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9.7 Joint Strategic Needs Assessment and Joint Health and Wellbeing Strategies

Local authorities and clinical commissioning groups (CCGs) have equal and joint duties to prepare Joint Strategic Needs Assessments (JSNAs) and Joint Health and Wellbeing Strategies (JHWSs), through the Health and Wellbeing Board. The purpose of the JSNA and JHWS is to improve the health and wellbeing of the local community and reduce inequalities for all ages.

Joint Strategic Needs Assessment

Click here to view the Joint Strategic Needs Assessment for Manchester.

The statutory duty of local officers to produce a JSNA was originally introduced as part of the Local Government and Public Involvement in Health Act 2007. The Health and Social Care Act 2013 introduced a number of new statutory obligations in relation to the JSNA which were aimed at strengthening the links between commissioning – and commissioners – and the JSNA process. The most notable change is that all commissioners are now legally obliged to have ‘due regard’ to the JSNA in exercising their commissioning function. There is also a duty to involve the people who live and work in the area in preparing the JSNA.

A JSNA is an assessment of the current and future health and social care needs of the local community. These are needs that could be met by the local authority, CCGs, or the NHS.

The JSNA is produced by the local health and wellbeing board, and is unique to the local area. The intention is for health and wellbeing boards to also consider wider factors that impact on their communities’ health and wellbeing, and local assets that can help to improve outcomes and reduce inequalities. Each local area is free to undertake the JSNA in a way best suited to its local circumstances; there is no template or format that must be used and no mandatory data set to be included.

A range of quantitative and qualitative evidence should be used in the JSNA. There are a number of data sources and tools that the health and wellbeing board may find useful for obtaining quantitative data. Qualitative information can be gained via a number of avenues, including but not limited to views collected by the local Healthwatch organisation or by local voluntary sector organisations, feedback given to local providers by service users, and views fed in as part of community participation within the JSNA and JHWS process.

Joint Health and Wellbeing Strategy

Click here to view Manchester Joint Health and Wellbeing Strategy 2016.

The Joint Health and Wellbeing Strategy is the city’s overarching plan for reducing health inequalities and improving health outcomes for Manchester residents. It sets out the ten year vision for health and wellbeing, and the strategic priorities which have been identified to support this vision.

The strategy is owned by Manchester’s Health and Wellbeing Board, a collaborative partnership which brings together senior leaders from the city’s Clinical Commissioning Groups and acute hospital trusts as well as the Mental Health and Social Care Trust, Manchester City Council, Macc and Healthwatch Manchester. The Health and Wellbeing Board has a statutory responsibility to understand current and future health and social care needs though the Joint Strategic Needs Assessment, to promote partnership working and integration and to improve commissioning and delivery arrangements.

The 2016 refresh of the Joint Health and Wellbeing Strategy reflects the progress made towards achieving the objectives originally agreed in 2013, and responds to the rapidly changing context for health and social care. In particular, the refreshed Joint Health and Wellbeing Strategy is closely linked to the delivery of Greater Manchester health and social care transformation through Manchester’s Locality Plan.

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