It comprises the community services previously run by Medway Primary Care Trust.
In July 2012 the organisation stepped in to help rescue the Balfour Centre, a day centre for adults with physical and learning disabilities, in Rochester, when it was earmarked for closure by Medway Council to save money.
[2] As a social enterprise with an annual budget of £50 million in 2012, it can use its surplus to develop services and to invest in community projects; in September 2012 it offered £30,000 in awards to support groups who help people in the local community.
[3] It runs the Wisdom Hospice in Rochester which was awarded a grant of £200,000 from the Department of Health in April 2013 to improve the patient environment.
[4] The organisation established a subsidiary, Gateway Assure, in 2012 to provide professional services to "private, public and third sector clients", including assurance services, business consultancy, risk management, training and executive coaching.