Introduction

The Mental Health and Wellbeing Joint Strategic Needs Assessment (JSNA) profile is an important component of the Mental Health and Wellbeing JSNA toolkit. 

The Mental Health and Wellbeing JSNA toolkit comprises the profile and the Knowledge Guide for Mental Health and Wellbeing JSNAs - offering expert advice and links to policy, evidence and additional data sources (published August 2017).

The toolkit should be used in conjunction with the return on investment resources to support local commissioners in designing and implementing mental health and wellbeing support services:

Mental health services: cost-effective commissioning

The profile's (and wider toolkit's) purpose is to support Health and Wellbeing Boards and others interested in producing local mental health and wellbeing JSNAs by providing access to metrics on prevalence, risk and protective factors, care provision (both activity volumes and quality and outcome metrics). These metrics can be used to benchmark to meaningful comparison groups. The profile contains data at a lower organisational / geographical level - GP practice and ward - to enable comparison within as well as between local areas. 

The profile is a gateway to the other Mental Health profiles. More detail on specific conditions and client groups can be found in those.

It includes indicators at local authority (county, unitary and district), CCG, STP, GP and ward levels. Not all indicators are available at all levels. 

Data are drawn from many sources and vary by time period, population and presentation of values. Care should be taken with interpretation. Detailed meta data and any caveats are set out in the Definitions section.

Metrics are organised across six domains:

  • Prevalence & Incidence
  • Risk Factors
  • Protective Factors
  • Services
  • Outcomes & Quality
  • Spending & Return on Investment

Supporting Documents

Recent updates

November 2017

Two indicators (region, county, UA & district) in the risk factors domain  have been replaced with indicators with slight changes to the definition and values:

  • Smoking at time of delivery
  • Adults classified as overweight or obese

One monthly indicator (CCG) in the services domain has been updated to June 2017:

  • IAPT access

Two monthly indicators (CCG) in the quality & outcomes domain have been updated to June 2017:

  • IAPT recovery
  • IAPT DNAs

October 2017

Opportunity for feedback: We are very interested in any feedback on the downloadable outputs which are available from the download section of the tool.

Please complete the survey by clicking here

September 2017

The Mental Health and Wellbeing JSNA Knowledge Guide has been published to complete the full Mental Health and Wellbeing JSNA toolkt.

Three indicators in the prevalence and incidence domain have been updated:

  • Depression and anxiety prevalence (GP Patient Survey)
  • Long-term mental health problems (GP Patient Survey)
  • Estimated prevalence of mental health disorders in children and young people

Three indicators in the services domain have been updated:

  • Entering IAPT treatment
  • Completion of IAPT treatment
  • IAPT referrals for BME patients

One indicator in quality and outcomes has been updated at STP level:

  • Follow up after discharge

Two indicators in the finance domain have been updated:

  • Cost of GP prescribing for antidepressant drugs
  • Cost of GP prescribing for hypnotics and anxiolytics

August 2017

Two indicators in the risk factors domain have been updated:

  • First time entrants to youth justice system
  • First time offenders

Six indicators in the services domain have been updated:

  • Entering IAPT treatment
  • Access to IAPT treatment
  • Completion of IAPT treatment
  • IAPT referrals for BME patients
  • Service users in hospital
  • People subject to Mental Health Act

Two indicators in the quality and outcomes domain have been updated:

  • IAPT recovery
  • IAPT DNAs

June 2017

Two indicators in the risk factors domain have been updated:

  • Long-term unemployment
  • Low birthweight of term babies

Two indicators in the protective factors domain have been updated:

  • Use of outdoor space for exercise/health
  • GCSEs achieved 5A*-C including English and Maths

Three indicators in the services domain have been updated:

  • Service users in hospital
  • People subject to mental health act
  • Admission to hospital for mental and behavioural disorders due to alcohol

Three indicators in the quality and outcomes domain have been updated:

  • Stable and appropriate accommodation
  • Gap in employment rate
  • Follow up after discharge

April 2017

We have added printable pdfs of the JSNA indicators at county / UA and CCG level. These can be accessed using the download function in the profile.

March 2017

The following new indicators have been added:

Risk factors

  • Smoking at time of delivery: % of mothers
  • Low birthweight of term babies: % of all live births
  • First time offenders: rate per 100,000 population

 Services

  • Contact with mental health or learning disability services: rate per 1,000 population aged 18+ (persons)
  • Contact with mental health or learning disability services: rate per 1,000 population aged 18+ (males)
  • Contact with mental health or learning disability services: rate per 1,000 population aged 18+ (females)
  • Contact with mental health or learning disability services: rate per 1,000 population aged 18-64
  • Contact with mental health or learning disability services: rate per 1,000 population aged 65+

Outcomes & Quality

  • Stable and appropriate accommodation: % of adults on CPA aged 18-69 (males)
  • Stable and appropriate accommodation: % of adults on CPA aged 18-69 (females)

February 2017

First version published