Our JSNA chapters consider the current and future health and social care needs of specific topics.

You can download the following topic-specific chapters as accessible Word documents:


Here are some useful links for further information and data related to people and place. These resources are from external organisations, such as the Office for National Statistics (ONS).


The chapters in this section include statistics about the population of Medway and looks at aspects of the physical and social environment that affect health and wellbeing.

When we plan health services for the benefit of local people, we consider the general impact on groups within the population rather than on individuals alone. Often these groups refer to geographic populations or communities. However, they can also refer to groups based on other factors such as:

  • age
  • gender
  • socioeconomic status (education and income)
  • ethnicity.

Social determinants of health

We also consider factors related to place (where people live and work). Sometimes these are referred to as the ‘social determinants of health’. The social determinants of health are the conditions in which people are born, grow, live work and age, including the health system.

Examples include the following factors which are crucial to health and wellbeing:

  • green spaces around people
  • housing
  • education
  • unemployment
  • income level.