Joint Strategic Needs Assessment (JSNA)
The Lambeth Joint Strategic Needs Assessment (JSNA) is a process that identifies the current and future health and wellbeing and social care needs of the local population. The JSNA also considers what assets local communities within Lambeth can offer in terms of skills, experience and resources.
The Lambeth JSNA brings together a wide range of information to help us better understand these needs and assets. The information comes from a range of sources including the views of the local population.
Collectively, this information helps Lambeth Council, Lambeth Clinical Commissioning Group (CCG), NHS England and third sector providers address the identified needs and reduce inequalities.
JSNAs were introduced by the Department of Health in April 2008 with the purpose of strengthening joint working between the NHS (National Health Service) and the local authority. Under the Health and Social Care Act 2012, local authorities and CCGs have equal and joint responsibilities to prepare JSNAs through local Health and Wellbeing Boards. Joint Strategic Needs Assessment (JSNA) are meant to pay specific attention to health inequalities which we seek to redress.
The JSNA is a continuous and collaborative process. The development of the JSNA is overseen by the Lambeth JSNA Steering Group. Members include Lambeth Council - Public Health, Children's and Adults' Services and Environment and Leisure - and Lambeth CCG. This group prioritises the JSNA topic areas that need to be developed.
All Local Authorities have a duty to improve the health of the population they serve. To help with this, we use data and information from a range of sources including hospitals, general practice and data collected at the registration of a birth or death to understand more about the nature, causes of disease and ill-health and health needs in the area.
Air pollution is caused by a variety of factors and affects everyone.
Nearly 9,500 Londoners die each year from exposure to poor air quality.
The main sources of air pollution in Lambeth are:
- road transport
- emissions from residential and commercial premises (which mainly relate to gas boilers used for space and water heating)
- construction sites, including dust and machinery emissions.
Poor air quality affects everyone, but especially the activities and lives of the most vulnerable people in our society:
- young children
- older people, especially those with respiratory or circulatory conditions
- people who are less well off – who are more likely to live on congested busy roads where rents are cheaper.
Alcohol misuse is a common problem in England, and Lambeth has high rates of alcohol misuse and abuse.
Public Health carried out a rapid needs assessment to provide evidence to support the commissioning of alcohol services for the Lambeth population. There are high levels of alcohol-related morbidity and mortality. In line with national figures, men are far more likely to suffer ill health due to alcohol misuse.
The needs assessment shows that Lambeth is quick to get people into treatment, but that more could be done on prevention.
You can read the full alcohol rapid needs assessment (PDF 1.35 MB).
Children and young people
Children and young people’s health and wellbeing is determined by a variety of factors that can be influenced by us, the CCG, VCOs and individuals.
Around 92,000 children and young people under the age of 25 live in Lambeth. Their health and wellbeing needs are summarised in this joint strategic need asessment (JSNA) which presents 100 indicators in five topical groupings.
Furthermore, the JSNA provides a prioritisation matrix that highlights the most pressing needs. The urgency is determined by a mixture of criteria:
- benchmarking Lambeth’s position against London’s measures as it has an approximately similar population profile
- development over time: is the trend of an indicator improving or deteriorating?
- existing local priority identified through other specific needs analyses and/or partnership concerns. An example of this is CSE, a Safeguarding Board priority.
Any one of the three criteria can be used to decide the location of an indicator in the matrix.
The key priorities from the matrix are:
- child oral health
- childhood obesity
- long-term conditions
- children in care and care leavers
- sexual health
- mental health.
More information about children and young people in Lambeth
You can read more about the health of children and young people in Lambeth in Lambeth's 2016/17 Annual Report of the Director of Public Health.
A number of factsheets about the demography and health of children and young people have been produced. These are available on the factsheets page of this site, but include:
- Lambeth: Children's demography
- Lambeth: Children's socio-economic factors
- Lambeth: Early years at a glance
- Coldharbour: Early years at a glance
- Stockwell: Early years at a glance
- Tulse Hill: Early years at a glance
- Vassall: Early years at a glance
Special educational needs and disabilities
As part of Lambeth’s ongoing commitment to improving children’s and young people’s health, Public Health has created a data compendium that compares the detected number and estimated number of children and young people in Lambeth with special educational needs and disabilities (SEND).
To do this, Public Health compared nationally estimated prevalence rates (the estimated number of children and young people with SEND) and the locally detected figures from different sources, such as social services, the school census, DWP data, or NHS data.
Comparing these figures is not straight forward. This document gives an overview of the various sources and how they overlap and interact with each other.
The Summary will help Lambeth to identify children and young people with SEND, and how better to support them..
For further discussion, please email the public health team at firstname.lastname@example.org.
You can read the full Young People Disability JSNA 2016/17: Data compendium (PDF 725.26 KB).