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.
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.
The North Central London Health and Care Partnership, is an integrated care partnership (ICP), a joint committee with the councils across the five boroughs. This committee is responsible for the planning to meet wider health, public health and social care needs and will lead the development and implementation of the integrated care strategy.
In Enfield, we work closely in partnership with local health and social care organisations which share a common ambition to improve the health and wellbeing of people living in the borough.
Our borough partnership brings together local partners to deliver multiple improvement and transformation programmes to support residents. Partners we work with include:
- Primary Care Networks (PCNs) and Federations – groups of GP practices working together with a range of local providers including social care, and the voluntary and community sector. There are 46 GP practices in Enfield
- Enfield Council
- North Middlesex University Hospital
- Royal Free London NHS Foundation Trust
- Barnet, Enfield and Haringey Mental Health NHS Trust
- The local voluntary, community and social enterprise (VCSE) sector.
The strong relationships between our predecessor borough clinical commissioning groups (CCGs), local authorities and other partners has been critical to improving care and services. Each NCL borough has established a borough partnership to bring together partners across health and social care with clinical and executive leadership to deliver the ICB’s plans at a local level.
As well as a borough-based director, each Borough Partnership board includes local authority and lay members, and works with a wider range of partners including voluntary sector and patient representatives. The Enfield Borough Partnership Board also has representation from a Clinical Lead Director and the boroughs five Primary Care Network Clinical Directors as well as two clinical representatives who co-chair Enfield’s Provider Integration Partnership Board.
Borough partnerships plan and provide integrated services which focus on the health and wellbeing of the local population, as well as setting priorities that are focused on the local health needs. Borough partnership boards meet regularly throughout the year.
Our key priorities as a borough partnership
- Increasing the uptake of vaccines and immunisations (in particular childhood immunisations and flu, Covid-19 vaccinations).
- Improving mental health and wellbeing.
- Improving the health and wellbeing of children, young people and families.
- Improving access, disc.
- Discharge & crisis services.
- Developing neighbourhoods – and integrated models of care / pathways for delivery.
- Digital inclusion, and other means of addressing social isolation.
- Joining up health and care workforce development, including employment support & jobs for local people.
- Tackling inequalities – via NCL inequalities fund, other local resources (e.g. community chest fund).
System level health improvements
- Implementing outputs of strategic commissioning reviews for CYP services, Adult Community Services & Mental Health services
- Scoping and implementing a response to the Fuller report framework for action
- Local engagement in the Start Well review
- Continued vaccination programme support – including Covid19 autumn campaign, polio, and community outreach
- Embedding an integrated paediatric service model in all neighbourhoods
- Mobilising the winter plan – ED front of house, supported discharge and virtual ward scaling
- Actioning reviews around asylum seeker and homelessness health and wellbeing
Outputs from population health framework
- Developing, rolling out and embedding HealtheIntent across frontline delivery.
- Further analyses focusing on population sub-cohorts, geographical disparities.
- Responding to identified priorities from current HealtheIntent analysis e.g.
- Vaccs & Imms coverage.
- Smoking prevalence.
- Cancer screening.
- Care planning for mental health.
- Flu vaccination coverage.
You can get involved in a variety of ways:
- If you would like to join your Patient Participation Group, please contact your GP surgery. Enfield hosts a PPG network to bring local PPGs together – for more information please contact email@example.com
- Ask a question at our North Central London (NCL ICB) Governing Body meetings.
- Respond to current consultations or engagement exercises about major changes to local healthcare services.
- Join the online North Central London Residents’ Health Panel.
- Get in touch with your local Healthwatch organisation.