Judicial Review appeal bid over acute stroke unit changes in Kent and Medway is refused

QEQM Hospital Photo Chris Constantine

A bid to appeal against a ruling to reject a Judicial Review on changes to stroke services in Kent and Medway has failed.

A judicial review hearing challenging the decision to close acute stroke services in hospitals including Margate’s QEQM was lost at the beginning of this year.

Two Thanet groups, Save Our NHS in Kent and Thanet Stroke Campaign, took a case to the High Court – alongside Medway Council- to fight the decision made by a Joint Committee of Clinical Commissioning Groups’ (JCCCG) to remove acute services from six hospitals in favour of three specialised units for Kent and Medway.

The cases were heard together by Judge Judith Farbey although they were brought on behalf of separate claimants.

 decision on the location for three hyper-acute stroke units (HASUs) across Kent & Medway was agreed by the Joint Committee of Clinical Commissioning Groups (JCCCG) in February 2019.

The HASUs will be at Darent Valley Hospital, Maidstone Hospital and William Harvey Hospital. Acute services at Margate’s QEQM Hospital will be removed with Thanet patients needing to travel to Ashford instead.

SONIK and Thanet resident Marion Kepple, who was the claimant for the Thanet Stroke Campaign backed by Cllr Karen Constantine and Summer Kitchen boss Sharon Goodyer, had challenged that decision, as did Medway Council.

The Court of Appeal has now refused permission for an appeal against the judicial review ruling.

The judge considering the application for appeal has ruled there are no permissible grounds for an appeal against the judicial review ruling made in February 2020. The judicial review found in favour of the NHS on all eight of the grounds bought by the claimants.

Speaking about the outcome, Rachel Jones, Executive Director of Strategy and Population Health at NHS Kent and Medway Clinical Commissioning Group, said: “I am extremely pleased about the decision from the Court of Appeal. The original judicial review ruling found emphatically in favour of the NHS and the process we followed.

“The need to improve stroke services in Kent and Medway is as urgent as ever and this decision brings us closer to being able to move forward with the implementation of evidenced-based hyper acute stroke units, which will in turn reduce death and disability from stroke.”

Cllr Karen Constantine with Labour’s Harry Scobie at the protest Photo Chris Constantine

Cllr Constantine said the judicial system has failed the people but she will continue to fight. She said: “Thanet residents will be angry and concerned about this surprising refusal to allow an appeal. The concerns about the journey to Ashford haven’t diminished, nor have the worries about QEQM and its future, which continues to look bleak.

“It’s plain that Thanet’s full range of health needs aren’t being met. The Judicial system has also failed the people. We should have had our appeal heard. It’s an important principle not just for the people of Thanet, but for any group that wishes to challenge erroneous decisions. I will continue to fight for improved health for Thanet.”

Carly Jeffrey of SONIK said: “We are very sorry to hear that Medway Council’s appeal has been refused, but we are not surprised. Judicial Review is a very limited and blunt tool, and many cases where an injustice is being done fall by the wayside like this.

“SONIK put everything we had into the JR; it took months of research and hard work. But with a Judicial Review, the judge is not obliged to consider the merits of the proposals, only whether or not the process that led to the decision was adequate or not. During the three day court case in December last year, all the NHS bosses had to do was say that they had ‘considered’ all the many drawbacks pointed out to them by the public, campaigners, doctors, staff, the Public Health Observatory and the risk assessment report. They didn’t have to disprove dangers and concerns – merely show that they had ‘considered’ them. It really is all they have to do under current laws, according to Justice Farbey.

“As soon as we learned that the initial case was lost, we approached our legal team with our intention to appeal. Three of the grounds had been found arguable by the judge, so we felt it was worth a shot, despite the low odds of winning. Having already been awarded legal aid, it was unlikely that we would have to raise much money. However, our barrister and solicitors were not willing to appeal, and we were informed that trying a new legal team would be unlikely to help.

“Our barrister did not believe an appeal would win. It was also suggested that revealing our inability to appeal might undermine and thus jeopardise the other case (Medway’s). This is why we have been silent on the issue.

“It is our understanding that the legal avenue is now exhausted. This means that the focus must now be on Matt Hancock and the referral back of the stroke plans that happened in 2019. We have written once again to the IRP (Independent Review Panel) asking if Matt Hancock’s decision is imminent. We must all now appeal to the Secretary of State for Health to reverse the plans, and SONIK will shortly be revealing how we intend to get the public involved in this.”

The Kent and Medway Stroke Programme is still awaiting the decision from the Secretary of State on the referral for an independent review of the process and says the hope is that this can now be expedited so Hyper Acute and Acute Stroke units can be implemented.

Hyper-acute units plan

The units will be at Darent Valley Hospital, Maidstone Hospital and William Harvey Hospital

The plan is for Darent Valley to have a 34 bed unit, Maidstone General Hospital 38 beds and William Harvey Hospital 52 beds. There will also be a  two bed outflow at Eastbourne General Hospital.

The JCCCG expected the hyper-acute units at Darent Valley and Maidstone to go live in March 2020 followed by the William Harvey Hospital in spring 2021. This was then set back t to Darent Valley Hospital and Maidstone Hospital to open in April 2021 and the William Harvey Hospital to open in autumn of 2022.

Currently for east Kent there are 24 stroke beds at WHH, 22 at QEQM and 24 at K&CH.

The new units are expected to reduce financial deficits in the Kent and Medway service, although a review of those finances will take place.

SONIK meeting

SONIK is hosting a Zoom public meeting on the topic of whistleblowing in the NHS, with guest speakers including Derek Richford (grandfather of baby Harry) who has taken on East Kent Hospitals Trust over the tragic baby deaths scandal.

Find details at https://www.facebook.com/events/320700832385966/


  1. Get rid of the expensive managers and other waste in the hospitals that’s where you should be saving and end privatisation of life saving operations that are being deprived of for Thanet residents. We should have a referendum on health matters from the CCGs who nobody elects.

  2. Just don’t have a stroke in Thanet. It will be over an hour before you are given this ‘life saving’ treatment. Time counts in a stroke situation, apparently, except when the need to save money overrides that ruling.
    I am sure all processes were correctly carried out, which is why the appeal failed.

    • Totally agree. The ” Golden Hour” for intervention is critical for preventing long-term damage.It is going to cost the NHS a lot of compensation for those people who they are unable to get to a stroke unit within the time (from when the stroke occurs and an ambulance is called- not when the ambulance arrives assesses and then decides to transport the patient. I hope Thanet solicitors are gearing up for this increase in health litigation because it is indefensible in court and compensation for long term care, and unnecessary loss of quality of life will run into millions for each case.

      • The speed of getting to a hyper acute unit will depend on how the telephone 999 consultation goes. Prioritising stroke patients to get the quickest response can be difficult if it is not described accurately as symptoms can be deceiving. An ambulance might not reach the victim for an hour or so if not deemed a stroke and that’s before deciding if they need to go to hospital, then the hour plus journey to Ashford would be in vain. Thanet’s growing population needs a stroke unit at QEQM there is no dubt about that, but the corruption with this Government and all it’s departments put saving money before saving lives.

  3. This is a very sad day for Thanet. All under the watch of our useless MPs. What have Craig and Sir Rog actually done to make Thanet better? On top of this, Ramsgate is going to be turned into a ghetto with a polluting cargo hub spitting out particulates damaging to health. Oh and the wonderful Brexit to just hit the final nail in the coffin that is Thanet.

  4. Were any of the 8 “Grounds” about concealment of toxic environmental and water supply hazards to health ? Or about the health inequality fact of Thanet being denied rights to wholesome water supply?

    Thought not. That’s Karen Constantine for you.

  5. Our MPs should stand up for those that voted them into office and demand that our voices are heard loud and clear and make it clear that stroke services in THANET are VITAL .

  6. This is what Britain is like under Tory rule.

    No right of appeal.
    The sick and disabled come last.
    Thanet has two tourist MPs.

    You voted for them.
    This is what you get.

    It’s only going to get worse over the next 4 years.
    QEQM is a failing hospital ran by a failing trust.
    This decision underlined the issues within the trust. Bad management and stupid decisions.

    Many unnecessary deaths are on their heads and this decision will add to those.

    On 100k plus a year they don’t care

  7. So disappointed that Cllr. Karen Constantine’s appeal against the JR decision has failed, but Karen has shown that she doesn’t give up halfway, and gave it all she had. She should be applauded for that!!

  8. Matt Hancock still must decide the fate of the stroke units. The buck stops with him now. SONiK will be putting pressure on him to look at the length of journey times for Thanet and the dangers of these unpopular closures – go to Save Our NHS in Kent’s facebook page for updates on how you can join with us to fight back.

  9. Thank you to all in Save Our NHS in Kent who have been ever present & at the forefront trying to stop the closure of the stroke unit. The people are behind you

  10. Well Thanet there’s you’re thank you for voting Brexit – thought the Tories were supposed to be supporting Tory voting areas

  11. What is the point of the two Tory MP’s in Thanet if they don’t stand up for their constituents? They are a waste of space, and neither of them even live in Thanet! One problem not often mentioned about Thanet people being treated for a stroke in Ashford, is how do visitors get to see them, if they don’t drive, and own a car? Its very sad, and all down to the bean pushers at the CCG, the heartless b*******ds! Still, I expect they will get their CBE’s and other gongs out of it!

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