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Our case for change 

K&M case for change page graphic

You may have seen that doctors and health and social care leaders in east Kent published their own ‘case for change’ in the summer last year, and wonder how that and today’s publication fit together.  The Kent and Medway case for change published today is consistent with and builds on the evidence we had already started to draw together within east Kent, but also looks at issues that need to be addressed across the whole of Kent and Medway that we are now tackling together as part of the Kent and Medway sustainability and transformation plan programme

What's this all about?

We all want health and social care services that can meet our needs now and in the future. The NHS in Kent and Medway, Kent County Council and Medway Council do their best to offer safe, compassionate and high-quality care. However, we face new challenges that mean we need to change the way we work to improve care and get better value for the money we have available.

As our population grows, and more people live with long-term conditions, the demands on our services are changing and increasing. Services are not necessarily designed for today’s or future needs, and it is becoming harder to keep up with rising costs. What’s more we aren’t making the most of opportunities to improve health and wellbeing, prevent illness and support people to manage existing conditions and stay independent.

This booklet – our case for change – describes the current situation and why change is necessary. We want you to get involved to help shape and influence good health and social care in your area.

Why do we need a case for change?

We are publishing this case for change to explain more about the thinking behind a draft plan called the Sustainability and Transformation Plan that was launched in November 2016.

What is the plan?

The draft plan explains our vision for the future. Our ambition is to put local people at the heart of services, helping people to stay well and independent in their own homes and communities and avoid being admitted to hospital. It sets out how we want to:

  • improve the health and wellbeing of local people
  • deliver high-quality, joined-up health and social care
  • offer access to the right care and support in the right place, at the right time
  • make sure NHS and social care staff are not under so much pressure that they can’t deliver the caring ethos of the NHS and social care
  • better meet people’s needs within the funding we have available
  • build health and care services that are sustainable for years to come.

Find out more

Read our FAQ or visit the Kent and Medway case for change website.



You can also join our Health Network to keep in touch with what is going on and make sure you can have your say at the appropriate time.

Please spare the time to get involved – we need to hear from as many people as possible to get this right for the whole community.

Find out more about what we want to achieve and our ideas so far by reading Transforming health and social care in Kent and Medway

If you have any queries, or would like to invite someone to attend a local or community group to talk about the STP, please email km.stp@nhs.net

  • Glenn Douglas, Senior Responsible Officer for the Kent and Medway Health and Social Care Sustainability and Transformation Plan and Chief Executive of Maidstone and Tunbridge Wells NHS Trust
  • Susan Acott, Chief Executive,  Dartford and Gravesham NHS Trust
  • Dr Fiona Armstrong, Clinical Chair, NHS Swale Clinical Commissioning Group
  • Ian Ayres, Accountable Officer, NHS West Kent Clinical Commissioning Group
  • Paul Bentley, Chief Executive, Kent Community Health NHS Foundation Trust
  • Dr Bob Bowes, Clinical Chair, NHS West Kent Clinical Commissioning Group
  • Councillor David Brake, Chair, Medway Health and Wellbeing Board
  • Dr Jonathan Bryant, Clinical Chair, NHS South Kent Coast Clinical Commissioning Group                         
  • Dr Andrew Burnett, Interim Director for Public Health Medway
  • Hazel Carpenter, Accountable Officer, NHS South Kent Coast and NHS Thanet Clinical Commissioning Groups
  • Paul Carter CBE, Leader, Kent County Council
  • Andrew Scott-Clark, Director of Public Health Kent
  • Geraint Davies, Acting Chief Executive, South East Coast Ambulance Service NHS Foundation Trust
  • Patricia Davies, Accountable Officer, NHS Dartford, Gravesham and Swanley and Swale Clinical Commissioning Groups                          
  • Lesley Dwyer, Chief Executive, Medway NHS Foundation Trust
  • Steve Emerton, Programme Director Specialised Commissioning, NHS England South East
  • Dr Peter Green, Clinical Chair, NHS Medway Clinical Commissioning Group
  • Roger Gough, Chair, Kent Health and Wellbeing Board
  • Helen Greatorex, Chief Executive, Kent and Medway NHS and Social Care Partnership
  • Andrew Ireland, Corporate Director of Social Care, Health and Wellbeing, Kent County Council
  • Councillor Alan Jarrett, Leader, Medway Council
  • Bart Johnson, Chief Executive, Virgin Care
  • Matthew Kershaw, Chief Executive, East Kent Hospitals University NHS Foundation Trust
  • Dr Navin Kumta, Clinical Chair, NHS Ashford Clinical Commissioning Group
  • Dr Elizabeth Lunt, Clinical Chair, NHS Dartford Gravesham and Swanley Clinical Commissioning Group
  • Dr Tony Martin, Clinical Chair, NHS Thanet Clinical Commissioning Group
  • Simon Perks, Accountable Officer, NHS Ashford and NHS Canterbury and Coastal Clinical Commissioning Groups
  • Dr Sarah Phillips, Clinical Chair, NHS Canterbury and Coastal Clinical Commissioning Group
  • Caroline Selkirk, Accountable Officer, NHS Medway Clinical Commissioning Group                                   
  • Philippa Spicer, Director, Health Education Kent Surrey Sussex
  • Ian Sutherland, Interim Director, Children and Adult Services, Medway Council