Since November 2021, NHS North Central London Integrated Care Board (NCL ICB), has been leading a programme of work on behalf of the local health and care system in North Central London called the Start Well Programme to review and improve maternity, neonatal and children’s surgical services in North Central London – Barnet, Camden, Enfield, Haringey, and Islington.
The Start Well programme has involved several years of partnership working and significant engagement with patients, staff and partners to review and improve the quality and outcomes of services. Our collective ambition as a health and care system is to give babies and children the best start in life and improve outcomes for pregnant women and people.
On Tuesday 25 March 2025, recommendations were agreed for the future shape of maternity and neonatal services at a formal meeting of NCL ICB, where they were joined by NHS England Specialised Commissioning, as co-commissioners. You can read more about the recommendations on our summary of work to date page.
Decision-making meeting to consider proposed changes to children’s surgical services
Members of the ICB Board met on 30 September 2025 to carefully consider the feedback received during the consultation and engagement process, as well as other supporting evidence and data, to support them to make a final decision on the proposed changes to children’s surgical services.
The Board agreed to the recommendations. You can read more about the recommendations on our children’s surgical services page.
Frequently Asked Questions
Find answers to some of the most frequently asked questions about the Start Well programme.
Information for Pregnant Women and People
Find out about changes to maternity and neonatal services.
Summary of our Work to Date
Read about the case for change and find information on our public consultation.
Governance Page
Useful Links?
Click below to find out more about Start Well:
