Brent Integrated Care Partnership (Brent ICP) brings together health and care organisations from across the borough. It aims to work collaboratively with all the health, care and wellbeing organisations that serve the community of Brent.
Brent ICP is dedicated to improving the health and wellbeing of residents and is committed to working with all of our diverse communities to ensure everyone’s needs are met.
We aim to place the resident at the heart of health and care services in order to tackle health inequalities together – working as equal partners and with a collective goal to improve the wellbeing of everyone in Brent.
How does the NHS in England work and how is it changing? The video below is created by The King’s Fund (www.kingsfund.org.uk).
Brent Integrated Care Partnership (Brent ICP) is made up of a number of health, care and community/voluntary organisations working in partnership with the residents of Brent and the myriad of diverse communities they represent.
Below are links to the principal organisations that do the work to make Brent ICP function, although there are many others who make valuable contributions that are not listed below.
Vision for our residents
We will deliver high quality and best value for all of our core health and care services for the people of Brent. We will achieve this by:
- Addressing health inequalities by delivering services in a way that responds directly to the needs of our communities.
- Improving access to our services by increasing our workforce and appointments available at a time that suits people.
- Personalising services by bringing a wide range of services together at neighbourhood level wrapped around the needs of residents.
- Supporting people to maximise their independence, and caring for people closer to home.
- Everything we do should have the resident at its heart.
- We cannot tackle the current or future challenges of the health and care system as individual organisations, we must work together.
- We will develop a deep understanding and connection with communities.
Tackling health inequalities
We will work with Primary Care Networks (PCN's) and the community to try to deliver prevention and management to people in Brent that do not normally access healthcare services. Manage a patient advice line.
Mental health and wellbeing: co-design culturally appropriate awareness and training sessions with communities and VCS organisations.
Community: implement local action plans with five Brent Connect areas and develop action plans for thematic remits with statutory services. Committed to delivering at least five community events per month.
Engagement and communications: develop targeted communications assets to promote events, vaccinations and health and wellbeing offer to communities. Co-develop translated comms assets with community leaders and work with them to ensure appropriate distribution. Communicate and engage with communities through a range of channels.
Capacity development in the community: provide grants to community organisations to support health and wellbeing in the community. Work with VCS to promote health education and awareness in the community.
Social Prescribing: develop a holistic model, aligned to the emerging neighbourhood model
Children: vaccinations, oral health and paediatric hub development.
Strengthening primary care
Access: implementation of key changes to improve access, including making it easy to register and book an appointment, implementation of digital and telephony solutions, developing triaging capabilities through reception staff training, and expanding out of hours capacity.
Children and Young People: developing an effective Asthma pathway.
Community Pharmacy: increase public awareness of support available through Community Pharmacists and improve collaborative working between GP practice teams and Community Pharmacies to deliver the Community Pharmacy Consultation Service.
Integrated Working at Scale: improve collaborative working between GP practice teams, partner organisations and the community District Nursing teams to support better assessment and care for patients who are housebound with a physical healthcare need.
Population Coverage of Local Enhanced Services: providing full population coverage delivery through collaborative working by practices within each PCN.
Developing community care
Heart Failure: co-design of the Brent Heart Failure pathway with reviewed and agreed KPIs and aligned measurable outcomes to be fed into the NWL Business Case process.
Respiratory: co-design of the respiratory service specification and the launch of a COPD Case Management pilot.
Frailty: we have designed a holistic model of care for frail and complex patients, building upon best practices in Brent with a joined-up approach – implementation planned for Financial Year 23/24.
Rapid Response Hospital at Home: we will aim to provide a more person-centred care experience for individuals in their own home, avoiding the risks of healthcare-acquired infection, deconditioning and unnecessary long stays.
Rehab and Rehab and Reablement: developing a new 19 bed Rehabilitation Ward at Willesden Hospital, which fully opened on 20th March, and development of the next stage of the D2A pathway.
Integrated Neighbourhood Team Development: developing integrated hyper-local teams to support key community needs and developing a Health and Social Care Superhub Model for the five Connect areas in Brent.
Children Specialist Services: Neurodiversity Pathway, Speech and Language Therapies, and Integrated Neighbourhood Model.
Better mental health and wellbeing
Access, Demand and Pathways: Increasing access to IAPT services and in SMI Physical Health Checks through stronger collaboration with General Practice, upskilling of the community workforce and implementation of the Make Every Contact Count approach.
Employment: improve links and communication across the system (Health, DWP and Service Providers), work with employers to support more people with Mental Health issues into work, and support people with Mental Health issues to identify and apply for employment opportunities.
Housing and Accommodation: implement the new housing GP referral form to support more effective pathways, develop an integrated MH commissioning plan which meets holistic needs, prototype new approaches to working with landlords to support people with mental illness to maintain tenancies and provide better support for Rough Sleepers.
Children and Young People: co-produce a shared vision and commitment to Children and Young People in the borough, and develop clear pathways to support this. Deliver on key CYP priorities, including SEND improvement, development and implementation of local Thrive models for Brent, and expansion of Mental Health Support in Schools.
Terms of reference
Brent Integrated Care Partnership (Brent ICP) is the place based health and care partnership, as set out in the Health and Care Bill 2021.
Brent ICP works to improve health and wellbeing outcomes by targeting inequalities ensuring bespoke delivery tailored to our needs and our communities, as outlined within the Joint Health and Wellbeing Strategy.
These Terms of Reference set out how the Brent ICP Board (will work to strategically direct and oversee the activity and progress in delivering the Brent Joint Health and Wellbeing Strategy and other strategic plans.
Structure and partnership environment
Brent Borough Partnership Board sits within a wider framework of partnerships.
Purpose of the Brent ICP Board
The Brent ICP Board will focus on Brent residents of all ages, and will:
- Set the strategic direction for the Brent ICP, responding to Brent Health and Wellbeing Board (BHWB) policy framework to create system unity and clarity of purpose
- Provide the strategic leadership and drive partnership working for the benefit of our local population, including the delivery plans of the Joint Health and Wellbeing Strategy
- Ensure clear and robust partnership arrangements; minimising duplication with existing structures/governance and holding local leadership to account in the implementation of the Brent ICP / North West London Integrated Care System (NW london ICS)
- Enable effective decision making through the BHWB, by meeting six weeks in advance of the BHWB. A joint Brent ICP Board and BHWB work plan will be annually agreed and will ensure a coherent pathway through decision making structures
- Ensure structures manage thematic delivery effectively, within agreed performance management frameworks. Review the Brent ICP's success in delivering the agreed strategy, outcomes and work programmes, intervening as required to address any concerns
- Respond to changes in the operating environment, such as national policy or regulatory requirements
- Act as champions for the Brent ICP and its key strategies, both within and outside organisations
The composition of the Brent ICP Board contains representatives from the wider partnership environment, including the BHWB, the Brent ICP Executive Committee (Brent ICP EC), the Brent Children’s Trust (BCT) and the NW London ICS.
The following organisations/departments/roles are represented as the core membership:
Organisation / Partnership
Position / detail
Chief Executive (Chair)
Director of Public Health
Cabinet Member for Public Health and Adult Social Care (Chair of BHWB)
Cabinet Member responsible for Children’s Safeguarding, Early Help, and Social Care
Strategic Director Children and Young People (Chair, BCT)
Brent ICP EC
ICP Independent Director (Co-Chair, ICPEC)
Strategic Director Community and Wellbeing (Co-chair ICPEC)
Brent Borough/ ICS
Brent Borough Clinical Director
Brent Borough Director
NW London ICS link
Director, Central London Community Healthcare Trust
Director, London North West University Hospital Trust
Director, Central and North West London NHS Trust
There will be a wider invitation list to the meetings of the Brent ICP Board as required by the agenda - individuals and organisations with known expertise and knowledge may be requested to attend meetings or relevant items.
The Brent ICP Board will meet quarterly, six weeks in advance of the BHWB.
A valid quorum for meetings is half of the members present. No decision shall be taken without:
- One local authority representative
- One provider representative
- One ICPEC representative
- To attend the meetings of the BBPB and when they cannot attend to send a named deputy who has been briefed prior to their attendance.
- To have authority to be able to take action and make decisions as required
- To work together productively to overcome any cross-organisational barriers
- To take the lead on the delivery of specific priorities or actions as required
The role of the Chair is to ensure:
- Brent ICP governance is annually reviewed, to include agreement of a shared work plan with the BHWB
- The Brent ICP Board agrees annually updated delivery plans as required, which must include the JHWS delivery plans
The ICP Independent Director will act as vice chair as required.
All attendees have a duty of confidentiality regarding all information disclosed, shared and discussed between and during Brent ICP Board meetings. There will be occasions when selected information must not be disclosed outside the Brent ICP Board. The person disclosing such information is responsible for identifying it as confidential at the time it is given and for ensuring that its confidential status is identified in all relevant written material. Any challenge to the confidentiality of information will be referred to the Chair, whose decision on the matter will be final.
The administration of the Brent ICP Board will be provided by Brent Council.
Any other subgroup required can be established at the discretion of the Chair.
Decisions may be made about urgent matters without a group meeting providing the written consent of the Chair is sought and given. In this case the Chair must ensure that every effort has been made to consult informally with members and report any decisions taken at the next meeting.
Brent Primary Care Executive Group (PCEG) is established as a group of the NHS North West London Integrated Care Board (NHS NW London).
In keeping with the commitment to maintain and enhance primary care locally, as much business as possible will be transacted at NHS NW London borough level.
PCEG’s role is to oversee the development of primary care at a place based level, ensuring that NW London and national requirements are delivered and assurance provided through both the place based governance arrangements (where a decision impacts only the local geography) and the NW London Local Care governance arrangements (where more than one geography is impacted).
Accessing health and care services can be difficult. Different providers, different types of support and different ways into the system can make it confusing and frustrating to find the right route to the help you need.
This guide looks to help you overcome some of those difficulties by providing details of all the ‘front doors’ to health and care – listing services in a logical way and providing you with the links to get the help you need.
Get started – get a GP
If you haven’t got a GP, that’s the place to start. A General Practitioner (GP) is the doctor you will see most often. They are usually the first contact you will make if you have a health problem.
GPs work in ‘GP Practices’ that will usually include a few doctors, as well as nurses and other health professionals. They can treat many conditions and give health advice.
You will be able to book an appointment to see a GP in-person or you can arrange an appointment over the phone or online. If you need prescription medication, your GP can arrange for it to be collected at a pharmacy that is convenient for you.
GPs can also refer you onto other NHS services, such as specialists in hospitals, if you need more advanced care.
REGISTER TODAY – You need to be registered with a GP to use their services, but the good news is it couldn’t be simpler.
Anyone in England can register with a GP free of charge, and importantly:
- You do not need ID
- You do not need proof of address
- You do not need proof of immigration status
You also don’t need an NHS number – that will be assigned to you once you register.
Online GP access
Just like online banking, you can access GP services and look at your GP records online. You can choose to:
- Book and cancel appointments - your practice will choose appointments that can be booked online.
- Order repeat prescriptions.
- Look at part of your GP records.
Online services are free to use and are just another way of contacting your practice – you can still ring or go in person.
You can also request your full printed records from your practice, although they may charge for this.
Making an appointment with your GP is the best way to make first contact if you have a health problem. However, if you need medical help urgently then you can phone 111. NHS 111 can offer advice if you need to:
- discuss complex medical problems
- discuss worries about a long-term condition
- get end-of-life care, or report a death
- report child protection or vulnerable adult concerns
If you need help in other languages, you can ask for an interpreter.
You can also access 111:
- Online at https://111.nhs.uk/Help/OtherWays
- By text relay by calling 18001 111
- Using British Sign Language (BSL) at https://signvideo.co.uk/nhs111
999 and A&E
You should call 999 for life-threatening emergencies when you need an ambulance. These include issues such as:
- loss of consciousness
- acute confused state and fits that are not stopping
- persistent, severe chest pain
- breathing difficulties
- severe bleeding that cannot be stopped
Text relay users can call 18000 to get through to 999.
In an emergency you can also attend Accident and Emergency (A&E), but again only for life threatening emergencies such as those listed above.
There are two A&E departments in the borough, one at Central Middlesex Hospital and the other at Northwick Park Hospital offering access 24 hours a day, 365 days a year.
USE 999 AND A&E WISELY – many patients who attend A&E can be seen by alternative NHS services such as GPs, pharmacists and dentists. A&E should only be used for life threatening emergencies, so if you require urgent help, but not emergency advice, use NHS 111 instead.
Urgent Treatment Centres
An alternative to A&E departments are Urgent Treatment Centres (UTCs), which treat minor injuries and illness requiring urgent treatment that cannot be seen by your GP.
Your nearest UTC in Brent is at Central Middlesex Hospital, Acton Lane, NW10 7NS, open 8am to midnight, seven days a week.
Tel: 0333 999 2575
Local pharmacists are qualified healthcare professionals who can help with minor health concerns and illnesses, including coughs, colds, upset stomach, skin or eye infections, some vaccinations, and medications.
This is a quick and convenient way to get clinical advice on your high street, allowing you to receive face-to-face confidential help on the same day, without the need to book an appointment.
Your GP can talk to you about your mental health and help introduce you to the right mental health service for your needs.
You can refer yourself directly to some services, such as NHS Talking Therapies for people with feelings of low mood, anxiety, particular fears or problems coping with daily life and relationships. Phone 020 8206 3924 or go to: www.talkingtherapies.cnwl.nhs.uk/brent
There are also a range of approaches to support 16-25 year olds that you can find details of at: https://www.cnwl.nhs.uk/services/mental-health-services/adult-and-older-adult/young-adults-mental-health-wellbeing-space
In addition, you can access support anytime from a free, safe anonymous online mental health community – see Brent Mind below.
HELP IN A MENTAL HEALTH CRISIS – Freephone 0800 0234 650 if you need help in a mental health crisis. This line is open 24 hours a day, 7 days a week. There is also information online for younger adults and children: https://www.cnwl.nhs.uk/patients-and-carers/help-mental-health-crisis
With offices in Cricklewood and Harlesden, Brent Mind delivers services to support young people and adults whose lives have been affected by mental health problems. In addition to a programme of support, mentoring and coaching, training, activities and social groups for children and young people.
Website: www.bwwmind.org.uk Tel: 020 7604 5177
Central London Community Healthcare NHS Trust provide a range of services aimed at children, young people and their guardian/parent.
A guide for carers in Brent is available with lots of information on the support you can access in the borough. Click her to view.
Immunisations and Vaccinations
Vaccinations protect ourselves and our children against ill health, preventing up to three million deaths worldwide every year and making diseases like smallpox, polio and tetanus very rare if seen at all in the UK.
Find out more about when your child needs to be vaccinated, the school-based immunisation programmes in Brent and advice for recent migrants.
NHS dentists provide all the necessary treatment that you need to keep your mouth, teeth and gums in a healthy condition. To get NHS dental treatment, just contact a practice providing NHS dentistry and ask for an NHS appointment.
Optometrists and dispensing opticians are generally referred to as opticians, although optometrists carry out eye tests to check the quality of your sight and dispensing opticians fit glasses and contact lenses. Together they can look for signs of eye disease which may need treatment from a doctor or eye surgeon and prescribe glasses and contact lenses.
NHS North West London Sexual Health and Contraception Services provide sexual health services, HIV care, and a range of outreach services with their partner organisations to the people of Brent.
There are two clinics in Brent:
Patrick Clements Clinic at Central Middlesex Hospital
Acton Lane, Park Royal, NW10 7NS
Nearest station: Harlesden
Buses: 187, 224, 226, 260, 440, 487
Community HUB clinic Brent
Community support for people affected by HIV in Brent
Hillside Primary Care Centre, Harlesden NW10 8RY
Nearest station: Harlesden
Buses: 18, N18, 206, 224
Website: https://shc.lnwh.nhs.uk/home Tel: 020 8453 2221
AJM Healthcare is the appointed NHS Wheelchair Service Provider for residents currently registered with a Brent GP.
Website: https://northwestlondon.wheelchair.services/ Tel: 0808 164 2040
Brent Gateway provides support for carers, including advice and information on everything from time-banking to finding legal support and carers' rights in the workplace, to providing carers' assessments and hosting carers' support groups. They also provide support for those who are lonely and socially isolated, and those needing skills training and help finding employment.
Website: http://brentgateway.org/ Tel: 0203 948 0600
Providing practical solutions for people trapped in the interconnected web of homelessness, alcohol and substance abuse, while facilitating ground-breaking support to those struggling with mental health, dementia and age-related issues, Ashford Place encourages peer to peer engagement, empowering clients to take the lead in reclaiming their lives and regaining their place in society.
Website: www.ashfordplace.org.uk Tel: 020 8208 8590/95