The Health and Wellbeing Board of Bromley Council was scheduled to discuss winter preparedness, vaccinations, health protection, HIV, joint commissioning and community resuscitation at its meeting on 20 November 2025. The board was also scheduled to review its work programme and discuss matters arising from previous meetings.

Winter Preparedness and Vaccinations

The board was scheduled to receive an update on winter preparedness and vaccinations. The One Bromley Winter Plan 2025/26 was expected to be a focus, building on previous winter delivery and responding to the increasing local population.

The plan was expected to outline a collaborative approach to sustain same day, urgent and emergency care across Bromley, with a focus on:

• Delivering extra GP appointments through a partnership between Primary Care Networks¹ and the Bromley GP Alliance.
• Supporting faster clinical decisions across four key pathways: paediatrics, acute medical, acute frailty and mental health crisis.
• Increasing paediatric clinical capacity in the Emergency Department during peak times.
• Increasing discharge pathway capacity with a focus on weekend discharges.
• Effective communication campaigns focusing on prevention, self care and appropriate use of services.
• Admission avoidance provision for children and adults with mental ill-health.
• A stronger focus on staff vaccination.

The winter vaccination campaign was scheduled to go live to all eligible adults from 1 October. Vaccinations were scheduled to be provided across the borough by GP practices and community pharmacies. For housebound people, vaccinations were scheduled to be delivered jointly by Bromley Healthcare and GP practices.

Annual Health Protection Report

The board was scheduled to receive the annual report from the Bromley Health Protection Board (HPB). The report was expected to provide assurance on the delivery of the local health protection function in Bromley, structured around three strategic pillars: preparedness for future threats, response to incidents, and building system capacity.

The report was expected to cover multi-agency work across infectious disease control, immunisation, environmental health, and emergency planning, with expanded focus on sexual health, climate-related risks, and antimicrobial resistance[^3].

The report noted that key risks in 2025 included an increase in relevant infections, declining vaccination uptake, and global threats such as antimicrobial resistance and climate change. Operational risks were noted by partner organisations due to resource constraints, system pressures due to Integrated Care System/NHS England restructuring and training gaps.

Priorities for 2025/26 included finalising updated Bromley level outbreak and pandemic plans, conducting joint preparedness exercises, improving immunisation uptake, and maintaining reactive capacity amid system changes.

HIV Update

The board was scheduled to receive an update on HIV work in Bromley to ensure progress towards 2030 HIV targets. The update was expected to outline Bromley's contribution to South East London (SEL)-wide HIV initiatives and local implementation efforts. It was also expected to reflect the borough's commitment to reducing late HIV diagnoses, improving access to HIV testing and Pre-Exposure Prophylaxis (PrEP), and tackling HIV stigma.

The HIV pillar of the Lambeth, Southwark, Lewisham, Bromley, and Bexley (LSLBB) Sexual and Reproductive Health Strategy (2025–2030) supports the 0–0–0 vision: zero HIV-related stigma, zero HIV transmissions, zero HIV-related deaths. Key strategic priorities and actions within the strategy include:

• Reducing HIV stigma across primary care, community settings, and sexual health clinics through targeted education and engagement.
• Expanding HIV testing in a range of settings, including non-traditional and online platforms, to reduce late diagnoses and improve early detection.
• Improving access to PrEP, particularly among groups at higher risk of HIV, through community outreach and digital innovation.
• Supporting people living with HIV to access timely treatment and live well, with integrated care and local support.
• Maintaining online access to STI and HIV testing, including through the new London Online Sexual Health platform, currently in re-procurement for 2026 launch.
• Understanding barriers to testing and addressing inequalities through targeted interventions and workforce training.

Joint Commissioning Board Update

The board was scheduled to receive an update from the Joint Commissioning Board (JCB). The JCB provides leadership, strategic oversight and direction for all health and social care integrated commissioning programmes and processes undertaken jointly between the council and South East London Integrated Commissioning Board (SELICB). Councillor Donna Glover, Director of Adult Social Care, and Dr Angela Bhan, Bromley Place Executive Director: NHS South East London, co-chair the JCB.

The JCB's key responsibilities include:

• Leading and directing arrangements for integrated commissioning of health and social care within the borough of Bromley.
• Supporting the work of the Health and Wellbeing Board in delivery of the key priorities identified in the Health & Wellbeing Strategy.
• Overseeing the management of joint resources that enable effective integrated commissioning programmes.
• Producing a Local Plan, which allows the Council and the South East London Integrated Care Board (SELICB) (Bromley) to draw down the Better Care Fund (BCF).
• Develop a co-ordinated approach to managing and developing the local provider market across health and care services.
• Ensuring the SELICB (Bromley) and the Council are well positioned to meet the emerging requirements from legislation, national/regional policy or best practice guidance.

Discussion Item: Acute Resuscitation (CPR)

The board was scheduled to discuss acute resuscitation (CPR) in Bromley. Councillor David Jefferys, Vice-Chairman of the Health & Wellbeing Board, was expected to lead the discussion.

The discussion was expected to cover:

• How to promote the three national apps which can be used by the public to identify the nearest defibrillator when they witness a collapse.
• Encouraging local groups to be trained in CPR.
• Discussing with major employers whether they have CPR training programmes for their staff.
• Identifying and overcoming concerns and barriers to the public using defibrillators.
• Discussing whether further advice is needed for the immediate response to acute trauma such as knife stabbing and potential bleed outs.

Information Briefing

The board was scheduled to consider the Health and Wellbeing Board Information Briefing, which comprised:

• Bromley Safeguarding Children Partnership Annual Report
• Bromley Safeguarding Adults Board Annual Report
• Better Care Fund Performance update Q2 2025-26

Matters Outstanding and Work Programme

The board was scheduled to review its work programme and consider progress on matters outstanding from previous meetings.