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.

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.

Image showing the alignment of the HWS Priority 1: Supporting people to lead healthy lives by preventing physical ill health and promoting physical well-being with the JSNA chapters. Outcome 1: People have a healthy weight and are active. Outcome 1 aligned JSNA chapters: Maternity and infant feeding, developing health lifestyles, improving health behaviours. Outcome 2: Serious conditions and diseases are prevented. Outcome 2 aligned JSNA chapters: Screening and immunisations, Sexual and reproductive health, Long term conditions, Unintentional injuries across the lifecourse, Oral health. Outcome 3: Substance misuse is low (drugs/alcohol/smoking). Outcome 3 aligned JSNA chapters: Substance use, Developing healthy lifestyles, Improving health behaviours. Outcome 4: The needs of those experiencing multiple disadvantage are met. Outcome 4 aligned JSNA chapters: Surrey context, Multiple morbidities and frailty. Outcome 5: People are supported to live well independently for as long as possible. Outcome 5 aligned JSNA chapters: Multiple morbidities and frailty, End of life.
NB: Chapters with a black border cover more than one outcome; chapters in grey cover more than one priority
Image showing the alignment of the HWS Priority 2: Supporting people's mental health and emotional well-being by preventing mental ill health and promoting emotional well-being with the JSNA chapters. Outcome 1: Adults, children and young people at risk of and with depression, anxiety and other mental health issues access the right early help and resources. Outcome 1 aligned JSNA chapters: Perinatal mental health, Emotional wellbeing and mental health (children), Wellbeing and adult mental health, Dementia. Outcome 2: The emotional well-being of parents and caregivers, babies and children is supported. Outcome 2 aligned JSNA chapters: Perinatal mental health, Emotional wellbeing and mental health (children), Wellbeing and adult mental health. Outcome 3: Isolation is prevented and those that feel isolated are supported. Outcome 3 aligned JSNA chapters: Loneliness and social isolation. Outcome 4: Environments and communities in which people live, work and learn build good mental health. Outcome 4 aligned JSNA chapters: Surrey context, Young carers and young adult carers, Adult carers.
NB: Chapters with a black border cover more than one outcome; chapters in grey cover more than one priority
Image showing the alignment of the HWS Priority 3: Supporting people to reach their potential by addressing the wider determinants of health with the JSNA chapters. Outcome 1: People's basic needs are met (food security, poverty, housing strategy etc). Outcome 1 aligned JSNA chapters: Surrey context, Economy, employment and deprivation, Planning housing and housing related support. Outcome 2: Children, young people and adults are empowered in their communities. Outcome 2 aligned JSNA chapters: Early years and school readiness, Education and skills, Adult learning, Arts and culture. Outcome 3: People access training and employment opportunities within a sustainable economy. Outcome 3 aligned JSNA chapters: Economy, employment and deprivation, Further education and training. Outcome 4: People are safe and feel safe (community safety incl. domestic abuse; safeguarding). Outcome 4 aligned JSNA chapters: Safeguarding adults, Safeguarding children, Community safety. Outcome 5: The benefits of healthy environments for people are valued and maximised (including through transport/land use planning). Outcome 5 aligned JSNA chapters: Surrey context, Planning housing and housing related support, Air quality.
NB: Chapters with a black border cover more than one outcome; chapters in grey cover more than one priority