We serve 270,000 people: the 252,000 who live in the Medway Council area (which marks our boundary and has done since 2006), plus others just over the border who are registered with Medway GP's (doctors). Our Budget for 2008/09 was £364 million and we are responsible for using that money in the best possible way for the people of Medway. Our job is to lead health services locally so that we, working with our partners in the NHS and outside it, and with local residents, bring about real improvements to people's health and healthcare