Enfield Primary Care NHS Trust was an

English National Health Service The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the ...

Primary Care Trust (PCT) responsible for health care in

Enfield Enfield may refer to: Places Australia * Enfield, New South Wales * Enfield, South Australia ** Electoral district of Enfield, a state electoral district in South Australia, corresponding to the suburb ** Enfield High School (South Australia) ...

, in North

London London is the capital and List of urban areas in the United Kingdom, largest city of England and the United Kingdom, with a population of just under 9 million. It stands on the River Thames in south-east England at the head of a estuary dow ...

which was abolished in April 2013. It was co-terminous with Enfield Borough, having, like other London PCTs escaped reorganisation in the 2006 reconfiguration of primary care in the UK. It comes within the remit of

NHS London NHS London (or "London Strategic Health Authority") was a strategic health authority of the National Health Service in England. It operated in the London region, which is coterminous with the local government office region. The authority closed a ...

strategic health authority. Two NHS hospitals are located in the trust's area: Chase Farm Hospital in the north, and

North Middlesex University Hospital North Middlesex University Hospital, known locally as North Mid, is a district general hospital in Edmonton in the London Borough of Enfield. The hospital is managed by North Middlesex University Hospital NHS Trust. History The hospital was es ...

in the south-east. This relative 'overprovision' of hospital facilities in the area, especially given the proximity of the larger London

teaching hospital A teaching hospital is a hospital or medical centre that provides medical education and training to future and current health professionals. Teaching hospitals are almost always affiliated with one or more universities and are often co-located ...

s, is an underlying factor in the financial problems which have troubled the trust. The trust is seeking to assist reconfiguration of facilities, including a transfer of provision from hospitals to the community, in line with the policy of the Blair and

Brown Brown is a color. It can be considered a composite color, but it is mainly a darker shade of orange. In the CMYK color model used in printing or painting, brown is usually made by combining the colors orange and black. In the RGB color model us ...

governments. However, since 2006 local newspapers, politicians and MPs have attacked plans to reduce services at Chase Farm. which has impeded the proposed changes. In 2008 Enfield Council referred the changes to an Independent Review Panel, which broadly endorsed them in its report of September 2008. The trust also faced significant

health inequalities Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequiti ...

in its area due to demographic differences. The high proportion of ethnic minority populations, and poorer quality of housing, in the south and east of Enfield means that

life expectancy Life expectancy is a statistical measure of the average time an organism is expected to live, based on the year of its birth, current age, and other demographic factors like sex. The most commonly used measure is life expectancy at birth ...

in these areas is up to 8 years shorter than for the wealthier area in north-west Enfield. The Trust held monthly board meetings which are open for the public to attend.

References

Enfield 2005-06 Public Health Report
{{Authority control Defunct NHS trusts Health in the London Borough of Enfield

See also

References