The Haringey Health and Wellbeing Board met to discuss several key strategies and updates, including the North Central London NHS Integrated Care Board (NCL ICB) change programme, the Haringey Adult Social Carers Strategy, the Haringey Alcohol Strategy, the Haringey Better Care Fund, the Haringey Toilet Strategy, the emerging Homelessness Strategy, the Haringey Healthwatch Annual Report, and the Haringey Pharmaceutical Needs Assessment (PNA). The board approved the minutes from the previous meeting and formally delegated the sign-off of the draft and final Pharmaceutical Needs Assessments to the Director of Public Health in consultation with the Chair of the Health and Wellbeing Board.

Haringey Toilet Strategy

The board discussed the Haringey Toilet Strategy 2025 to 2030, which aims to improve the quality, quantity, and accessibility of public toilet provision in the borough. The strategy identifies several strategic priorities:

• Location of Public Toilets and Gaps in Provision: The strategy recognises the unequal distribution of public toilets across the borough, with better provision in the west and gaps in the east, particularly in Tottenham and other deprived areas. The council aims to integrate the strategy into its wider placemaking agenda and work with businesses to improve toilet access.
• Planning and Transport: The council will include requirements for new developments to consider contributing to improved public toilet provision in the new Local Plan. They will also work with Transport for London (TfL) to improve toilet facilities at stations, including new accessible toilets at White Hart Lane station, Seven Sisters and South Tottenham station.
• Safety and Hygiene: The strategy addresses safety and hygiene concerns, such as poor conditions, lack of facilities, and anti-social behaviour. The council will review the location of facilities, increase the frequency of cleaning, and ensure new designs deter crime.
• Inclusive Access: The strategy aims to create a more inclusive built environment by ensuring toilet facilities do not discriminate against protected characteristics. This includes providing all-gender toilets, menstrual products, and Changing Places facilities[^2]. [^2]: Changing Places facilities are larger accessible toilets for people with disabilities, with equipment such as hoists, changing benches and space for carers.
• Communication and Signage: The council will improve signage and website information to raise awareness about toilet locations in the borough.

The action plan includes engaging with businesses to improve public access to toilets, working with TfL to improve station facilities, and reviewing toilet provision in libraries, parks, and leisure centres.

Emerging Homelessness Strategy

The board discussed the emerging Homelessness Strategy for Haringey, which is currently in draft form and scheduled for formal consultation. The strategy addresses the prevention of homelessness, the supply of appropriate accommodation, and the provision of support for people who are homeless or at risk of homelessness, as required by the Homelessness Act 2002. Councillor Sarah Williams, Cabinet Member for Housing and Planning, led the Haringey Homelessness Reduction Board in the development of the strategy.

The strategy proposes five strategic objectives:

• Preventing homelessness through effective partnership working: The council and Homelessness Reduction Board (HRB) members will take a cooperative approach, with each member taking an 'ask and act' approach to identify and address homelessness risks early.
• Protecting Haringey's population from the risk of homelessness: The council aims to deliver 3,000 new council homes by 2031 and will train all officers working directly with residents to provide good quality signposting to advice and support.
• Improving homelessness prevention services: The council will open a new homelessness prevention hub to provide a trauma-informed, person-centred approach.
• Providing specific interventions for groups at high risk of homelessness: This includes private renters, young people, survivors of domestic abuse, vulnerable single people, victims of cuckooing[^3], and communities experiencing racial inequality. [^3]: Cuckooing is when someone takes over a person's home to use it for illegal activities.
• Improving accommodation options for those experiencing homelessness: The council will expand its programme of acquiring homes for use as settled accommodation and build two new Temporary Accommodation lodges.

The strategy also includes specific actions to support vulnerable groups, such as providing specialist training on mediation for housing needs staff, granting care leavers priority status on the housing register, and developing a new supported housing commissioning model.

Haringey Healthwatch Annual Report

The board reviewed the Healthwatch Haringey Annual Report Summary 24-25 ed 2.pdf, which highlighted the organisation's work in gathering views and experiences across the community, providing information and support, conducting independent research, and working with providers to act on recommendations. Sharon Grant of Healthwatch noted the challenges faced by service users due to inequalities related to ethnicity, poverty, poor housing, and digital exclusion.

Key projects and themes included:

• Supporting people living with sickle cell disease in Haringey
• Caring for elderly loved ones in Haringey
• Digital booking systems in Haringey
• Access to Long-Acting Reversible Contraception (LARC) in Haringey

The report also highlighted Healthwatch Haringey's support for Turkish women to access their local GP and intervention in a social care assessment issue for a cancer patient.

Haringey Pharmaceutical Needs Assessment

The board discussed the Haringey PNA HWBB Sept 2025.pdf, which is a statutory duty under the Health and Social Care Act 2012. The PNA assesses the pharmaceutical needs of the local population and informs commissioning decisions. The previous PNA was published on 1 October 2022, and regulations require that it is reviewed and updated at least every three years.

The board formally delegated the sign-off of the draft and final PNAs to Dr Will Maimaris, Director of Public Health, in consultation with Councillor Lucia das Neves, Cabinet Member for Health, Social Care, and Wellbeing and Chair of the Health and Wellbeing Board. The board also noted its statutory role in relation to pharmaceutical needs assessment and the work undertaken to produce an updated PNA for Haringey.

North Central London NHS Integrated Care Board (NCL ICB) Change Programme

Tim Miller provided an update on the North Central London NHS Integrated Care Board (NCL ICB) change programme. He explained that initial proposals had been submitted to NHS England and that a merger between the northwest London and North Central London Integrated care boards was being considered.

Tim Fox, Chief Exec of Haringey GP federation, noted the importance of clearer messaging and support for community and patient engagement on changes to the NHS.