Health and Adult Social Care Overview and Scrutiny Committee
Tuesday, 20 August 2019 6.30pm

Venue: Meeting Room 9 - Level 3, Gun Wharf, Dock Road, Chatham ME4 4TR. View directions

Contact: Jon Pitt, Democratic Services Officer 

No. Item


Apologies for absence


Record of meeting pdf icon PDF 363 KB

To approve the record of the meeting held on 18 June 2019.


Urgent matters by reason of special circumstances

The Chairman will announce any late items which do not appear on the main agenda but which he/she has agreed should be considered by reason of special circumstances to be specified in the report. 


Disclosable Pecuniary Interests or Other Significant Interests and Whipping pdf icon PDF 212 KB

Members are invited to disclose any Disclosable Pecuniary Interests or Other Significant Interests in accordance with the Member Code of Conduct.  Guidance on this is set out in agenda item 4.




Development of Single Kent and Medway Clinical Commissioning Group pdf icon PDF 235 KB

At its meeting in March 2019, the Committee received a briefing on the proposed development of an integrated care system across Kent and Medway. In particular, the meeting was informed about the proposed establishment of:


  • An Integrated Care System (ICS) fully operating across Kent and Medway from April 2021
  • A single CCG operating at a Kent and Medway level from April 2020 (formed through the merger of the existing eight CCGs)
  • Integrated Care Partnerships, operating across local geographies of circa 250,000 to 500,000 resident population
  • GP-led Primary Care Networks (PCNs), serving a registered population of circa 30,000 to 50,000, acting as the provider and delivery vehicle for local care.


This briefing provides a high level summary of the work to date in establishing these arrangements, and in particular the development of a single CCG.

Additional documents:


Update on Kent and Medway Stroke Services Review pdf icon PDF 296 KB

The report updates the Committee on the following:


i)     The Proposed consolidation of the stroke service at Maidstone and Tunbridge Wells (MTW) NHS Trust onto a single site at Maidstone Hospital.


ii)    Medway's referral to the Secretary for Health and Social Care of the NHS decision to establish Hyper Acute Stroke Units (HASUs) at Darent Valley Hospital in Dartford, Maidstone Hospital and the William Harvey Hospital in Ashford and the result that there would be no acute stroke provision at Medway Maritime Hospital.


iii)   The possible submission of a Judicial Review by Medway Council and an update on Judicial Reviews already submitted.

Additional documents:


Single Pathology Service for Kent and Medway pdf icon PDF 312 KB

The report informs the Committee of progress in the Kent and Medway Pathology Programme since the update in October 2018.

Additional documents:


Medway NHS Foundation Trust (MFT) Update pdf icon PDF 187 KB

The report at Appendix 1 provides an update on progress since the Trust last attended the Committee in March 2019.

Additional documents:


Adult Community Health Services: Changes to Phlebotomy Services Provision pdf icon PDF 646 KB

The changes to the phlebotomy service provision in the community is part of the wider changes to adult community health services; to transform the way services are delivered across Medway to make them easier for patients to access and to use.

Additional documents:


Outline of Proposed Changes to the way Acute Adult Mental Health Services are Delivered Across Kent and Medway, with Particular Potential Impact on The St Martins Hospital Site, Canterbury pdf icon PDF 660 KB

This paper has been written by the East Kent CCGs, (on behalf of Kent and Medway commissioners) on proposed changes to the way acute adult mental services are delivered across Kent and Medway.


The proposed changes are based on latest best practice and are in line with Kent and Medway Partnership Trust’s (KMPT) programme of transformation, corresponding service redesign, and ongoing programme of refurbishment across its estate. The refurbishment will be funded by the sale of the St Martin’s (west) site in Canterbury to Homes England, releasing a capital receipt which will be used to reinvest in, modernise and upgrade existing KMPT estate.

Additional documents:


Kent and Medway NHS and Social Care Partnership Trust (KMPT) Update pdf icon PDF 185 KB

The report provides an update on the work of Kent and Medway NHS and Social Care Partnership Trust (KMPT).

Additional documents:


Council Plan Performance Monitoring Report Quarter 4 and end of Year 2018/19 pdf icon PDF 549 KB

Medway’s Council Plan 2016/21 sets out the Council’s three priorities. This report summarises how the Council performed in quarter 4 and at end of year 2018/19 on the delivery of the delivery of the priority relevant for this committee: Supporting Medway’s people to realise their potential.

Additional documents:


Work programme pdf icon PDF 216 KB

This item advises Members of the current work programme and allows the Committee to adjust it in the light of latest priorities, issues and circumstances. It gives Members the opportunity to shape and direct the Committee’s activities over the year. 

Additional documents: