This JSNA is being developed at a time of change.  National strategy is moving to a much more localised agenda and financial pressures have provided powerful drivers for a fundamental review and redesign of children’s services.  As part of overall reductions, services are likely to become more targeted to those children, young people and families considered to be most in need, and in communities where need is highest. 


In an increasingly financially challenging environment, at a county level, this JSNA will help us to identify key actions/services that will have the maximum impact.  This is particularly critical with a range of initiatives and funding coming to an end, and a strong desire to capture the learning and embed in the mainstream.


It is in this context that the JSNA is being refreshed and provides us with an opportunity to make some critical decisions about resource allocation based on local need.  For this reason much of the information is broken down to district and area level in order to inform the commissioning decisions of the area partnerships of the Children’s Trust, schools, voluntary and community sector and GP clusters.


This JSNA is an overview of key issues affecting outcomes for children in Cambridgeshire and updates the first JSNA for children and young people developed in 2007/08.  All of the new JSNAs in Cambridgeshire and their supporting chapters with detailed information on specific subject areas will be available as an easy to use bank of information on the new JSNA website.


There will be separate chapters covering:


·               Breast feeding

·               Obesity

·               Sexual health and teenage pregnancy

·               Alcohol and substance misuse

·               Mental and emotional health and wellbeing

·               Child poverty and deprivation

·               Accident prevention

·               Safeguarding children

·               Domestic violence

·               Parental health and parenting capacity

·               Learning difficulties and disabilities

·               Child/adult transition


Some of these chapters are nearing completion and others will be developed over the coming months.  Most are syntheses of existing on-going work developed by partners across the Children’s Trust.


In addition, we hope to develop a chapter on involving children and young people and their families in service redesign by taking a community assets-based[1] approach.

[1]       A glass half-full: how an asset approach can improve community health and wellbeing.  Improvement and Development Agency, March 2010