Needs assessments

Joint Strategic Needs Assessment

The aim of the JSNA is to improve the health and wellbeing of the local community and reduce inequalities for all ages, identifying those groups where health and care needs are not being met and those which are experiencing comparatively different outcomes.

Hillingdon's JSNA is an ongoing process, which is used to determine what actions Hillingdon Council, Hillingdon NHS and our partners need to take to prioritise and address health and social care needs, improve health outcomes and reduce health inequalities.

The current JSNA (the PDFs featured on this page) is being reviewed and replaced by sections within the Hillingdon Data Hub.  You can access a range of demographic and health information on the Hillingdon Data Hub.

It pulls together local needs assessments, strategies, and plans.

Download Hillingdon's full JSNA report or select a PDF below to view a specific section.

Section What this section covers Page
Introduction Short summary of the main findings from the 2022 Hillingdon Joint Strategic Needs Assessment 1
Summary Health and wellbeing overall 4
Children and young people 5
Working age adults 7
Older people 8
Population Hillingdon population characteristics 9
Mortality and life expectancy 10
Health outcomes projections 10
Inequalities 11
Population estimates 13
GP registered population 16
Age distribution 16
Population projections 17
Population by ward 19
Births and birth projections 19
Causes of death 22
Life expectancy 22
E​​​thnicity 25
Health conditions and mortality Health conditions 26
Health outcomes projections 26
All causes all ages mortality 26
Early (premature) mortality 28
Hospital admissions 29
Excess winter deaths 33
Cancers 36
Breast cancer screening coverage 40
Cervical cancer screening coverage for femalesin Hillingdon 42
Lung cancer 45
All cancers 46
Cardiovascular disease 48
Heart disease 50
Cerebrovascular disease (CVA) - stroke 53
Circulatory disease 56
Chronic obstructive pulmonary disease 58
Respiratory disease 61
Liver disease 64
Dementia 66
Hip fractures 70
Injuries 73
Disability 75
Mental health condition under 18 years 80
Diabetes 82
TB incidence 85
Intentional self harm - emergency hospital admissions 87
Suicide 89
Infant mortality 91
Road traffic injury 93
Preventable mortality 94
Impact of behaviour on health Smoking 96
Alcohol 102
Alcohol specific conditions for males 103
Alcohol specific conditions for females 105
Obesity 107
Physical activity and inactivity 110
Violent crime including sexual violence  112
Unintentional and deliberate injuries in children aged 0-14 years 114
Unintentional and deliberate injuries in children aged 15-24 years 116
Intentional self-harm 117
Self-harm in children 119
Emergency admissions due to falls 120
Sexual health 123
Under-18's conception rates 124
Teenage parents 125
Abortions 127
Breastfeeding 129
Wider determinants of health Income and employment 131
Gender pay equality 132
Deprivation 133
Child poverty 135
Housing and Homelessness 138
Education 141
Special educational needs 146
GCSE attainment 147
School attendance 150
Children not in education or training (NEET) 152