Enfield

We are responsible for commissioning health and care services for the people of Enfield and making sure these services meet the needs of local people.

It’s our job to make sure that residents receive high-quality healthcare services whenever they need them – whether this is advice from a pharmacist or GP, a procedure in hospital, help at home through local community services, or support with mental health.

Enfield, together with four other London boroughs – Barnet, Camden, Haringey and Islington – makes up the North Central London Integrated Care Board (NCL ICB).

NCL ICB is part of North Central London Integrated Care System (NCL ICS), which brings together NHS organisations, local authorities, community organisations and local people to ensure our residents can live healthier, happier lives.

Map of Enfield

Enfield is home to around 334,000 people. It is the northernmost London borough and has a very diverse population, with around 40% of residents coming from Black, Asian and Minority Ethnic (BAME) backgrounds. Enfield has relatively high proportions of children and young people under the age of twenty – higher than both the London and England averages. The percentage of younger adults – aged 20 to 44 years – is also higher than in England in general, but below that of London as a whole. Both the London area and Enfield have proportionately fewer older residents than the England average.

There are a number of local health challenges and health inequalities which we are seeking to address in the borough.

  • Diabetes prevalence in Enfield is the second highest of all London boroughs, and is above both the regional and England average.
  • 5% of adults over 65 have been diagnosed with dementia – the highest prevalence in London, and higher than the rate for England.
  • Children in Enfield are more likely to be overweight or obese than in London and England generally – the prevalence of children carrying excess weight in Year 6 is the third highest of the 32 London boroughs.
  • 58% of adults in Enfield are overweight or obese as of 2019/20 – above the London average of 56%

However, both male and female life expectancies are higher than the national average, while male life expectancy is also higher than the average for London. Enfield’s mortality ratio (all ages) was lower in Enfield in 2019 than in London and England overall.

We are motivated by improving the health and wellbeing of our local residents, and some of our priorities for the year ahead include:

  • achieving screening and immunisations uptake
  • identifying and reducing inequalities where they exist
  • improved mental health outcomes
  • improving access to services, recovery from COVID-19 and innovation.

While there has been some progress, there is still a long way to go to address health inequalities and improve local health outcomes and that’s why we are working with partners as part of a partnership to maximise the impact we can have on addressing health inequalities.