What is the JSNA?

Northamptonshire’s Joint Strategic Needs Assessment, or JSNA, is a process that looks at the current and future health, care and wellbeing needs of Northamptonshire residents to inform and guide the planning and commissioning of health, wellbeing and social care services.

The JSNA in Northamptonshire brings together information from many different sources and partners relating to the population of Northamptonshire.

The responsibility for compiling a JSNA is shared between Northamptonshire County Council and Nene and Corby Clinical Commissioning Groups via the Health and Wellbeing Board. The Department of Health has provided a statutory guidance document for JSNAs.

The JSNA is intended to:

  • investigate wider social factors that have an impact on health and wellbeing, factors such as poverty, housing and employment
  • look at the health of the population, what behaviours affect health and wellbeing such as smoking, diet and exercise
  • provide a common overview of health and care needs for the local community
  • identify health inequalities
  • provide evidence of effectiveness of health and care interventions
  • document current service provision
  • identify gaps in health and social services and unmet needs

The JSNA takes information and data relating to the population, for example population numbers, levels of smoking, life expectancy and causes of mortality, and captures, collates, analyses and interprets this population-level data. 

The process can be driven by looking at data; stakeholder, key informant, patient and service user views; and comparisons between and within different areas.

Overview

Demography

The Demography JSNA has been updated in September 2019 to include the most recent mid-year estimates (mid-2018) of the population and the latest projections (ONS mid-2016 base) alongside other datasets that provide an overview of population change in Northamptonshire.

Below is the JSNA document alongside three supporting documents to support commissioners in the county.  These are NCC's migration report that looks at the migration change in more detail; a link to the ONS mid-year estimates analysis tool; and a locally created tool to enable bespoke age group population projections to be created, using ONS projections.

Health & wellbeing in Northamptonshire
Indices of Multiple Deprivation (IMD)

If you use data to assess the county’s deprived areas then there is now an opportunity to update your information, as 2019 revision of the Index of Multiple Deprivation (IMD) was released by the Ministry of Housing, Communities and Local Government in Sept 2019. Below are a suite of products developed by the Business Intelligence team at Northamptonshire County Council.

The Income Deprivation Affecting Children Index (IDACI) and the Income Deprivation Affecting Older People Index (IDAOPI)

The IDACI measures the proportion of all children aged 0 to 15 living in income deprived families. It is a subset of the Income Deprivation Domain which measures the proportion of the population in an area experiencing deprivation relating to low income.

The IDAOPI measures the proportion of all those aged 60 or over who experience income deprivation. It is a subset of the Income Deprivation Domain which measures the proportion of the population in an area experiencing deprivation relating to low income.

Charts, Tables and Maps from the IMD, IDACI and IDAOPI Profiles

The below set of excel and word documents are the detailed tables used in the construction of the IMD, IDACI and IDAOPI profiles.  In addition shift diagrams and maps for each of the domains and areas are included for easy re-use.

Plans on a page

'Plans on a page' are rapid summaries of the local situation for the top 10 Global Burden of Disease risk factors and consist of a 'Call to Action' data summary and Public Health high level strategic approach.

These plans group together linked factors and offer a snapshot of the size of the challenge, the need for action and the route map for a whole system approach to health outcome improvement.

These plans were updated in November 2019.

Public Health Outcomes Framework (PHOF)

The Public Health Outcomes Framework sets out the desired outcomes to help understand how well public health is being improved and protected. The framework has overarching indicators and four domains covering the spectrum of public health:

  • Wider Determinants of Health
  • Health Improvement
  • Health Protection
  • Healthcare and Premature Mortality

These are summary reports for the county and districts.  More information can be found at https://fingertips.phe.org.uk/profile/public-health-outcomes-framework

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Maternal and child health

Breastfeeding

There is clear evidence that breastfeeding offers health and social benefits to both mother and baby. These health benefits are sustained in the short and long term, thereby making breastfeeding a key public health issue.

Breast milk provides a baby with perfect nutrition and everything they need for growth and brain development. It also plays an important role in protecting against childhood obesity together with the development of asthma and diabetes and reducing childhood mortality. 

In addition, mothers who breastfeed are less likely to develop pre-menopausal breast cancer, ovarian cancer and osteoporosis. They are also less likely to suffer from anaemia, brittle bone disease and are more likely to lose the weight they put on during pregnancy. 

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Children

Child Exploitation Assessment

​This assessment provides a picture of Child Sexual Exploitation (CSE) in Northamptonshire in 2017-18 and an overview where appropriate, of Child Criminal Exploitation (CCE) and the links to gangs in the county;

Children in care and care leavers

The Care Leavers JSNA Insight Pack was published in April 2020.

Children with disabilities

The UK Government describes a child as an individual of school age or younger, older individuals are referred to in this paper as either a ‘young person’ or an ‘over 16’.

The definition of a disability is taken from the Equalities Act (2010). The definition of Special Educational Needs is taken from the UK Government’s SEND code of practice.

Children's JSNA 2015

The main body of the document identifies a series of measures which can be used either as key performance indicators (KPIs) or as proxy indicators for different aspects of a child’s life and environment.

It identifies areas of under-performance or concern, as well as gaps in intelligence and reporting. Where appropriate, it suggests next steps.

Data refresh 2017

This is a refresh of data and indicators relating to children and young people and a comparison to previously published data.

The commentary and indicators have been measured against Northamptonshire’s performance in the last available data period to ascertain if performance has improved or otherwise.

Mental health needs of children and young people
School profiles

School profiles set out a vision for school nurses on public health matters and school performance in Northamptonshire. They help school nurses to identify gaps, challenges and opportunities for service improvement.

These profiles consist of two elements: Primary School Profiles and Secondary School Profiles, and are updated in August each year. The collection below is the latest update, August 2018.

​Primary schools

Secondary schools

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Adults

Adults with disabilities

A 2010 study by the Improving Health and Lives Learning Disabilities Observatory (IHaL) found that people with learning disabilities have poorer outcomes than their non-disabled peers and that these differences were, to an extent, avoidable. Outcomes for disabled adults are poorer when compared to the wider population in almost every manner. 

Following the Winterbourne View Serious Case Review, the Northamptonshire Transforming Care Partnership was formed to focus in prevention, early intervention, keeping well, avoiding crisis and crisis support.

The Transforming Care Plan will result in care and support becoming:

  • closer to home
  • in line with the best models of care
  • co-ordinated and person centred
  • personalised and responsive to needs over time
  • based on the individual and their family’s wishes
  • value for money.
JSNA - adults with disabilities
Continence

Continence has been described as the “most basic of needs” in the Francis report into failings of care in Mid Staffordshire.  Issues surrounding continence can have a profound effect on those affected yet it is often ignored, whether due to embarrassment, a belief that it is too trivial to seek advice about, or the mistaken acceptance of it being part of ageing.

This has led to a scarcity of accurate information on prevalence of continence issues within populations.  This needs assessment has been produced to advise on the current level of need within the adult population of Northamptonshire, and to project the expected level of need to enable effective planning of healthcare services.

Falls

​This In-Depth Needs Assessment focussing on falls and falls prevention in older people in Northamptonshire was published in January 2020.

Fuel Poverty
Older people's JSNA

This JSNA document is focussed on older people in Northamptonshire (those aged 65 and above). It was published in October 2019 and updated in December 2019.

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Mental health and wellbeing

Mental health

This needs assessment for Northamptonshire was prepared by the Public Health Action Support Team and commissioned in 2013, the reports for which are below:

Mental Health in Children and Young People

The purpose of this JSNA is to identify what is currently known about children and young people with mental ill health in the county, including forecasting statistics on future need; review what current services are available and what work has been undertaken to improve mental health; understand if these interventions are working effectively and efficiently, and make recommendations to address the gaps in the mental health service using evidence based interventions.

The 2015 Northamptonshire Mental Wellbeing Survey

A large scale face-to-face survey carried out by M·E·L Research across the County. It is the first survey of its kind, commissioned by the County Council, with the aims to understand the mental wellbeing level of its adult population, and to further identify potential wellbeing inequalities existing in its local communities.

The ultimate goals of the research will be to use evidence to make recommendations to Northamptonshire Health and Wellbeing Board on improving the health and wellbeing of the population of Northamptonshire; responding to needs; informing services and targeting areas for improvement.

Mental Health Summary Profile 2016

 

Mental health and wellbeing in children and young people
Mental Health Needs Assessment
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Long term conditions and mortality

Cancer

This needs assessment for Northamptonshire was prepared by the Public Health Action Support Team and commissioned in 2013, the reports for which are below

Cardiovascular

This needs assessment for Northamptonshire was prepared by the Public Health Action Support Team and commissioned in 2013, the reports for which are below;

Diabetes

This needs assessment for Northamptonshire was prepared by the Public Health Action Support Team and commissioned in 2013, the reports for which are below;

A local Diabetes profile was created in November 2016.

Respiratory disease

This JSNA Insight Pack focused on Respiratory Disease was published in August 2019.

 

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Lifestyle

Alcohol

This JSNA Insight Pack focussing on alcohol and alcohol related harms was published in January 2020.

Alcohol Profiles

Alcohol profiles have been written for Northamptonshire and each of the district/ borough areas within the county covering a range of indicators and comparing regionally and nationally. These profiles were published in March 2016.

Contraceptive Health Needs Assessment

This Health Needs Assessment (HNA) was requested by the Director of Public Health and Wellbeing as an adjunct to the Northamptonshire Sexual Health Services Review completed in April 2015. The aim of this HNA is to provide more detailed information on the contraceptive needs of the population of reproductive age in Northamptonshire, map need against local service provision and provide recommendations on how best unmet need can be addressed, using a current evidence base and examples of national and local best practice.

Domestic violence
Drug misuse

This chapter will use a combination of local and national data to estimate the level of need for drug misuse services in Northamptonshire, assess the performance of services currently in place, and identify any gaps in service provision.  The full JSNA and separate executive summary can be found below;

FGM
Gambling

​This data briefing provides a summary of the population types in Northamptonshire who are deemed most likely to gamble.

Obesity

This Obesity JSNA Insight Pack was created and published in May 2019.

The previous needs assessment for Northamptonshire was commissioned in 2013 and was prepared by the Public Health Action Support Team. Links to these reports are below;

Sexual health

This needs assessment for Northamptonshire was prepared by the Public Health Action Support Team and commissioned in 2013, the reports for which are below;

Smoking

The following documents comprise the smoking section of the Northamptonshire JSNA.

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Health services

Oral Health Needs Assessment

​This Oral Health Needs Assessment was updated in April 2019.

Pharmaceutical Needs Assessment

The Pharmaceutical Needs Assessment (PNA) looks at the health needs of the population of Northamptonshire, the current provision of pharmaceutical services by pharmacies, dispensing appliance contractors (DACs) and dispensing doctors within and outside of the county. It identifies any gaps in the provision of those services and any that may arise within the lifetime of the document.

Pharmaceutical services are defined in legislation as those services that NHS England commissions from pharmacies and DACs, and the dispensing service provided by some GP practices. It does not include any services commissioned from pharmacies by the council or the CCGs. It also doesn’t include the hospital pharmacies or pharmacy departments. The PNA is used by those looking to open a new pharmacy or DAC premises, and by NHS England in the determination of such applications

Primary Care Network Profiles

These Primary Care Network (PCN) profiles have been produced to provide an overview of demographics and health and wellbeing of patients registered with each of the county's PCNs.

The profiles use recorded prevalence (QOF), hospital and population data for individual practices aggregated up to PCNs as well as modelled prevalence estimates where GP level data was not available. 

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Wider determinants of health

Carers

​This Carers Insight Pack was published in July 2020.  A Briefing Pack is in progress and will follow.

Homelessness

​This Homelessness Insight Pack was first published in August 2019 and updated in February 2020.

Offenders

This JSNA covers the levels and needs of Offenders and Ex-Offenders within Northamptonshire:

Social isolation

An assessment of social isolation in Northamptonshire was undertaken in 2016 and uses CACI Acorn Customer Segmentation to map residents that may be vulnerable to isolation and loneliness.

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