The Enfield Council Health and Wellbeing Board met on Tuesday 2 December 2025 to discuss winter pressures, the implementation of the Integrated Care Board (ICB) neighbourhood model, damp and mould taskforce activity, and the Enfield Joint Health and Wellbeing Strategy action plans. The board was also scheduled to review the LBE Supporting Independency Strategy. Councillor Alev Cazimoglu, Cabinet Member for Health & Social Care, was scheduled to chair the meeting.

Enfield Joint Health and Wellbeing Strategy

The board was scheduled to receive an update on the Enfield Joint Health and Wellbeing Strategy action plans and key performance indicators (KPIs).

The strategy has three priorities, one for each stage of life:

• Start Well – supporting children and young people to maintain good emotional wellbeing and mental health
• Live Well – supporting residents to manage their major conditions
• Age Well – helping every Enfield resident prevent the risks of age-related ill health

Some indicators and updates of note in the report pack included:

• Start Well:
  • The E-TIPSS¹ programme delivers trauma-informed training and support to early years (EY) pilots in six settings.
  • Funding has been expanded for parental relationship services partnering with the London Borough of Enfield (LBE) to develop the antenatal offer within Family Hubs².
  • All actions to support the early identification and proactive support for mental health conditions amongst children and young people take place at a local service delivery level, with work ongoing to increase capacity.
  • The goal is for all relevant referrers to be familiar with the crisis pathway, crisis response numbers, and escalation protocols for professionals.
• Live Well:
  • Nineteen outlets and 17 convenience stores joined healthy food initiatives, adding over 100 improved product lines.
  • Enfield Council and Cooking Champions launched the Grow, Feed, Eat, Read community garden at Edmonton Green Library, transforming unused space into an inclusive learning hub.
  • Ongoing monitoring of calls and response times following the introduction of Awaab's Law³.
  • An Intense Outreach Team is being introduced to replace the previous model for easier access to mental health care and treatment.
  • Refurbishment of Southgate and Southbury leisure centres is underway, including major upgrades to gyms and changing areas. New outdoor gyms will be introduced in parks from 2026, starting with Pymmes Park.
  • A good-practice guide for GP engagement and registration was produced and shared via the North Central London (NCL) training hub, alongside a patient-led messaging report to inform improvements to GP websites.
  • Cancer screening prompts, including lung cancer, are being fully integrated into the EMIS Annual Health Check template, with Mental Capacity Act (MCA) prompts added.
• Age Well:
  • Four Voluntary and Community Sector (VCS) providers that started contracts in June 2025 have transitioned smoothly and met all early KPIs, with improved visibility across social care. Alpha Care, UCAN, Enfield Carers Centre, and DANE have collectively supported large numbers of residents through discharge support, wellbeing activities, carer services, and disability advice.
  • Neighbourhood working has expanded the programme beyond proactive care, while governance for the Integrator is being finalised. Teams are progressing against frailty standards through closer partnership working and new case-finding pathways.
  • Digital and assistive technology use is expanding to help residents stay independent longer, with a new KPI added to Prevention and Early Intervention (PEI) contracts (June 2025). New Assistive Technology (AT) is being rolled out in Extra Care schemes, supporting residents to stay active, promote wellbeing, and maintain independence in their own homes.

The report pack also included questions for the board to consider:

Dashboard

Presentation format – are we happy with it, and how should it look going forward?

Completed actions – confirm removals and agree any new actions.

Partnership working – has the plan shown effective collaboration, and do any actions need to be more cross-functional?

Three-board alignment – ensure appropriate cross-system representation.

Supporting Independency Strategy

The board was scheduled to note the end-of-year review for 2024/25, which provided a summary of overall progress against the priorities and actions set out in the Supporting Independence Strategy 2023-2027.

The strategy covers the following themes:

Universal Themes

• Information, Advice & Advocacy
• The Right Home
• Training Employment & Income
• The Power of Technology
• Active, Connected, Engaged Communities
• Keeping Safe
• Keeping Healthy & Well
• Person Centred Care
• Joined Up Care

Service Area Specific Themes

• Learning Disabilities
• Autistic People
• Mental Health Support Needs
• Older People
• Physical Disability & Sensory Impairment
• Unpaid Carers
• Long Term Conditions
• Young People in Transition to Adulthood

Some key achievements and outcomes noted in the review included:

• Information, Advice & Advocacy:
  • Commissioning of Prevention & Early Intervention Contracts completed 01 June 2025, which include provision of Information, advice services.
  • DANE, was appointed to deliver Information & Advice, Digital Inclusion & Assistive Technology. In the first two months of the contract, 452 people accessed the service, of whom 91 were provided with information and advice, 25 were supported to explore AT options, and 139 supported with welfare benefit entitlements.
  • Enfield Advocacy Partnership (LEAP), was appointed to deliver advocacy and inclusion services. In the two months of contract award, 286 people accessed the service and 471 specific enquiries were resolved. Of those accessing the service, 192 people supported with individual advocacy sessions.
• The Right Home:
  • 70 accessible extra care homes delivered at Reardon Court Extra Care Housing Scheme.
  • Extra Care Housing campaign delivered. Over April – June 2025 , 397 web page views (28% increase from the 5 previous 3-month period) and 1 294 users (35% increase from the previous 3-month period). There were 5,200 views of social media content.
  • Approximately 20 staff members completed the Trusted Assessor Level 3 qualification in 2024/25.
• Training Employment & Income:
  • The Welfare Advice & Debt Support Team received over 400 referrals over 24/25.
  • Enfield Carers Centre and DANE supported over 220 people with welfare benefit advice maximisation support from June - August 25.
  • Individual Placement Support (IPS) for Mental Health supported 43 job starts.
  • Thrive Into Work had 1458 engagements onto project, 387 job starts and 142 returns to work.
• Technology:
  • The Safe and Connected team increased the number of people using Safe and Connected, from 2856 at the end of March 24 to 2998 at the end of March 25.
  • Over 24/25 a Safe & Connected response avoided the requirement for Local Ambulance Service intervention in, on average, 93% of cases.
• Active, Connected, Engaged Communities:
  • A dedicated Travel Brokerage Team has now been created within Adult Social Care (ASC) to assess and arrange the most appropriate form of travel assistance to individuals requiring support.
• Keeping Healthy & Well & Joined Up Care:
  • In 2024/2025 NCL ICB achieved the year-end target of 75%, with 85.9% of people with learning disabilities completing annual health checks.
• Unpaid Carers:
  • From June to August 2025, Enfield Carers Centre added 260 new carers to the Enfield Carers Register, bringing the total number of adults on Enfield's Carers Register to over 8400.
  • From June to August 2025, Enfield Carers Centre delivered over 770 unique services including Benefits and Income Maximisation Support to 82 Carers, Grants for household bills and food to 20 Carers, General Advice and Support to 165 Carers, Training to 71 Carers, 'Drop In' Support Sessions to 65 Carers, Counselling attended by 23 Carers, Support Groups attended by 133 Carers, and Respite activities or events- attended by 224 Carers.

The report pack stated that key areas of focus for 2025/26 would include:

• Further embedding, monitoring and review of Prevention & Early Intervention to understand first year impact and opportunities for continual development, including how we can reach people earlier.
• Further expansion of the council's Assistive Technology offer.
• Further increasing accommodation options for people with disabilities, including the consideration of capital projects to expand capacity in line with need.
• Expanding opportunities to use technology to improve efficiency and quality in care planning.
• A continued focus on the promotion of local vaccinations programmes, to better reach whole borough.
• A continued focus on improving accessibility of information on Adult Social Care currently held on MyLife.

Other Business

• Gayan Perera LBE Head of Data and Intelligence, People's Department, was scheduled to give a verbal report on winter pressures.
• Peppa Aubyn, Assistant Director of Place, Integration, Transformation & Delivery (Enfield), North Central London Integrated Care Board, was scheduled to give an update on ICB neighbourhood model implementation.
• Mark Tickner, Health Protection Lead, Public Health Department London Borough of Enfield, Julie Martin, Head of M&E Compliance, Housing and Regeneration, London Borough of Enfield, and Andrew Cotton, Service Director Council Housing (Homes), Housing and Regeneration, London Borough of Enfield, were scheduled to give an update on the Damp and Mould Taskforce activity post AWAABS Law .
• The board was also scheduled to agree the minutes of the meeting held on 13th October 2025.