Tier 1 · Wave 1 deep pioneerField reading pending
East Kent
NHS Kent and Medway · South East · 695,000 residents
Programme
Phase · Phase 1 design · coastal-deprivation focus
Programme lead · NNHIP local programme lead · NHS Kent and Medway ICB
Funding · Wave 1 backed by £10M nationally (~£230K avg/site)
Official source · https://www.kentandmedway.icb.nhs.uk/
Five Elements
purpose70
Coastal-deprivation pioneer; Thanet life-expectancy gap is the strategic anchor.
place65
Coastal towns + rural hinterland; transport isolation a defining feature.
habitat70
Coastal habitat + chalk downland; significant green/blue infrastructure.
environment60
Seasonal air quality OK; isolation and access more pressing than pollution.
organisation65
K&M ICB + KCC + EKHUFT triangle; coastal voluntary sector strong.
NNHIP scorecard
| ◐ |
Footprint |
Thanet INT in design |
| ◐ |
Multi-disciplinary team |
Multi-agency teams forming |
| ○ |
Pooled BCF |
Pooling intent under discussion |
| ○ |
Evidence published |
Outcome reporting framework not yet public |
| ● |
Accountable officer |
Place Director named |
| 2/5 |
Total (scored 2026-04-27) |
TIP chain
Tasks
- Stand up first INT in Thanet footprint
- Baseline EQ-5D-5L + PAM cohort capture in Margate or Ramsgate
- Map BCF and Section 75 flows across Kent
Initiatives
- Joint working agreement (K&M ICB + KCC + EKHUFT + VCSE)
- Outcome-driven contracting variant on cardiovascular pathway
- Patient-held data trial (Apple HealthKit / Android Health Connect)
Proof
- First quarterly bound A5 outcome report to ICB board
- Measurable PAM uplift in pilot cohort (12 weeks)
- Coastal-deprivation comparable record published in Sov Meridian
Field reading specification
Format · Bound A5 landscape outcome book (Aberdeen Sketchbook format)
Chapters
- Site context · East Kent through Five Elements
- Coastal-deprivation stakeholder map
- Capture cohort · 8–12 patients on HealthKit / Health Connect
- EQ-5D-5L baseline → 4-week closing delta
- PAM baseline → 4-week closing delta
- TIP outcome chain · what was achieved this cycle
- Audit register · every claim sourced and dated
- Editorial Validators · two doctors signed
- Recommended next reading · Round 2 framing
Deliverables
- Bound A5 book × 5 copies
- Audit register .xlsx
- 90-min briefing call with Place Director + INT lead + DPH
- Cohort export .csv (de-identified)
4 weeks from sign-off
· Subscribers receive the bound book and audit register as part of the entitlement
Evidence sources
Publication plan
Round 1
Issue #007 · East Kent: what coastal towns need from neighbourhood health
2026-06-10 · status scheduled
Round 2
Issue #019 · East Kent: twelve weeks on
2026-09-02 · status scheduled
Subscribe to Sovereign Meridian
This briefing is public. The publication is weekly. Issue 002 ships Wednesday 20 May 2026 with the Workforce Health Bridge field reading on Hillingdon and Heathrow.