System Transformation Workstream

(page updated 2 October 2019)  

The NHS in Kent and Medway is planning to change the way some aspects of health and care services are organised so they can provide better, more joined-up care. This is what we call system transformation and is a major focus of our work.

The intention is for Kent and Medway to become an integrated care system (ICS) with:

  • GP practices working together in networks – called primary care networks
  • four new ‘integrated care partnerships’ across Kent and Medway, drawing together all the NHS organisations in a given area and working more closely with health improvement services and social care
  • a single commissioning organisation for Kent and Medway, led by local doctors, to take a bird’s eye view of health priorities for local people and look at where shared challenges, such as cancer and mental health, should be tackled together. This will mean the merger of the current eight clinical commissioning groups into one single CCG from 1 April 2020.

We are working towards establishing a Kent and Medway ICS by April 2021. We have published a document setting out full details of the plans, a summary version and an easy read version. You can also read our You said, we did engagement report (949 downloads) which explains how your feedback is shaping the new system, in particular views on the proposal by the eight CCGs to merge into one organisation.

More detail about the new system is available here.

Your questions answered

We don’t have all the answers yet but will keep updating and answering questions where we can and letting people know about how they can get involved as we shape more detailed plans. You can  read our Frequently Asked Questions here. We also have a short glossary of terms related to integrate care systems here.

To keep informed about our progress please subscribe to our newsletter.

Delivering the NHS Long Term Plan

This work will help us meet the ambitions of the NHS Long Term Plan which was published in January 2019, and set out priorities for the NHS in England:

  • making sure everyone gets the best start in life
  • delivering world-class care for major health problems
  • supporting people to age well.

You can find out more about the Long Term Plan here: and view a summary of the plan here:

You can see our initial Kent and Medway response to the Long Term Plan from January 2019 here:

System transformation news:

Kent and Medway accredited as an Integrated Care System

From 1 April 2021 the NHS and its partners in Kent and Medway have been formally designated an Integrated Care System (ICS). The ICS will build on the work of the Sustainability and Transformation Partnership (STP) which started in 2016 and has helped deliver a range...

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Kent and Medway CCGs seek national go-ahead for merger

The eight clinical commissioning groups (CCGs) in Kent and Medway have all agreed they want to merge to form a single CCG. This is a first step towards Kent and Medway becoming an integrated care system, with health and care organisations working together much more...

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