The Mental Health and Wellbeing Joint Strategic Needs Assessment (JSNA) profile is part of the Mental Health and Wellbeing JSNA toolkit which also includes a set of Knowledge Guides offering expert advice and links to policy, evidence and additional data sources.
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, and care provision (both activity volumes and quality and outcome metrics). These metrics can be used to benchmark to meaningful comparison groups.
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; and GP and ward levels to enable comparison within as well as between local areas. 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 five domains:
Profile Update June 2019
The JSNA profile has undergone a significant refresh. 13 metrics have been removed, 40 updated or replaced, 6 new metrics added and additional geographical views have been added where possible. The revised content reflects the new and changing intelligence available on this topic.
Presentation in the JSNA profile is now aligned with other Public Health England fingertips profiles.
The finance and spend domain has been removed. Viewing the Mental Health five year forward view dashboard is recomended.
Supporting Documents
There has been a substantial refresh of the Joint Strategic Needs Assessment:
25 indicators have been replaced for more current intelligence
6 indicators have been added for the first time to the profile
13 indicators have been removed
Two indicators have been updated in the Risk factors domain
One indicator has been updated In the Services domain (2017/18)
Hospital admissions as a result of self-harm (10-24 years) (County & UA)
Three indicators have been updated in the Risk factors domain (2017 unless stated)
Notes
One indicator has been updated in the Services domain (2017/18)
Three indicators have been updated in the Quality & outcomes domain (2017/18 unless stated)
In addition Suicide rates (all age) have been added at STP level (most recent data 2015-2017)
One indicator has been updated in the Finance domain (2017/18)
Three QOF indicators have been updated in the Prevalence domain (2017/18) at GP level. They were updated at CCG, STP & County level previously.
Two indicators have been updated in the Risk Factors domain (2017/18)
Six indicators have been updated in the Services domain (Q2 2018/19 unless stated)
Three indicators have been updated in the Quality & Outcomes domain (Sept 2018 unless stated)
Three QOF indicators have been updated in the Prevalence domain (2017/18)
One indicator has been updated in the Risk Factors domain (2017/18)
Five indicators has been updated in the Services domain (2018/19 Q1)
Four QOF indicators have been updated in the Quality & Outcomes domain (2017/18)
Two indicators have been updated in the Prevalence domain (2017/18)
Five indicators have been updated in the Risk Factors domain
Two indicators have been updated in the Protective Factors domain (2017/18)
One indicator has been updated in the Services domain (June 2018)
Four indicators have been updated in the Quality & Outcomes domain (June 2018 unless stated)
Two indicators have been updated in the Risk factors domain (2017)
Six indicators have been updated in the Services domain (Q4 2017/18 unless stated)
Two indicators have been updated in the Quality & Outcomes domain (March 2018)
One indicator has been updated in the Finance domain (March 2018)
Cost of GP prescribing for psychoses and related disorders (CCG & STP)
Six indicators have been updated in the Services domain (CCG & STP) (Q3 2017/18 unless stated)
Two indicators have been updated in the Quality & Outcomes domain (Jan 2018)
Two indicators have been updated in the Prevalence & Incidence domain
One indicator has been updated in the Protective factors domain
Three indicators have been updated in the Services domain (CCG & STP) (Sept 2017)
One indicator has been updated in the Quality & Outcomes domain (2016/17)
Two indicators have been updated in the Finance domain (Q2 & Q3 2017/18)
Cost of GP prescribing for hypnotics & anxiolytics (CCG)
Cost of GP prescribing for anti-depressants (CCG)
One indicator has been updated in the Prevalence & Incidence domain
One indicator has been updated in the Services domain
Hospital admissions as a result of self-harm (10-24 years) (CCG) (2016/17)
One indicator has been updated in the Finance domain
Cost of GP prescribing for psychoses and related disorders (CCG) (Sept 2017/18)
Four indicators have been updated in the Risk Factors domain
Five indicators have been updated in the Services domain
Two indicators have been updated in the Quality & Outcomes domain
One community MH team indicator (CCG & STP) in the Quality & Outcomes domain has been updated to 2017/18 Q2
Follow up after discharge: % of patients on CPA
One prescribing indicator (CCG) in the Finance domain has been updated to 2017/18 Q1
Data Note - Cost of GP prescribing for psychoses and related disorders: Net Ingredient Cost (£) per 1,000 population. This indicator shows a large increase in the net ingredient cost which in part is a result of Olanzapine having a concession price put in place. Concession prices can be put in place due to disruptions or shortages of supply of prescription items.
http://psnc.org.uk/dispensing-supply/supply-chain/generic-shortages/
Three QOF indicators (GP, CCG & STP) in the prevalence domain have been updated with 2016/17 data
One indicator (GP, CCG & STP) in the protective factors domain has been updated with 2016/17 data
Three QOF indicators (GP, CCG & STP) in the quality & outcomes domain have been updated with 2016/17 data
Two indicators (region, county, UA & district) in the risk factors domain have been replaced with indicators with slight changes to the definition and values:
One monthly indicator (CCG) in the services domain has been updated to June 2017:
Two monthly indicators (CCG) in the quality & outcomes domain have been updated to June 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. The survey has now closed.
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:
Three indicators in the services domain have been updated:
One indicator in quality and outcomes has been updated at STP level:
Two indicators in the finance domain have been updated:
Two indicators in the risk factors domain have been updated:
Six indicators in the services domain have been updated:
Two indicators in the quality and outcomes domain have been updated:
Two indicators in the risk factors domain have been updated:
Two indicators in the protective factors domain have been updated:
Three indicators in the services domain have been updated:
Three indicators in the quality and outcomes domain have been updated:
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.
The following new indicators have been added:
Risk factors
Services
Outcomes & Quality
First version published