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1) Can you evidence that the ‘emerging model ‘ of hospital configuration in East Kent has been shared with all clinical staff in the three hospitals; and that their views on the effectiveness and safety of future patient pathways have been recorded and addressed?
2) Has a full risk register been compiled for the ‘emerging model’?
3) What % reduction in acute admissions to, and average stay in, East Kent hospitals is required by 2020/21 in order to ensure financial sustainability of commissioners and providers?
4) Can you evidence that co-location of acute services on one hospital site will make significant savings?
5) What would be the cost of building capacity for that co-location of all acute services on one site?
6) On p.8 of ‘Transforming Health and Social Care in Kent and Medway: work in progress 21st October 2016 bar charts show that the growth in acute activity per 1000 population from 2013/14 to 2015/16 to be 2.9% non-elective, 0.5% elective and 1.2% outpatient. Recently a representative of Canterbury and Coastal CCG said that the growth in demand is rising at 5 to 6% per annum. How are these two estimates to be reconciled?
7) On p20 of that same document it is stated that the Kent and Canterbury Hospital has ‘some ‘specialist provision. Is it not the case that this hospital provides acute renal/urology, vascular/dermatology services, as well as cancer care?
8) What has been the number of emergency admissions to East Kent Hospitals for heart failure in each of the past three years? Is it anticipated that this number will grow or contract in future years?

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