NHS Kent and Medway  is launching Your local NHS: What matters most - a new programme to listen, learn, and shape services together.  

What matters to you when it comes to your health, care, wellbeing, and the future of the NHS?

How can the NHS  provide care within its limited budget?  

Providing best value care is vital, but the NHS can only spend what it's given. We need to use this money in the best way possible. NHS services need to be effective and focused on what matters most for patients. Change is happening in healthcare - both nationally and locally - guided by the NHS 10-year plan, which focuses on three big shifts:  

  • more help and care in the community, not just in hospitals  
  • using technology, like apps and video calls, instead of paper-based forms  
  • helping people stay well, not just treating them when they're sick.  

To make these changes, we need to hear from you - patients, families, staff, and communities - about what's important.

Principles: What matters most  

In recent years people have told us what is important to them about health and care - through surveys, events and within community discussions .

We have developed your priorities into principles, which we plan to use as we make decisions about future services.  

Thank you for those who gave feedback on the proposed principles in December, whether through our event in Maidstone or via our surveys. This information has now been given to commissioners for consideration as we draft final plans. 

Reports

Please find below the report from the 9 December workshop, a report from the online survey, and the revised commissioning principles.

Revised seven principles January 2026 final

Your NHS what matters most_principles and priorities workshop 9 December 2025 report

What matters most_commissioning principles survey response report

Next steps

In the next few weeks we will asking people what matters most to them about neighbourhood health, keep an eye out here for our next survey.