Published: 01/07/2004, Volume II3, No. 5912 Page 12 13

Candy Morris Chief executive Kent and Medway strategic health authority

1.What is the biggest local challenge your health economy faces?

Securing long-term financial stability. A lot of energy is needed to redesign services and improve capacity and capability in order to get rid of underlying financial problems while continuing to improve services.

2.What proportion of work has been shifted from secondary to primary care in the last two years?

About a fifth of first outpatient appointments, outpatient procedures and other outpatient appointments will be carried out in primary care settings this year.

In 2002-03, 8.2 per cent shifted from secondary to primary care, rising to 19.5 per cent this year and 21.3 per cent in 2005-06.

3.What deficit does your health economy have?

We have a£9.7m deficit last year after receiving£17m special assistance funding though the NHS Bank to support reconfiguration of acute services in east Kent.We are projecting breakeven for 2004-05, through trusts and primary care trusts delivering significant recovery plans.

4.What is the biggest challenge the SHA faces?

Enabling our four local health economies to deliver improved standards of care for their communities, despite their quite different local challenges.

5.What is your biggest public health challenge?

Inequalities in health. There is a three to four year difference in life expectancy between people in Sevenoaks and those in Thanet.