Joint Strategic Needs Assessment (JSNA)

The Joint Strategic Needs Assessment (JSNA) aims to provide robust evidence of health needs of our population in order to improve health and wellbeing of Enfield. It informs the way in which decisions about health, wellbeing and social care services are planned and arranged.

*The below reports include ward level data and maps. The Office of National Statistics (ONS) has outlined for ward boundary changes in April 2022. These changes will be reflected in the JSNA reports by late 2022 in accordance with data availability.*

Please click below to access JSNA profiles by topic

Enfield People

Demography: Population structure, population projection, deprivation, diversity (ethnicity, language, religion) and number of births.

Life Expectancy, Healthy Life Expectancy and Mortality: Life Expectancy, Healthy Life Expectancy, mortality and causes of deaths.

Enfield Place

Healthy Streets : Physical activity, active travel, air quality, noise, safety and things to see and do in Enfield.

Health and Housing: Housing affordability ratio, household size, homelessness, delayed transfers of care in Enfield.

Health Assets:  Economic assets, education and skills, well-being, what we do, physical assets in Enfield.

Community Safety: Fear of crime, police strength, crime rates and youth offending in Enfield.

Healthy Living

Healthy Weight: Prevalence of excess weight in children and adult, physical activity, healthy eating, consequence of being overweight or obese and food poverty.

Smoking: Smoking prevalence, smoking related illness and mortality and the cost of smoking.

Sexual and Reproductive Health: Prevalence of HIV & STIs, teenage pregnancy, reproductive health, long-acting reversible contraception, emergency hormonal contraception

Substance Misuse – Drug and Alcohol: Risk factors for substance misuse, prevalence of drinking and drug use, hospital admissions for related conditions, mortality, treatment and treatment outcomes

Life stage and groups

Maternity:  maternity and births, abortions, infant mortality, maternity services and maternal health

School Age Children and Young People : Demography of children and young people (population by ward, ethnicity), deprivation, health behaviours amongst young people, immunisation uptake, health services usage.

Vulnerable adults: Older people, mental health, adult social care, safeguarding, and adults with disabilities in Enfield.

Older People : Demography of older people (aged 65+), deprivation impacting older people, social isolation, prevalence of long term conditions including dementia, falls, immunisation.

Violence Against Women and Girls: Domestic abuse, sexual violence, female genital mutilation in Enfield.

Serious Youth Violence: Violence in youth and associated personal, school and family risk factors.

End of Life Care:  Place of death, deaths in usual place of residence, underlying cause of death and care home use in Enfield.

Disease Conditions and Health Care

Locality Profile : Prevalence and management of long term conditions, hospital admissions, health behaviours by four localities in Enfield.

Health Protection: Childhood immunisation, adult immunisation, and screening

Cancer: cancer prevalence and incidence, risk factors for cancer, cancer screening, two-week wait referral, emergency presentations, hospital admissions, and mortality due to cancer in Enfield.

Cardiovascular Disease: prevalence of hypertension, diabetes, ischaemic heart disease, chronic kidney disease and stroke, hospital admissions and mortality due to diabetes,  ischaemic heart disease, chronic kidney disease and stroke, return on investment on cardiovascular disease interventions.

Respiratory Disease: risk factors, prevalence,  emergency admissions, average length of stay, mortality and spend for asthma and COPD in Enfield.

Mental Health: Adult Mental Health and Children and Adolescents’ Mental Health including risk factors, prevalence of mental health conditions, service usage, self-harm and suicide.

Coronavirus Disease-2019 (COVID-19): Cases, 111/999 calls, shielding, mortality, testing, COVID-19 vaccines, COVID-19 and influenza, and risk factors


What is JSNA?

The JSNA is an on-going process that identifies the current and future health and wellbeing needs of the local population. We have developed our JSNA as web-based resources with interactive tools and profiles. New and updated profiles will be added on an ongoing basis. Please subscribe to our mailing list if you want to receive any updates on new profiles.

Enfield JSNA is…

  • Accessible – Available to wide range of audience. Provides easy to digest, meaningful information.
  • Informative – Focusing on “so what?” and potential actions to address the unmet needs of Enfield community.
  • Flexible – Users will be able to select data and intelligence they need.
  • Consistent – Consistent approach in the way data is analysed and the information is presented, making Enfield JSNA more accessible.
What goes in it?

A range of information and intelligence are presented in order to paint a comprehensive picture of health needs in the borough. It includes information and intelligence about demography, health status and factors that influence our health and behaviours. These are presented in a form of interactive profiles. Please see our User Guide to learn how to navigate the interactive profiles.

JSNA can also be informed by more detailed health needs assessments on specific topics.

Why do we have it?

The Enfield JSNA identifies the needs of the population and enables effective targeting of intervention. This informs how the Council and NHS should design and provide services to improve population’s health, while reducing inequality. The JSNA also underpins our Joint Health and Wellbeing Strategy.

Each Health and Wellbeing Board has a duty to prepare the JSNA.

Contact Us

Got questions about the Enfield JSNA? Contact the team.