Category B: Best use of health research – Sponsored by HeRC (Health eResearch Centre)

Winner – Lancashire County Council – long-term conditions JSNA


This JSNA investigated the needs and assets of Lancashire’s citizens in terms of what the World Health Organization (WHO) has identified as the four main types of preventable long-term conditions:

  • cancers;
  • cardiovascular diseases;
  • chronic respiratory diseases; and
  • diabetes.

These conditions are extremely costly to NHS and the local economy.

The assessment combined a number of pieces of work, which included:

  • a scoping event with stakeholders from the public, private and third sectors;
  • a review of national/local drivers;
  • a review of national/international literature to identify the nature and extent of the problem, its determinants and its personal, family and societal impacts;
  • analysis and interpretation of both primary and secondary data from a variety of sources, grouped into four main categories: determinants, burden (morbidity, mortality and unscheduled care), support services, end of life and assets;
  • mapping adult social care services;
  • a presentation of the key findings and prioritisation workshop with the reference group to identify the main priorities for long-term conditions in Lancashire;
  • a review of existing national/international literature, guidelines and best practice evidence to produce of a set of strategic recommendations to address priority issues.

The findings and recommendations have been used directly to inform policy and service redesign.


The team worked with Lancashire LINk (now Healthwatch Lancashire) and Lancaster University to analyse over 500 service user and carer stories describing what is important to them about their health and care. The findings gave a much greater understanding of needs, experiences and assets and helped us shaped our recommendations.


  • The main Lancashire report and a set of eight CCG and 14 local authority summary reports have been published on the Lancashire JSNA website along with a raft of supporting materials including datasets, charts, funnel plots, service mapping, chapter articles, literature and hyper-links to other reference material


Photo Credit: Global One