What is the Joint Strategic Needs Assessment?

The Joint Strategic Needs Assessment (JSNA) is a process by which local authorities and Clinical Commissioning Groups assess the current and future health, care and wellbeing needs of the local community to inform local decision making.


  • Characterises the health and wellbeing status of the local population
  • Identifies inequalities
  • Illustrates trends
  • Describes local community views
  • Highlights the key findings

Background to the JSNA

JSNAs were introduced by the Department of Health in April 2008 to strengthen joint working between the NHS (National Health Service) and local authorities.

The Health and Social Care Act 2012 awarded the responsibility for the JSNA and developing a Joint Health and Wellbeing Strategy to Health and Wellbeing Boards, with the purpose of reducing inequalities and improving the health and wellbeing of the whole community.

Further guidance

Priority areas for assessment during the 2016-2020 JSNA

The Buckinghamshire’s JSNA has been refreshed for 2016 to 2020.
The 2016-2020 JSNA comprises a number of different chapters, which are available to download. These are:

  • 1. Executive summary
  • 2. About the JSNA
  • 3. Population
  • 4. Wider determinants of health
  • 5. Healthy lifestyles
  • 6. Children, young people and their families
  • 7. Adults
  • 8. Older people

The JSNA is a continuous process and additional priorities will be identified to be completed from 2016 onwards.

Last reviewed: 05/06/2017