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Joint Strategic Needs Assessment for Medway
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.
According to Department of Health guidance,
- Identifies the big picture in terms of the
health and wellbeing needs and inequalities of a local
- Describes a process that will identify the
existing and future needs of the community
- Maps services and the way they are used
- Includes an analysis that will enable the
prioritisation of services and therefore inform commissioning
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 Summary section of the JSNA presents the big
picture, while more detailed background papers and a data inventory
can be found in other sections. The JSNA is a continuous process
involving engagement and review and is updated quarterly. Medway’s
JSNA can be found here www.medwayjsna.info
About Kent and Medway’s Mental Health JSNA
This mental health needs assessment describes the current and
future needs of the population in terms of mental wellbeing and
mental health services (other than dementia). It covers adults aged
18 years or more and describes the needs of Kent and Medway as a
whole, with key messages for each Primary Care Trust (PCT) area.
The following table summarises the questions asked and the key
areas addressed to produce the needs assessment.
Key questions and issues covered in Kent and Medway Mental
Key areas to address
What are the size, structure and characteristics of the
- The increase in size.
- The age structure.
What are the main determinants of mental health and wellbeing in
Kent and Medway?
- Poverty and low income.
- Social capital.
- Healthy lifestyles.
Who are the people and what are the mental disorders in the
population for which services should be commissioned?
Services should address:
- suicide and self harm;
- high risk groups locally;
- serious mental illness and links with physical health;
- common mental disorders and links with physical health;
- potential unmet need.
How far does the current investment of resources meet these
- Amount of investment in each area.
- Range of services commissioned.
- Balanced investment within the service system.
How well are resources being used to meet needs?
- Geographical distribution.
- Acute pathways.
- Recovery services.
Full demographic and epidemiological information for Kent and
Medway as a whole, including key messages for each PCT area, is set
out in Part One of the Assessment.
The detailed facts and figures about current services, including
key points for each PCT area, are set out in Part Two.
The analysis of the gaps (that is, between the mental health
needs and the current services commissioned to meet those needs)
and the implications for commissioners across Kent and Medway are
set out in Part Three. (This analysis is also informed by working
papers on national guidance and on service user needs.) The
overview and way forward for Kent and Medway as a whole are also
set out in this report, including the impact of mental illness and
the background to the needs assessment in Kent and Medway.
Overview of JSNA documents
The relationship of the reports that make up the JSNA is
illustrated in the diagram on the right.
They are available to download in pdf format. To use these
files, you will need Adobe Acrobat Reader. If you do not have this
on your computer, please use our advice