Since 2013, local authorities have responsibility to improve the health of their populations.
Sections in this guide (click title to view)
- 1. What is a Joint Strategic Needs Assessment (JSNA)
- 2. JSNA summaries
- 3. Strategies, health summaries and factsheets
- 4. Locality profiles
- 5. Evidence reviews
- 6. Evaluations
- 7. Outcomes framework
- 8. National profile and tools
- 9. Annual public health report
- 10. Lambeth PNA, 2018 to 2021
- 11. Privacy notices
1. What is a 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.
2. JSNA summaries
3. Strategies, health summaries and factsheets
Early years at a glance series
- Early years at a glance
- Coldharbour - Early years at a glance
- Stockwell - Early years at a glance
- Tulse Hill - Early years at a glance
- Vassal - Early years at a glance
- Early years (Under 5) at a glance
- Child weight factsheet (LEAP wards)
- Children's (0-19) Demography(2015)
- Children's (0-24) socio-economic factors (2015)
- Life expectancy
- Lambeth population change
- Lambeth avoidable mortality
- Children and young people JSNA summary factsheet
- Lambeth childhood obesity 2017-18
4. Locality profiles
5. Evidence reviews
Public Health England Annual Conference 2019
This year, Public Health England (PHE) accepted five poster presentations from Lambeth Public Health. The posters were presented at the Annual Public Health England Conference in September. The posters presented were:
Exploring barriers and solutions to support children and families in food poverty To understand how holiday hunger affects children and families living in Lambeth and provide recommendations on how to address this locally.
Bespoke school cookery lessons to enhance a national eating campaign To encourage children to connect with the messages of a national healthy eating campaign through the use of hands-on cooking experience delivered in an accessible, locally-relevant format.
Channelling the sugar levy to effectively address child obesity: Lambeth Council working with schools To take an evidence based approach to support Lambeth schools to contribute to tackling obesity by improving and increasing availability to facilities for healthy eating, physical activity, mental health and wellbeing.
Can Public Health Teams work confidently with commercial partners? A case study using commercial resources for local amplification of a national campaign To describe the challenges and successes of a collaboration between a local authority public health team and an independent organisation funded by commercial partners, contribute to the evidence base around public-private partnerships in public health, and encourage the development of local and national policies to support public health teams as they negotiate public-private partnerships in future.
Building the workforce capacity to address healthy weight from conception to reception The training aimed to develop the capacity of front line staff in promoting healthy food, diet, nutrients, physical activity and maintaining a healthy weight for early years as well as supporting families to embed this approach in their daily work from conception to reception.
Pre-birth and Early Years
LEAP - NCMP analysis poster 2018
A poster summarizing the findings from an analysis of data from the National Child Measurement Programme on excess weight in reception age children in the LEAP wards.
LEAP - NCMP analysis detail slideset 2018
A slideset detailing analysis of data on excess weight in reception age children living in the LEAP wards.
Children and Young People
- National Child Measurement Programme (NCMP) Deep Dive 2013/14
- Emotional wellbeing and mental health – summary
- Health and wellbeing
- Health related behaviour
- Childhood obesity analysis: Why has Lambeth seen a reduction in childhood obesity? (2015)
- Review of the evidence around school based childhood obesity interventions (2018) A review of the literature and existing evidence base around what has been tried and tested in schools to tackle childhood obesity. Conducted by the Behavioural Insights Team for the for the Guy's and St. Thomas' Charity Childhood Obesity Programme, 2018.
- Review of the evidence around Serious Youth Violence (2018/19) This evidence review constitutes the first part of an update of Lambeth’s 2015 Violence Needs Assessment, but with a narrower focus: serious youth violence. The second part of the update is a report on the epidemiology of youth violence and its risk factors, as per the findings of this review, within Lambeth. .
- Reports will be added when available
- Bowel cancer screening
- Illicit tobacco
- Shisha smoking
- Substance misuse – summary
- Men who have sex with men - summary
7. Outcomes framework
A series of national frameworks set out desired outcomes and the indicators that will help us understand how well public health, social care and the NHS are improving.
8. National profile and tools
Health Impact Assessment (HIA)
Health Impact Assessment (HIA) is a widely used method which helps planners, policy makers and the general public to think through the full range of effects that a new scheme may have on the health and wellbeing of individuals and communities.
It systematically brings together and analyses evidence from a range of sources to assess the good and bad effect of a proposal on people’s health and wellbeing. Once this has been done it becomes possible to make recommendations as to how to enhance beneficial effects and reduce or prevent ones that may affect people’s health adversely.
There are six steps to doing an HIA:
- Screening: looking at what is being planned to see if it needs an HIA
- Scoping: deciding what aspects may have an impact on health and identifying what needs to be included
- Assessing and appraising: which people/social groups will be affected and how? How big will the effects be?
- Recommendations: suggesting specific actions that will reduce or remove any negative impacts and increase the positive as much as possible
- Reporting: the findings are presented to decision makers and other relevant people to be put into action
- Monitoring and evaluating: see if the recommendations have had the desired effect or if there are impacts on people’s health which were not predicted
HIAs can be undertaken at different levels of depth and complexity, using different tools. There are three types: full, rapid or desktop. Even if an HIA is not undertaken, these approaches can be very helpful for members of the public responding to planning consultations by suggesting questions to ask and predicting some of the results of new developments.
The Healthy Urban Development Unit has developed guidance for rapid and desktop HIAs.
9. Annual public health report
- Lambeth Annual Report of the Director of Public Health, 2018 - Full report
- The health of children and young people in Lambeth. Annual Report of the Director of Public Health 2016/17 - Executive summary
- The health of children and young people in Lambeth. Annual Report of the Director of Public Health 2016/17 - Full report
10. Lambeth PNA, 2018 to 2021
Lambeth Health and Wellbeing Board (HWB) has developed a Pharmaceutical Needs Assessment (PNA). This is a statutory responsibility, as set out under the National Health Service (Pharmaceutical Services and Local Pharmaceutical Services) Regulations 2013 (SI 2013 No. 349) and amended in 2014 (SI 2014 No. 417).
A PNA is a document which records the assessment of the need for pharmaceutical services within a specific area. As such, it sets out:
- A statement of the pharmaceutical services which are currently provided, together with when and where these are available
- Details of planned or likely changes which may affect the future provision of pharmaceutical services
- Any current or future gaps in pharmaceutical services, taking into account the pharmaceutical needs of the population.
The PNA will be used by NHS England to consider applications to open a new pharmacy, move an existing pharmacy or to commission additional services from pharmacy. The document will also be used by service commissioners to inform local commissioning strategy within Lambeth, and may act as a reference source for existing pharmaceutical services contractors who may wish to change the services they provide and/or by potential new entrants to the market.
Please find Lambeth's PNA below; this replaces the previously published PNA