32. Kent and Medway

In October 2018, the chief executives of NHS England and NHS Improvement wrote to all STP leaders instructing them to come up with new five year plans by autumn 2019. The new five-year plans will replace those which were drawn-up in 2016 based on the previous five-year funding settlement to 2020-21. The new five year STP will be developed based on a new NHS England budget.

The letter notes that “It will be extremely important that you develop your plans with the proper engagement of all parts of your local systems and that they provide robust and credible solutions for the challenges you will face in caring for your local populations over the next five years.”

NOTE: The information on this page relates to the original STP drawn up in 2016, however much of the information is still relevant and could be part of the new STP.

What concerns have been raised about your STP?

Health planners are trying to reduce NHS deficits and think about ways to re-organise care. However getting the large deficit under control could prevent facilities being developed that can cope with the health and care social needs of local people.

Proposed changes

Reorganisation of the Kent and Canterbury, the William Harvey in Ashford and the QEQM in Margate. One hospital will become a ‘super medical site’ whilst the other two will be downgraded.

reduction of 300 acute hospital beds.

Since the initial plans were published, the plans have changed; in May 2018 there were two proposals for the reconfiguration:

  • A major A&E for the area and many specialist services based at the William Harvey Hospital in Ashford, with an A&E retained at the Queen Elizabeth, the Queen Mother, Hospital in Thanet and a GP-led urgent care centre at the Kent and Canterbury in Canterbury;
  • or, a new hospital built adjacent to the Kent and Canterbury, creating a site for a single A&E and specialist services for the whole area. The other two hospitals would have GP-led urgent care centres with diagnostics, day surgery, outpatient services and rehabilitation.

Changes in who organises our care

The STP includes plans to develop a multispeciality community provider (MCP)  type model of care, which would eventually lead to the development of an accountable care organisation (ACO).