This page outlines the process to decide on a preferred option, following the stroke consultation which ran from 2 February to 20 April 2018. It also summarises the consultation and engagement work carried out pre-consultation which helped to develop the options.

Preferred option decision making

Before a decision can be made there are three key documents that need to be developed and considered by the Joint Committee of Clinical Commissioning Groups (JCCCG) leading the review.

  • Consultation response report
    This will be a produced by an independent research company following analysis of all consultation feedback from the formal questionnaires, listening events, focus groups and telephone polling, correspondence sent to the consultation address, social media activity etc. It will identify key themes to be considered by the JCCCG before identifying a preferred option. Our response to the key themes will be part of the decision making business case (see below).


  • Consultation activity report
    This will be produced by our communications and engagement team. It will describe the process of the consultation and the activity carried out during the consultation. It will be reviewed by the JCCCG.


  • Decision making business case – identifying a preferred option
    This will be a detailed document updating the pre-consultation business case. It is the document in which the CCGs show that they have properly considered all the responses to consultation, examined all data and evidence gathered during the review of stroke services, and reviewed any further options that may have arisen.

There is a considerable amount of work involved in developing the decision making business case and supporting documents. We are aiming to have everything ready for the joint committee to make a final decision in the autumn of 2018. The documents will be published on this website in due course.


The consultation asked for feedback on three core elements:

  • Is there a case for change and should we establish hyper acute stroke units in Kent and Medway?
  • Is three the right number of units?
  • What people thought of five shortlisted three-site options, or if they wanted to suggest alternatives.

The consultation ran from 2 February to 20 April 2018. It was extended from an original closing date of 13 April because some engagement events were disrupted by snow in late Feb/early March and had to be re-scheduled.

Key consultation materials included:

Additional information was provided through slide packs, animation and videos, frequently asked questions on our website and in public meetings, Twitter and Facebook accounts, email cascades to community, patient and staff networks and face to face discussions.

Reports on the consultation activity and the feedback received will be posted on this website once completed.

Pre-consultation stakeholder engagement

Work on the stroke review began in late 2014 and has included a range of stakeholder engagement which informed the development of the options that were consulted on.

Since late 2014, local health commissioners have been talking to the public and clinicians across Kent and Medway and neighbouring areas of Sussex, Surrey and south-east London about acute stroke services with a view to reorganising services to improve clinical outcomes for patients.

Stroke survivors, their families and carers, and members of the public have played a key part in shaping potential future models of care. Varied, robust and in-depth engagement has taken place with stroke specialists, clinical staff, voluntary organisations, stroke survivors, families, carers and the public to gather people’s views and insight. This has included surveys, focus groups, listening events, clinical engagement events, roadshows, face-to-face meetings, and information provided through newsletters, printed magazines, media, and social media.

In November and December 2015, we held three ‘People’s Panels’ which looked in detail at the case for change. They questioned and challenged the emerging proposals for improving future stroke care and voted on different aspects of stroke services – establishing what they, as patients and carers, value most.

In March 2016, we ran a challenge session with national leads and patient and public representatives to test the work to date and the emerging options.

In September and October 2016, there was a further series of events involving people who have had a stroke, their carers, and members of the public.

In 2017, listening events were held in every clinical commissioning group area in Kent and Medway, and during the summer we engaged with staff, stakeholders and the public around the case for change and the evaluation criteria to use for shortlisting potential site options.