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Medway's councillors meet together six times a year to discuss the council's policy framework and budget. Certain other decisions are also reserved for the council such as making changes to Medway’s constitution, determining electoral issues and dealing with matters which are not the responsibility of the cabinet.

Meetings of the full council are chaired by the mayor (or the deputy mayor in their absence), ensuring that business is properly conducted. In addition to receiving reports from the cabinet, overview and scrutiny committees and council officers, time is set aside for local people to ask questions and for councillors to submit topics for debate, known as motions.