The Bromley Health and Wellbeing Board was scheduled to discuss the implementation of the Health and Wellbeing strategy, the Bromley Joint Strategic Needs Assessment process, and to approve the publication of the Pharmaceutical Needs Assessment.

Pharmaceutical Needs Assessment

The board was asked to approve the publication of the draft Pharmaceutical Needs Assessment or PNA¹ for 2025-2028. The PNA is intended to be a formal document that identifies the needs for pharmaceutical services in the area, and to guide current and future commissioning by NHS England.

The National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 set out requirements of what must be included in the PNA.

[ACH25-054 PNA - HWB 25.09.25]

The PNA was drafted according to the Pharmaceutical Regulations 2013, and the consultation phase has been completed.

The presentation on the PNA, Bromley Pharmaceutical Needs Assessment 2025-2028, noted that the PNA drew on local health, demographic and planning data, a public engagement questionnaire with 613 responses, and pharmacy service provision data. It assessed the different needs of different localities, and the needs of those who share a protected characteristic, and whether there is sufficient access to pharmaceutical services.

The presentation stated that Bromley is well served in relation to the number and location of pharmacies, with 58 community pharmacies, and a further 49 community pharmacies within a mile of Bromley's boundaries. It also stated that there is good access to essential, advanced, enhanced and locally commissioned services for the residents of Bromley with no gaps in the current and future provision of these services identified.

Health and Wellbeing Strategy Implementation

The board was scheduled to note the progress on the implementation of the Health and Wellbeing Strategy 2024–2029 and One Bromley Strategy 2023-2028, and to agree to an annual update being presented to the Board at each November Board meeting.

A report on the Health and Wellbeing Strategy Implementation noted that the Local Care Partnership Board and Health and Wellbeing Board agreed in September 2024 to form a joint Programme Management Office (PMO) to support the delivery of the One Bromley Strategy 2023-28 and Health and Wellbeing Strategy 2024-29 through a single delivery plan.

The report stated that the joint delivery plan uses a range of existing and new multi-agency groups to guide and implement the strategic changes agreed by the Boards, and that the work of these 'delivery groups' is brought together through a small programme management group to support proactive co-ordination, monitoring and progress reporting.

The report included updates on progress against the strategies, including:

• Children and Young People's Transformation Programme: Bromley Children's Health Partnership (B-CHIP) neighbourhood health model completed roll out to all primary care networks in Bromley.
• Safer Bromley Partnership: The Safer Bromley Partnership continues to deliver targeted, intelligence-led initiatives to enhance community safety and wellbeing across the Borough.
• Mental Health & Learning Disabilities: The Bromley Integrated Single Point of Access (ISPA) for children and young people's mental health has opened.
• Weight Management / Obesity: A new Tri-borough programme across Bromley, Bexley and Greenwich, launched in April 2025 tailored for adults with learning disabilities, combining nutrition education, physical activity and behaviour change.
• Diabetes: Regular meetings occur with the Diabetes Partnership Group, jointly chaired by Dr Andrew Parson, Senior Clinical Lead: NHS South East London and Dr Nada Lemic, Director: Public Health.
• NHS Health Checks: Year on year improvements in the number of NHS Health Checks completed since the COVID pandemic have been seen.
• Dementia: There are 2 key services in Bromley, access to both is via formal diagnosis through a GP: the Dementia Hub and Dementia Respite at Home Service.
• Suicide Prevention: Progress has been made on the action plan in relation to pathways, training, raising awareness and sharing of good practice.
• Substance Misuse: Change Grow Live (CGL) Bromley was awarded the community substance use contract in 2024, and is performing beyond ambitions set out at the outset of the contract.
• Vital 5: 496 Vital 5 Checks were completed between June 24 and end of July 2025 with 30.8% in the target age range, and 48.3% in ethnic minorities.
• Single & Multiple Long Term Condition Management: The MLTC programme started this year and has made significant progress.
• Frailty Management: Bromley partners prioritised delivery to immediate work on using common tools to identify frailty across Bromley, so all health services start using a common definition of frailty.
• Physical Activity: Bromley works in partnership with sports clubs and providers across more than 30 sites.
• Smoking Cessation: The new service, SmokeFree Bromley, launched successfully on 1 April 2025.
• Cancer Working Group: A Cervical Screening Saves Lives project and campaign, aims at identifying barriers to cervical screening and closing the inequality gap.
• Same Day Care: The adult hospital at home service now mirrors its CYP equivalent, in-reaching to the Princess Royal University Hospital (PRUH) to help 'pull' patients for treatment at home rather than in hospital.
• Population Health Management: Profiles have been developed for each Integrated Neighbourhood Team (INT) in Bromley.
• Health & Wellbeing Equity: The Bromley Homeless Health Project continues to deliver tailored health care through Bromley GP Alliance to adults in Bromley experiencing homelessness via the Homeless Health Clinic co-located within Bromley Homeless Shelter.
• Neighbourhood Working Infrastructure: The South West INT is in initial development phases, including alignment of SEL communications, digital, population health management, and MLTC policy teams with local priorities.
• Primary Care Sustainability: Work has been initiated on leadership development, exploring at scale same day care in primary care, primary care networks (PCNs) expanding their at scale offer, launching of the diagnostics services review and ensuring the delivery of Total Triage across the Borough.

Bromley Joint Strategic Needs Assessment (JSNA) - Process

The board was asked to consider the Bromley Joint Strategic Needs Assessment (JSNA) Protocol, and to agree to the mechanism for approval of JSNA profiles.

A report on the Bromley Joint Strategic Needs Assessment (JSNA) - Process noted that the Joint Strategic Needs Assessment (JSNA) has been a statutory requirement of local authorities and NHS primary care trusts since 1 April 2008, and that in 2012, The Health and Social Care Act placed a revised duty on each upper tier local authority and Clinical Commissioning Groups (now Integrated Care Boards (ICBs)) to jointly produce JSNA in collaboration through the local Health and Wellbeing Board.

The report stated that the JSNA aims to understand the current and future health and wellbeing needs of the local population over both the short term (three to five years) and the longer term (five to ten years), and is intended to inform the development of the Joint Health and Wellbeing Strategy.

The report also noted that an evaluation had previously been carried out and presented to the HWB in April, and that the following recommendations were made following the evaluation:

• Develop a standardised protocol for the JSNA production process in Bromley.
• Implement a regular production timeline.
• Define the JSNA as a dynamic and multi-component resource.
• Establish standard profiles to be included.
• Transition to a digital and interactive format.
• Establish a clear governance and reporting structure.
• Strengthen collaborative working and shared leadership across key stakeholders.

The Bromley JSNA Protocol outlined the governance, content, production, timeline and approval process for the JSNA in Bromley.

Other Matters

The board was also scheduled to:

• Consider matters outstanding from previous meetings.
• Review its work programme, indicating any changes required.
• Receive an Information Briefing on the JSNA Chapter Update.
• Receive an Information Briefing on the Better Care Fund Performance update – Q1 2025- 26.