What are we doing?

The NHS has already listened to patients, carers, staff, councils, community groups and healthcare providers and people said they want:  

  • easier access to care  
  • services that work better together  
  • more care closer to home where it is safe  
  • shorter waits for appointments and treatment  
  • better information while they are waiting  
  • more help to stay healthy and prevent illness.  

This feedback has been used in our draft plan.

Before any decisions are made, we want to hear what matters most to you. We'll be engaging with residents of Kent and Medway over the summer about to develop these plans.

What do the proposal focus on?

  • getting the right care more easily  
  • getting support earlier  
  • receiving more care closer to home, when it is safe to do so  
  • staying healthier for longer.

Why is change needed?

Around two million people live in Kent and Medway. People are living longer and more people have long-term health conditions, such as diabetes, heart  disease  and dementia. More people also need mental health support.  

At the same time, the NHS has limited money and staff. This means it must make the best use of the funding it has.

What could change?

The NHS wants health and care services to work more closely together.  

This means:  

  • more joined-up care  
  • more support in local communities  
  • earlier help to stop small problems becoming bigger  
  • hospitals focusing on specialist and emergency care  
  • better communication between services.  

The aim is that you will not have to repeat your story to different healthcare professionals as often.

How will care be organised?

People will continue to use GP practices, community  services  and hospitals. The difference is that these services will work more closely together.  

There are four main parts to how care will be organised:  

  • Primary care - your GP practice, pharmacy,  dentist  and other local NHS services.  
  • Neighbourhood care - local teams working together to support people close to home.  
  • Community care - services that help people recover at home and avoid unnecessary hospital stays.  
  • Hospital care - specialist,  emergency  and complex treatment when it cannot be provided elsewhere.  

Some services may be provided in a different way or in different places than they are now to keep improving our offer to patients.

This will make sure people receive the right care in the right place at the right time.

What this could mean for you

If these plans go ahead, you should see:  

  • better joined-up care  
  • more support closer to home  
  • earlier help if you have a long-term condition  
  • more focus on preventing illness  
  • simpler referral routes
  • better management of waiting lists  
  • greater use of digital services where they make care easier.  

The NHS will still face challenges because money and staff are limited.  

Digital services may make access easier for many people, but some people cannot use online services easily. The NHS will continue to  provide  other ways to access care.

Changes to some services

GP and community services: More care could be provided by local teams working together in your community. This should make it easier for people with long-term or complex health needs to get support.  

Hospital care: The NHS wants to reduce waiting times and make it easier to get the right treatment. Some people may be offered appointments at a different service if it means they can be seen sooner.  

Urgent and emergency care: The NHS is reviewing how urgent care services  operate  so people can access the right care, in the right place, as quickly and safely as possible. This includes looking at the role of urgent treatment centres and how they work alongside GP services, neighbourhood care, community services and hospitals .   

Mental health, learning disability, autism and ADHD: Services will be reviewed to make sure they work better together and are easier to access. The NHS also wants people to get support based on their needs, before and after a diagnosis, if one is needed.  

Women's health and maternity care: Maternity and women's health services, along with fertility services, will be reviewed to improve safety, quality and fairness.