Reprocurement of community health services


NHS Medway Clinical Commissioning Group is undertaking a review and redesign of adult community health services, transforming the way in which the services are delivered.

Medway CCG has been carrying out various activities to learn more about what people think about adult community health services and what improvements they would like to see.

We would like to thank everyone who has given us their views so far by completing the survey, coming to one of our workshops, taking part in an interview of focus group or attending our Whole System Redesign event.

A summary of the public engagement October- December 2017 can be found here and a full report can be foundhere.

As part of the review we held a number of workshops across Medway, the final event being the Community Health Services- Whole Systems Redesign, which was held on 10 January 2018.

A report from the Whole Systems Redesign event can be found here: 

Report on Whole System Event1.pdf
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This event used all the themes and feedback from our previous engagement events support us in planning for a system of delivering community health services in the future.

The redesign will be closely linked to the Medway Model, a new way of joining up local services to deliver care closer to people’s homes and involve them in maintaining their own health and wellbeing. We want patients to remain well and cared for in the place of their choice, which is often their own home.

In 2017 and 2018 Medway CCG will be carrying out a range of engagement activities including surveys, meetings and workshops to make sure we commission services based on what people say matters to them.

We need to understand what local people, clinicians and staff think about how services are working and what they would like to see changed. Please take a moment to email your views to This email address is being protected from spambots. You need JavaScript enabled to view it..

Community health services help people get well and stay well either in their own home or close to home. They have a number of objectives, including:

  • Promoting health and healthy behaviours
  • Supporting people to manage long term conditions such as diabetes
  • Providing treatment in a setting that avoids hospital or residential care wherever possible

Community health services are defined as those provided outside of hospitals in community settings, including in people’s homes and in community clinics. In Medway these include:

Anti-Coagulation also known as the Warfarin monitoring service, which is for patients on specific anti-coagulation medication.

Heart Services including the Arrhythmia service which assists with the diagnosis and treatment of patients with abnormal heart rhythms, Cardiac Rehabilitation which provides education, advice and group exercises to improve people’s recovery from heart problems, and support for people with LVSD (left ventricular systolic dysfunction).

Community Nursing Services which organise and manage nursing care for patients in their own homes or in residential care. This includes continence care, wound care and leg ulcer clinics.

Community Rehabilitation Services such as the falls service, services in the Walter Brice Centre and neurological physiotherapy, treating people with neurological conditions who have physiotherapy needs such as Multiple Sclerosis and Parkinson’s Disease.

Specialist respiratory teams for patients in Medway with the lung conditions: Chronic Obstructive Pulmonary Disease (COPD), interstitial lung disease (ILD) and Bronchiectasis.

Dementia – helping people remain in their own homes by providing short-term support and home treatment for challenging behaviour and physical problems, and supporting carers by enhancing their skills.

Diabetes – for people with Type 1 and Type 2 diabetes to help them manage their condition.

Learning Disabilities – which provides health advice, helping people to eat and drink safely and comfortably, helping people to move and be comfortable, supporting access to GPs and other health services, and helping people express their thoughts and desires clearly.

Palliative Care (including the Wisdom Hospice)

Phlebotomy – the blood test service

Podiatry – a range of specialist treatments relating to foot conditions such as muscular skeletal pain and deformities.

Speech and Language Therapy (adults)

Stroke Services for all patients who have had a stroke or Transient Ischemic Attack. This includes the provision of bed-based care in Medway Maritime Hospital, Amherst Court (rehabilitation unit) and Sheppey Community Hospital (rehabilitation unit).

Tissue Viability and Wound Therapy – support and advice on pressure damage, complex wounds, leg ulcer management and wound clinics.

The majority of the services cover adults aged 18 and above but some services are all-age. Teams of nurses and therapists coordinate care, working with GPs, social care and health improvement services.

The contract for delivering community services is due to be awarded in September 2019 and go live in April 2020. Please check back here to find out the latest developments in the engagement process.

To register your interest in getting involved in forthcoming engagement activities relating to adult community services, or to share your views, email This email address is being protected from spambots. You need JavaScript enabled to view it..

The documents and presentation included in the Participants Pack can be found below:-