Your Local Insight News
Welcome to our Spring Insight update!

Your local Insight News brings you a snapshot of health and wellbeing Insights reflecting feedback abouts people’s experiences of living in West Kent.

We hope these Insights can inform your work to improve services for residents of West Kent.  

 What we have heard about:

Online healthcare / Primary care / Mental health / Social care / Building a Neighbourhood Health approach / Wider determinants of health

 

Online healthcare

Everyone who told us about their experience being part of the virtual ward spoke of it positively

We have received 20 pieces of positive feedback on care that has been delivered digitally, which includes all the feedback that we have received on virtual wards. For those that spoke to us about their stay on a virtual ward, they commented on how it was beneficial to be back in the home environment and they still received responsive and diligent care.

Overall many individuals recognised the potential that digital services can offer, including its convenience for those that work and also how using the NHS App can increase patient advocacy.

Read the full report
 
Clear split in the public’s feelings about online appointments

In January in a quick public survey, we asked if individuals would prefer an online appointment with a shorter wait time, or an in-person appointment with a longer wait time.

There was an equal split in opinion, with 4 in 10 saying they would prefer online appointment with a shorter wait, and conversely 4 in 10 people saying they would prefer to wait longer for a face-to-face appointment. 2 in 10 people had no preference.

Join our Voices Connect panel
Levels of negative feedback about eConsult are lower in West Kent

Levels of negative feedback across Kent and Medway about eConsult are increasing and our data suggests that they are highest in working age adults 35 years to 65 years.

Experiences of eConsult are reported as more positive in the under 35 years age groups.

However, our data suggests that levels of negative feedback are proportionately lower in West Kent.

Read the full report
 

Primary care

 
ADHD hidden waiting lists 

The experiences of West Kent residents living with ADHD or a loved one living with ADHD, contributed to a Kent and Medway wide Healthwatch ADHD review of consumer experience. The report identified a ‘hidden waiting list’ exists before the official wait even starts, with people in Kent and Medway being nearly three times more likely than the national average, to experience a GP related delay to a referral for an ADHD assessment.

 
Kent and Medway GP ADHD assessment refusal rates higher than national average

The report also found that West Kent residents living with ADHD or a loved one living with ADHD, were twice as likely as national statistics to have a GP initially refuse to make a referral for an ADHD assessment, this is found in both Adult and Children referral requests.

 

Read the full report
Improving access to ADHD medication 

According to the official statistics published by NHS Business Services Authority (2025), 10,507 people were issued ADHD stimulant medication under NHS Kent and Medway ICB services between April and June 2024.

This is 16% of the estimated ADHD prevalence in the footprint as of 2024.  

Read the full report
 
Calling all GPs! Do you have a 'shared care' agreement with an ADHD provider?

Our research identified lower than expected levels of feedback from people about ‘shared care’ arrangements between ADHD specialists and their GP. We would like to try and understand why this is. Is it because it’s not happening?

If you are a GP who has experienced working in partnership with an ADHD specialist we would love to hear your experience to inform a wider picture of how shared care could improve people’s experience of accessing ADHD medication.

Contact us here
 

Mental health

The impact of ADHD Assessment waiting times 

94% of mentions of assessment waiting times were negative, with people describing how they feel “stuck in limbo”. Medway and Swale residents have talked about how this impacts on their mental health, education and work. 

Read the full report
 
The hidden gender divide in experience of mental health services

While mental health services aim to provide equitable care, Mental Health Voice data suggest patient experiences of support differ significantly by gender.

In West Kent our data shows that those identifying as male are 52% more likely to report positive experience of the mental health system, than other genders.

National research suggests that while men are generally less likely to seek help for mental health issues compared to women, those who do engage with services often report positive experiences and beneficial outcomes, particularly when the support is tailored to their needs.

These differences are not limited to prevalence of mental illness but appear to extend to differences in how men value aspects of service design such as practical, action-oriented, and solution-focused therapy and support.

How our Insights have helped drive improvement

The challenges around accessing triage and assessment, highlighted within the ADHD report, are echoed by experiences submitted into Mental Health Voice in relation to the wider mental health system. People spoke of being in limbo, not meeting criteria for appointments and how this impacts their daily lives. 

As a result of experience feedback shared within our recent Crisis report, NHS Kent and Medway have committed to improvements in the triage process within the mental health advice line, to ensure that safe havens are offered as an option, with a view to overcoming some of the challenges people are currently reporting. Crisis line report a 50% improvement in abandonment rates after adopting these changes. We will continue to monitor feedback in this area.  

We would like to build a clearer picture of how gendered experiences are shaped by service design, clinical bias, and structural inequalities. If you would like to help fund a short research project, please contact us.

Looking to fund a research piece? Click here
 

To find out more about Mental Health Voice, and to join our Local Mental Health Network meetings, you can email us at forums@ek360.co.uk.

Visit the website
 

Building a Neighbourhood Health approach

What’s important to West Kent residents? 

In April we asked our Voice Connect panel, which consists of over 900 residents of Kent and Medway, what aspects of neighbourhood care would be most important to them. 

42% of people said ‘Service Accessibility’ was the factor that would have greatest influence in their perception of neighbourhood health. This was seen as better neighbourhood health equals shorter travel times, availability of local clinics, and integrated services. 

Public perceptions of service accessibility at a local level within the NHS show a mixed picture. We continue to hear from the public about the challenges in accessing GPs, waiting times for treatment pathways and growing concern about the levels of corridor care and A&E waiting times. The top priority for the public remains improving GP access. 

 

Wider determinants of health

Tonbridge residents say good public transport is a key contributor to how positive they feel about living in Tonbridge

68% of the Tonbridge resident we spoke to spoke positively about trains and bus services, citing regular services, good disability access and close links to London. 

This is one of the highest levels of satisfaction we have heard. During the same time period we have been talking to residents of Swale, and in direct comparison, 58% of residents of Sheppey talked about the negative impact of public transport.

 
Finding calm in green spaces across Tonbridge

56% of the 58 people we spoke to living in Tonbridge said that access to open spaces, including local landmarks and natural landscapes.

People reported that this was ‘calming’ and makes them ‘feel happier’ and has a positive impact on their mental wellbeing.

 

See more Insights
Fear of ‘reasonable adjustments’ consequences in the workplace

It has been identified that West Kent residents living with ADHD have avoided talking to their employers and seek workplace support.

People report that they often felt they couldn’t request reasonable adjustments without a formal diagnosis and they were fearful of negative consequences in the workplace.

Read our ADHD report
 
The startling gap in ethnicity and experience of general healthcare

In West Kent our data indicates that people from Black, Black British, African or Caribbean ethnicities are 70% more likely to report a negative and mixed experiences of their general healthcare than other ethnicities.

In West Kent, Black communities are numerically small and dispersed but growing slowly. This pattern of feedback about experience of healthcare in West Kent raises important equity issues. The Kent and Medway JSNA data confirms overlapping social and health disadvantages and the local Health Alliance are initiating community-led, culturally responsive health initiatives but there are not yet systemic

Given West Kent’s slowly diversifying population, ethnic inequality in healthcare experience risks widening local health outcomes gaps. We would like to research these reported differences in experience, to inform the work happening at a local level, enabling targeted action to address ethnicity based differences in trust, access, and experience.

These issues were explored at the recent Kent and Medway Black Health Inequalities summit. Learning from peoples experience through the lens of intersectionality is vital to improving health equity locally. To be part of this research please contact us at hello@ek360.co.uk.

Contact us here
 
Add your voice to the hundreds of voices that talk to us each month
Voices Connect

Every month we ask the hundreds of voices that make up our Voices Connect panel one question.

Questions that we ask can be about anything that might affect someone's health, social care or community.

These Insights add depth to our reflections and bring richness to our reports. When you answer the monthly question you are helping to paint a wider picture of how people are feeling across Kent and Medway.

Want to add your voice to the hundreds of others already having the conversation? Email us at voices.connect@ek360.co.uk.

For more information about any of the contents of this Insight Update, please email us at comms@ek360.co.uk.