STRUCTURE: Staff at Dartford and Gravesham NHS Trust lack confidence that the proposed merger with Medway Foundation Trust is the “right thing”, according to board papers.

The papers, from the end of June, include an update from chief executive Susan Acott on organisational culture developments within the trust.

The update stated: “The recent sessions she had held with trust staff had been very positive and reflected upon the buoyant atmosphere that was currently in place within the organisation.”

It added: “The proposed integration with Medway NHS Foundation Trust was discussed, and it had been made clear to Susan Acott that staff lacked confidence that integration was the right thing at this moment in time.”