it continues to reflect the current and emerging health and social needs in Surrey. There is also a focus around presenting the data differently to make it more accessible and relevant to a broader audience.
The grid below relates the chapters to each life stage. To read a chapter, please select a title from the grid.
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- Starting Well (0‑4)
- Developing Well (5‑16)
- Transitioning to Adulthood (17‑24)
- Living Well (25‑64)
- Aging Well (65+)
- The Surrey Context: People and Places
- Migrant Health
- Health Conditions
- Oral and Dental Health
- End of Life
- Lifestyle
- Screening
- Learning Disabilities
- Substance use
- Sexual and reproductive health
- Unintentional injuries across the lifecourse
- Mental Health
- Education
- Carers
- Safeguarding
- Air quality
- Economy, employment and deprivation
- Planning, housing and housing related support
- Arts and Culture
- Community safety
Alignment of the JSNA with the Surrey Local Health and Wellbeing strategy
The Surrey JSNA is well aligned with the Health and Wellbeing strategy (HWS) to ensure local partners can make informed decisions on the priorities they have been tasked to deliver.
Priority Populations
The HWS commits to prioritising populations most at risk of experiencing poor outcomes. Their needs are considered within each of the published JSNA chapters.
- Carers and young carers
- Looked after children and adults with care experience
- Children with additional needs and disabilities
- Adults with learning disabilities and/or autism
- People with long term health conditions, disabilities or sensory impairments
- Older people 80+ and those in care homes
- Black and Minority Ethnic groups
- Gypsy Roma Traveller community
- Young people out of work
- People experiencing domestic abuse
- People with serious mental illness
- People with drug and alcohol problems
- People experiencing homelessness
- People living in geographic areas which experience the poorest health outcomes
Priority outcomes
The tables below provide a summary of the alignment of JSNA chapters with the HWS Priority outcomes.


