The Healthy and Safe Communities Scrutiny Panel of Enfield Council is scheduled to discuss a range of important public health and safety matters. Key topics include an update on mental health services transformation, a review of North Middlesex University Hospital's maternity services following recent inspections, and the annual report of the Health and Wellbeing Board. The panel will also receive updates on the ongoing measles epidemic in Enfield and performance management from the Safer Stronger Communities Board.

Mental Health Services Transformation

The panel will receive an update on the transformation plans for mental health services provided by the North London NHS Foundation Trust (NLFT). This report, presented by Andrew Wright, Chief of Staff at NLFT, and Gary Passaway, Managing Director at NLFT, will cover the trust's strategy and its response to challenging financial conditions and a reduced national focus on mental health. The presentation is expected to detail national priorities for mental health services over the next three years, including expanding mental health support teams in schools, reducing waiting times for children's services, and improving access to talking therapies. Specific initiatives for Enfield residents are also scheduled to be discussed, such as strengthening dementia care and the introduction of a new Older Adults Home Treatment Team based at Chase Farm, Enfield, aimed at providing specialist crisis care at home. Additionally, plans for a 24/7 crisis and emergency care centre in Enfield and improvements to patient flow for mental health inpatient and crisis care will be outlined.

North Middlesex University Hospital Maternity Service Update

A report will be presented detailing the progress made in improving maternity services at North Middlesex University Hospital following critical inspections by the Care Quality Commission (CQC). The service was rated 'inadequate' in 2023 and 'requires improvement' in January 2025. The report, authored by Manjit Roseghini, Director of Midwifery and Gynaecology Nursing, will summarise the closing position of the improvement plan addressing the CQC's 'Must Do' and 'Should Do' actions. It will highlight service enhancements such as an improved triage process and increased mandatory training compliance among midwifery staff. Areas for continued improvement, including the location of the bereavement room, will also be discussed, alongside regulatory breaches identified by the CQC concerning safe care and treatment, good governance, and staffing.

Health and Wellbeing Board Annual Report

The panel will review the annual report of the Joint Local Health and Wellbeing Board, which provides strategic direction and leadership for health and social care across the borough. The report, authored by Glenn Stewart, Assistant Director of Public Health, Matthew Cagnetta, Policy & Project Officer, Roseanna Kennedy-Smith, Senior Public Health Intelligence Specialist, and Mark Tickner, Health Protection Lead & Partnership Manager, will outline progress against the board's three key priorities: 'Start Well' (supporting children and young people's mental health), 'Live Well' (supporting residents to manage major conditions), and 'Age Well' (preventing age-related ill health). Key highlights from 2025 include the rollout of the Health and Wellbeing Strategy Action Plan and the development of a comprehensive Strategy Outcome Framework. The report will also detail progress against the action plan, noting both positive advancements and areas where progress has been slower.

Update on Measles Epidemic in Enfield

An update on the measles outbreak in Enfield will be provided by Rachel Nyam, Public Health Registrar, and Louisa Bourlet, Community Health Development Officer. The report will explain what measles is, its highly infectious nature, and the serious complications it can cause, particularly for vulnerable groups. It will highlight the national increase in measles cases and the loss of the UK's measles elimination status. The report will detail the responsibilities of various organisations, including NHS England, North Central London Integrated Care Board (NCL ICB), Enfield Local Authority, and the UK Health Security Agency (UKHSA), in managing the outbreak and providing vaccinations. Business-as-usual activities to increase vaccination uptake will be described, alongside specific actions taken by LBE and partners since the outbreak began, including community-based catch-up clinics, targeted engagement in schools, and extensive communication campaigns.

Safer Stronger Communities Board Performance Management - Monitoring Update

The panel will receive a performance report for the Safer Stronger Communities Board, covering crime data for Enfield up to January 2026. The report, presented by Jonathon Toy, Head of Community Safety, will highlight key trends across crime types, including a decrease in total notifiable offences. It will detail changes in specific offence categories such as violence against the person, violence with injury, domestic abuse, robbery, gun crime, and knife crime. The report will also provide an update on drug offences, acquisitive crimes, and hate crime. The panel will consider key recommendations for the board, focusing on tackling violent crime, reducing burglary, and promoting community cohesion.

Work Programme

The panel will note the conclusion of the Healthy and Safe Communities Scrutiny Panel Work Programme for 2025/26.