The JSNA aims to aggregate local data to inform strategic investment and long-term vision for health and social care. Over the next 10 years, Birmingham will see an older population that is less diverse but with doubling of ethnic minority elders, as well as 26% growth in young people. This will strain health and social care resources as workforce growth may not keep pace with need. Improving the private rented housing sector will be crucial to address health inequalities. The local economy will also continue to change, requiring a more adaptable workforce. The JSNA process needs to evolve from descriptive reporting to action planning and demonstrating outcomes, with more involvement from commissioners and local leaders.