The Kent and Medway Sustainability and Transformation Partnership Programme Board met on 4 December 2017. The Board received summary updates on the progress being made in several areas, including: local care, children, and stroke.

Chief Executive’s update

Glenn Douglas, STP Chief executive and Chair of the Programme Board, updated colleagues on the following areas:

  • Winter planning – work is underway across Kent and Medway to anticipate and respond to seasonal pressures at both STP and local level.
  • Workstream progress – an overview of the progress made by individual workstreams including local care, stroke, finance, workforce and productivity (more detail on individual workstreams can be found later in this update).
  • Forward planning – a look ahead at the areas of focus for Programme Board meetings in 2018.

Clinical and Professional Board – update

Revised Terms of Reference for the Clinical and Professional Board have been developed to reflect the increased membership from nursing and allied health professionals and patient representatives. The Co-Chairs of the Clinical and Professional Board asked the Programme Board to ratify these Terms of Reference and gave an update on the development of a shared, overarching ‘clinical vision’ for Kent and Medway of what health care should look like in five years. This emerging vision, building on work to date across Kent and Medway, is being developed following a series of engagement sessions with health and social care organisations, clinicians and professionals and patients from across the region.  The Board was asked to approve an emerging draft vision to allow wider engagement on it with stakeholder groups across Kent and Medway.

Local care – update

The Board received an update on work to take forward the development and implementation of the local care model across Kent and Medway. The Board heard that a ‘maturity matrix’ – showing readiness to implement the model in different parts of Kent and Medway – has been developed with input from all health and care organisations. This matrix shows that while there are pockets of good practice across the whole of Kent and Medway, most organisations consider they are still at an ‘emerging’ state of readiness.  As expected the Vanguard in Whitstable has made further progress in many areas, providing useful learning.  The local care model needs to be implemented consistently and at pace.


Hazel Smith introduced a paper outlining a renewed focus on children as part of the STP. While childhood itself is not a ‘health condition’, it is recognised that children are different from adults and warrant a separate focus from adult health and care, as childhood is a time-limited period of development. The Kent and Medway STP is an ideal opportunity to improve the health outcomes and life chances of children across the region and the Programme Board was asked to agree to the establishment of a Kent and Medway Children’s Leadership Group to spearhead the Children’s agenda and develop an integrated strategy and vision for the health and care of children for the future and review STP workstreams to ensure that children are appropriately represented within these areas.  It was acknowledged that whilst local authorities had clear statutory duties in this area health partners could do more to coordinate with and support their LA colleagues, and next steps were set out for this.

Financial principles

The Board gave the go-ahead for a set of working principles to underpin the workstreams and projects governed by the STP. A Memorandum of Understanding for all partner organisations to agree and adhere to as work continues to implement plans across the Kent and Medway area was proposed.


Extensive engagement work has been taking place with patients, the public, clinicians and stakeholders as part of the Kent and Medway stroke review. Modelling work has led to potential site options being developed for three hyper acute stroke units in Kent and Medway. A joint committee of the eight Kent and Medway CCGs plus Bexley CCG and High Weald, Lewes and Haven CCG has been established and will be the key decision-making group for the work, receiving recommendations from the Stroke Programme Board.

The location of those units will be determined by the Joint Committee once they have conducted a formal public consultation which is hoped to take place in early 2018, and examined the response to that together with all the other evidence they have. Planning for this public consultation is underway and the Board was asked to review and comment on proposed consultation activity and identify internal support to assist with the consultation process.