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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 (1000 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:

Your views wanted on a single clinical commissioning group

The NHS in Kent and Medway is seeking your views on how health services are commissioned (planned and purchased). At the moment there are eight GP-led clinical commissioning groups (CCGs) across Kent and Medway, responsible for planning and spending the health budget...

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Helping Graham get home safe and sound

Home is where the heart is and when it comes to recovery, most people like to do so from the comfort and safety of their own surroundings. That’s why we are working hard to make the care we deliver locally to you the best we can across Kent and Medway. Meet Discharge...

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Help the NHS improve services for children and young people

The NHS and local councils want to transform health and care services for children and young people and are calling on local people to get involved and help. A recent Healthwatch survey showed children and young people in Kent and Medway want their voice to be heard...

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New chair appointed for Kent-wide health body

Kent and Medway Sustainability and Transformation Partnership this week welcomed its first non-executive chair to its board. David Highton, (pictured right) Chair for Maidstone and Tunbridge Wells NHS Trust and a former Chief Executive for Chelsea and Westminster...

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