1. Introduction

Local authorities and clinical commissioning groups (CCGs) have equal and joint duties to prepare a Joint Strategic Needs Assessment (JSNA) and a Joint Health and Wellbeing Strategy (JHWS), 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. In Manchester, the Population Health Plan 2018-2027 serves as the JHWS.

2. 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 other NHS organisations working in partnership with voluntary and community sector groups and other agencies, for example housing providers.

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 Population Health Plan development process.

3. Manchester Population Health Plan

Click here to view Manchester Population Health Plan 2018–2027

The Manchester Population Health Plan 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 Manchester Clinical Commissioning Groups and acute hospital trusts as well as the Mental Health and Social Care Trust, the Manchester Local Care Organisation (MLCO), 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 Plan has been developed in partnership with a wide range of stakeholders and is an integral component of the refreshed Locality Plan, ‘Our Healthier Manchester’. The implementation of both plans will be monitored by the Manchester Health and Wellbeing Board.