Table of contents


Summary :: Foreword

Through the Health and Social Care Act the Government has established the Joint Strategic Needs Assessment (JSNA) as a fundamental part of the planning and commissioning cycle at a local level. Central to this vision is that decisions about services should be made as locally as possible, involving people who use them and communities to the maximum degree.[1]

The government's intentions for JSNAs are ambitious: they are to provide the evidence base of “all current and future health and social care needs of the entire population”, be “more than just a collection of evidence… and be an analysis and narrative” and provide a “comprehensive picture of place.” The JSNA is a continuous process involving engagement and review and will therefore be updated regularly.

As part of this process the Local Government Group has published guidance on the kinds of data that might be useful in a JSNA.[2]

In addition to the guidance on the JSNA, the current health and social care environment also includes new Outcomes Frameworks that focus on a number of key domains of health and social care.

In Medway's JSNA we aim to provide a comprehensive picture of place based on evidence by describing “our people and place”, “our health and wellbeing”, “our community” and “our programmes and services”, structured around core elements of the outcomes frameworks. The narrative section of the JSNA presents the big picture, while more detailed background papers and a data inventory can be found in the appendices.

Medway's JSNA is a “living document”. A new version will be released every three months, ensuring that the data are up-to-date and that issues can be developed further and refined based on feedback from those who read the JSNA.


[1]   Department of Health. JSNAs and joint health and wellbeing strategies---draft guidance Jan, 2012; HM Government.
[2]   Local Government Group. Joint Strategic Needs Assessment: Data Inventory 2011; HM Government.