32. Kent and Medway

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).