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Transformation journey header - delivering our future

Delivering our future

Planning health services for the future in east Kent

East Kent Hospitals is working with the other local NHS and social care organisations to deliver better healthcare to the people of East Kent.

We are passionate about providing great healthcare that is modern, safe and has the best outcomes for patients.

Our vision is to use the three main hospitals at Canterbury, Margate and Ashford, in different ways to deliver your care and treatment in the best way possible. We want you to get the best, most effective, hospital care when you need it, with greater support at home and in the local community for people who no longer need hospital treatment.

We want East Kent Hospitals to be a centre of excellence: where specialist teams have the equipment and staffing they need to provide excellent patient care; where people can get specialist intensive rehabilitation and outstanding elective orthopaedic care and where you can get fast access to hospital treatment because people who no longer need hospital care are receiving appropriate treatment closer to home instead.


How do we plan to deliver this?

Health commissioners have agreed that two potential options for urgent, emergency and acute medical care and six potential options for planned inpatient orthopaedic care in east Kent, should be assessed further, to see which should go forward to public consultation in 2018.

 Potential option 1

An estimated £160million NHS investment, to enable:

  • a much bigger, modern, A&E at William Harvey Hospital, Ashford, which would also provide services for people that need highly specialist care (such as trauma, vascular and specialist heart services) in east Kent

  • an expanded, modern A&E at Queen Elizabeth the Queen Mother Hospital (QEQM), Margate, with inpatient care for people who are acutely unwell, emergency and day surgery, maternity and geriatric care

  • investment in beds and services at Kent and Canterbury Hospital which would have a 24/7 GP-led Urgent Treatment Centre, and services including diagnostics (such as X-ray and CT scans), day surgery, outpatient services and rehabilitation.
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Potential option 1

Potential option 2

An estimated £250million NHS investment to enable:

  • the fitting out of a new build and refurbishment of some of the current buildings connected to the Kent and Canterbury Hospital, which would provide a single 24/7 A&E and all specialist services (such as trauma, vascular and specialist heart services) for the whole of east Kent

  • QEQM Hospital and William Harvey Hospital would have 24/7 GP-led Urgent Treatment Centres, as well as diagnostics (such as X-ray and CT scans), day surgery, outpatient services and rehabilitation.

Potential option 2 has been included because a private developer has offered to donate to the NHS land and the shell of a new hospital, as part of a development of 2,000 new homes, which includes an access road from the A2. It would be subject to planning permission.

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Potential option 2 graphic

Potential option 2 has been included because a private developer has offered to donate to the NHS land and the shell of a new hospital, as part of a development of 2,000 new homes, which includes an access road from the A2. It would be subject to planning permission.

This would be less than half the cost of building a new single site hospital on green belt land, which was ruled out because there isn’t enough national funding to pay for the estimated £700m cost and it would take too long to build.


The commissioners agreed to look further at six potential options for planned inpatient orthopaedic care.

1.     only the Kent and Canterbury Hospital

2.     only QEQM Hospital

3.     only William Harvey Hospital

4.     both the Kent and Canterbury Hospital and William Harvey Hospital

5.     both the Kent and Canterbury Hospital and QEQM Hospital

6.     both William Harvey Hospital and QEQM Hospital

Providing services like this, across our sites in different ways, means we can provide better care and outcomes for patients because we can give them the specialist care they need from a single expert team, instead of stretching every specialist service across multiple sites.

So, while you might not be treated at your closest hospital, you will get care at the East Kent Hospital that can provide the best treatment and outcomes for you.

These potential options for urgent, emergency and acute medical care and planned inpatient orthopaedic care will now be assessed further by NHS staff, patient and public representatives against evaluation criteria to reach a shortlist for public consultation.

The assessment to reach a shortlist will look at the options to see if they deliver improvements in patient care, are accessible for patients, can be staffed, are affordable within the funds available, deliverable within the timeframe needed and support research and education.

NHS commissioners and the NHS centrally (NHS England) will need to approve the shortlist before it goes out to public consultation, including a business case for funding the changes, because all the options require significant capital funding.

Paul Stevens quote

No final decisions will be taken until after commissioners have had the opportunity to consider feedback from the formal public consultation alongside all other evidence later next year.

East Kent Hospitals’ Medical Director, Dr Paul Stevens: “There have been huge medical advances since I first started working in the NHS. We treat patients very differently now, with specialist teams looking after people with specific conditions such as stroke. This has led to much more effective treatment and people are living longer, with a better quality of life.

“But the NHS is still set up to work the way it did 30 years ago. We know we can care for patients better if we did things differently.”

You can read more about why the NHS in east Kent needs to change by clicking here.

You can find out more in these frequently asked questions and on the Kent and Medway NHS website which explains how the health and care organisations in Kent and Medway are working together on a strategy to transform health and social care.

Read more about how our thinking has been informed by conversations with the public, staff and clinicians


Our transformation journey

Our Transformation Journey builds on the improvement journey that saw the Trust being taken out of quality special measures, as a result of significant improvements to patient care and the organisation’s culture.

The dedication, commitment and compassion of staff from every part of the Trust, working together, brought about this positive change. We are building on this way of working to continue to transform our Trust and to deliver our vision of great healthcare, from great people.

The transformation programme is described as six key areas of work, progress is overseen by The Transformation Board which connects the programme from ward to Board.

Click the images below to veiw more about each workstream
Our Transformation Journey - Getting to Good 120x115
Our transformation journey workstream circle - Higher standards 120x115
Our Transformation Journey workstream circle - Healthy Finances 120x115
Our Transformation Journey workstream circle - A great place to work 120x115
Our Transformation Journey workstream circle - Delivering our furture 120x115
Our Transformation Journey workstream circle - Right skills 120x115

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