Table of contents


Summary :: Foreword


Joint Strategic Needs Assessments (JSNAs) identify the current and future health and social care needs of the local community[1] and are a fundamental part of planning and commissioning (buying) services at a local level.

JSNAs were introduced in the Local Government and Public Involvement in Health Act 2007 and retained in the Health and Social Care Act 2012.[1]

Local authorities and clinical commissioning groups (CCGs) have equal and joint duties to prepare the JSNA through the health and wellbeing board.[1]

JSNAs are unique to each local area and provide the basis for the Joint Health and Wellbeing Strategy (JHWS). Together the purpose of the JSNA and JHWS is to improve the health and wellbeing of the local community and reduce inequalities for all ages.[1]

The JSNA is a continuous process involving engagement and review, and is therefore updated regularly.

Medway's JSNA

Medway's JSNA aims to provide a comprehensive picture of the health and social care needs of the people living in Medway. It is an extensive document that takes into account emerging evidence.

The summary section provides an overview of the JSNA and presents our key issues and headline priorities. An overview of place is included, which utilises current statistics to describe “our people and place”, “our health and wellbeing”, “our community”, “our programmes and services”, and “our health inequalities”.

The main body of the JSNA includes over 30 topic-specific chapters, which detail a wide range of factors that can impact a person's health and wellbeing throughout their life. Each chapter contains local and national data, evidence of what works, local views, and proposed recommendations for commissioners.

Finally, our profiles provide an overview of the variation in health and social care outcomes within Medway across a wide range of indicators. Data is presented in the form of charts, maps and infographics, and is available for specific wards, sub-hubs (groups of extended practices in the Medway Model), and early help hubs.

The Medway Health and Wellbeing Board has produced this JSNA to assist individuals and organisations working to improve the health of the population of Medway. It aims to improve their ability to better understand the needs of local residents and make more informed judgements when commissioning or prioritising resource allocation. JSNA's can also help residents and other interested parties to measure and challenge the progress being made to protect and improve the public health.

Medway's JSNA is a “living document”. It is regularly updated as new evidence and intelligence on the needs of local people emerge.

Sustainability and Transformation Partnerships

The current transformation of the health and social care system in England, may impact on future iterations of the Medway JSNA. This is because the manner in which the strategic organisations currently tasked with commissioning and providing NHS care and support locally, is under review.

The development of Sustainability and Transformation Partnerships (STPs) have significant implications for public services. Local authorities, the NHS and other stakeholders, such as the voluntary and private sector, are being brought closer together to improve the way in which care and support is provided to communities.

The key factors to note regarding potential impact of STP's in Kent and Medway are:

• The creation of a single strategic NHS commissioning body for Kent and Medway. This body will take on delegated responsibility for delivering some of the statutory functions of the 8 CCGs in Kent and Medway, in addition to some of the functions of other NHS organisations, such as NHS England and NHS Improvement.
• The development of a model of Accountable Care Partnerships, aligning NHS commissioning structures with that of local authorities. The purpose is to deliver better outcomes for residents and improve the efficiency of service provision through a local care model.
• Improving access to high quality services. This will be achieved through building workforce capacity and capability, transforming the NHS estate and the way in which people access certain services. Using technology to facilitate quality improvement and focusing on prevention to address the risk factors that lead to health inequalities and poor outcomes for our communities.


[1]   Department of Health. Statutory guidance on joint strategic needs assessments and joint health and wellbeing strategies 2013; Department of Health. .