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Joint Strategic Needs Assessment (JSNA) Programme

Upcoming events

We are holding a series of workshops for the third and private sectors, and Island residents to explore the topics in the 2022/2023 JSNA Programme (Starting well/Developing well and Ageing well) in more detail.

More information about the 2022/2023 JSNA Programme Workshop below.


About the JSNA

JSNA stands for Joint Strategic Needs Assessment. It is an ongoing programme run by Public Health, which seeks to:

  1. Gather data based on a core set of health priorities

  2. Determine the health and wellbeing needs of the Isle of Man population

  3. Agree commissioning priorities that improve the health and wellbeing outcomes and reduce inequalities     


  • looks at the ‘wider determinants of health’ that influence a population’s health and wellbeing, such as housing and working conditions

  • covers several years with agreed topics of focus each year rather than attempting to review all areas at once

  • encourages a ‘health in all policies’ approach across all departments so that improvements extend to all settings

  • is population focused and acknowledges the need for cross-government whole systems change

  • identifies and reduces inequalities

Who is involved

Public Health has a dedicated needs assessment team who are responsible for the delivery of the programme. They are managed by senior Public Health officials who ensure internal quality of the project and alignment to wider Public Health priorities.

The JSNA Strategy Board is made up of Chief Executive Officers and provides on-going oversight of the JSNA annual work programme throughout the year. With a Senior Responsible Officer appointed for each section of the programme, members provide peer support and ensure each other is held accountable for delivery. Public Health and the JSNA Strategy Board work together to ensure that a broad range of different organisations and communities are involved.

The JSNA encompasses input from the public, private and third sectors as well as seeking information and gathering data from the community and its residents. It truly is an all-Island approach.

Who's involved in the JSNA - as explained on the paragraphs above

How it works

A JSNA is the first step in a process which leads to the agreement of strategic objectives, the delivery of those objectives through an implementation plan and finally a mechanism for holding all partners to account for delivery. 

It is the single agreed picture of need and is essential for joint strategic planning based on the identification of the most important areas for action, all underpinned by core data sets and evidence based research.

It begins with Public Health and other Government departments as they identify topics for the annual JSNA programme. Once the topics are agreed, relevant third sector organisations will be consulted in order to contribute to the detailed work plan. The work plan is finalised and this is approved by the JSNA Strategy Board. Then, the programme begins, involving a series of surveys and data collection projects throughout the year in order to assess the needs of the population. This process is reviewed continually as well as at the end of each year to ensure that the original objectives are being met.

Step 1: Government Departments agree annual topics

Step 2: Third sector organisations are consulted

Step 3: JSNA Board approves final plan

Step 4: Programme beings

The purpose of JSNA

The desired outcomes of this Project are to deliver:

  • Improved understanding of need on the Isle of Man

  • Improved evidence-based service design

  • Whole system approach to designing services around place rather than through individual services

  • Greater proactivity in service delivery

  • The ability to ‘right size’ capacity in specific settings/for specific purposes (models of care)

  • An understanding of demand/need that is currently unmet

  • A clear view of demand that drives the transformation of services

How it can help you

If you are working in a government department, the JSNA will help your team to identify needs among your audience and you will have access to recommendations for your service delivery and policy implementation.

If you are a charity or non-profit organisation, the outcomes of the JSNA may help with your service delivery. You will also have input into the process so that topics important to you, can be included in the population assessment.

If you are a business or member of the public, the outcomes of the JSNA are likely to affect you, your employees or family members in some way. The main aim is to ultimately improve the health and wellbeing of the people in your community.

JSNA Programme 2022-2023

The first 2 years of the programme have been scoped by the JSNA Strategy Board with the following themes. Work has begun to incorporate these themes into the 2022-2023 data intelligence programme.

Starting Well/Developing Well

The main focus is on Adverse Childhood Experiences (ACEs), studying the impact on these children in their adulthood and how factors such as substance misuse and domestic abuse may contribute.

Topics also to be explored may include breastfeeding, childhood healthy weight, smoking in pregnancy, infant mortality and unintentional childhood injuries.

Ageing Well

We’ll be looking at long-term health factors such as life expectancy, physical health, mental health and an older people’s population projection. We’ll explore how well people maintain independence by studying older people’s housing, mobility, falls, and transport. We will also examine being part of a community including areas such as loneliness, social isolation, social connections and contributions to society.

Finally, we’ll look at people who face additional challenges or barriers to health and wellbeing such as carers, older people with learning disabilities, end of life, visual impairment, hearing loss and older LGBTQ+ people.

Upcoming events

We are holding a series of workshops for the third and private sectors, and Island residents to explore the topics in the 2022/2023 JSNA Programme in more detail.

Third/private sector workshop

Date: Tuesday 29 November 

Location: Noble’s Park Conference Room (above Talk of the Town)


  • 9:30am to 12:30pm noon – Starting Well/Developing Well
  • 1:30pm to 4:30pm – Ageing Well

If you work with people in either of these groups, you might be interested in coming along to this workshop. Topics to be discussed are as follows:

Starting Well/Developing Well 

Covering areas from ACES – Abuse (Physical, Mental, Emotional, Sexual, Bullying) Neglect (Physical, Emotional) and Household Challenges (Domestic Abuse, Substance Misuse, Mental Illness, Parental Separation, Divorce or Bereavement, Incarceration)

Ageing Well

Covering areas from Physical Health (including Visual and Hearing Impairment), Mental Health, Falls and Fragility, Older People’s Housing, Transport, Carers, Loneliness, Social Isolation, Social Connections and Contributions to Society.

You are invited to attend whichever session you feel is most appropriate for your area of expertise and you are also welcome to attend both sessions if you have an interest or expertise in both areas.

We would greatly value your input drawing from your wide range of knowledge and experience. We are certain you will have lots of ideas, information and data to contribute to the JSNA. 

The information below will give an understanding as to why we are asking you to participate and a bit of background as to why we are developing a JSNA for the Isle of Man.

Sir Jonathan Michael’s Independent Health and Social Care Review Final Report, unanimously approved by Tynwald in May 2019 recommended that:

'An on-going health and care needs assessment programme for the Isle of Man should be established and funded without delay. It is not possible to develop meaningful service delivery models and plans without establishing the current and future needs for health and care through this assessment. Many other recommendations in this report are predicated on the assumption that this programme will be established.'

At present, the understanding of health, care and wellbeing needs on the Isle of Man is not comprehensive. Whilst some assessments of some aspects have been undertaken, it is not widespread nor reviewed in an agreed, systematic way. One of the specific requirements for a systematic needs assessment is the availability of base information both on disease prevalence and treatment outcomes from an expansive range of sources.

An understanding of health, care and wellbeing needs is essential for effective design, development planning and delivery of government services provision which inform the priority for the distributing of resources and population health improvement in a way that will provide the greatest benefit.

The Joint Strategic Needs Assessment Programme has been established to oversee and manage critical tasks for the successful delivery of the prioritisation and review of the assessments.

If you are interested in attending or would like more information, please contact

More about the JSNA Programme

To find out more about the JSNA Programme or to get involved, email

To view previous Isle of Man Needs Assessments, visit the downloadable documents section of this page.

Reviewed: November 2022

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