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Joined up working Joined-up working involves working in partnership with others, whether in the public, private or voluntary sector, in order to identify and solve local problems. The government increasingly regards joined-up working as a means of fostering efficiency, effectiveness and community engagement in the improvement of local government performance.   Joint Strategic Needs Assessment (JSNA) This was announced in the new Commissioning Framework for Health and Wellbeing launched by the Department of Health on 6 March 2007 to take effect in 2008.  It is the means by which Primary Care Trusts and local authorities will describe the future health, care and well-being needs of local populations and the strategic direction of service delivery to meet those needs.  JSNAs form the basis of a new duty to co-operate for PCTs and local authorities that is contained in the current Local Government and Public Involvement in Health Bill.  JSNAs will take account of data and information on inequalities between the differing, and overlapping, communities in local areas and support the meeting of statutory requirements in relation to equality audits. For more information from the Department of Health see this page here. For more IMPRESS information click here.