Demonstrating the Value of Community Services

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Draft Indicators

Please email for our draft indicators.

What is the Programme?

In 2012, FTN aspirant Community Foundation Trust (aCFT) members agreed to pursue a collective work plan to understand if they could develop a common, evidence based clinical effectiveness framework, bespoke to community services rather than using transposed hospital measures and activity counting as the primary means of determining effectiveness and efficiency.

The group quickly determined that work undertaken by Southern Health NHS Foundation Trust and Bridgewater Community Healthcare NHS Trust could form the embryo of the work plan and all providers of community services should be welcomed to contribute with the rationale that a collective approach reduces the necessity for local, multiple and parallel approaches. The determination of a clinically rational array of indicators and outcome measures was deemed to align with the development of Community Information Datasets (CIDs) and the NHS and Social Care Information Centre undertook to reference the community indicators outputs within future versions of CIDs.

Further discussions made the case for full alignment of the indicators programme with the work of the Community Tariff Working Group; a national group developing the thinking around payment systems for the community sector, so that as measures evolve, where possible, they replace the older activity-only measures currently used as the primary basis for contracting.

During 2013, progress was made in developing a generic clinical template, and during an initial workshop the first set of quality indicators and outcomes measures were drafted. The programme’s steering group will be imminently determining the recommended design of the templates for all future clinical workshop outputs.

Who is involved?

The aCFT network members are the core supporting trusts and form the sector reference group. This network of trusts is comprised of:

  • Birmingham Community Healthcare NHS Trust
  • Bridgewater Community Healthcare NHS Trust
  • Cambridgeshire Community Services NHS Trust
  • Central London Community Healthcare NHS Trust
  • Derbyshire Community Health Services NHS Trust
  • Hertfordshire Community NHS Trust
  • Hounslow and Richmond Community Healthcare NHS Trust
  • Kent Community Health NHS Trust
  • Leeds Community Healthcare NHS Trust
  • Lincolnshire Community Health Services NHS Trust
  • Liverpool Community Health NHS Trust
  • Norfolk Community Health and Care NHS Trust
  • Shropshire Community Health NHS Trust
  • Solent NHS Trust
  • Staffordshire and Stoke on Trent Partnership NHS Trust
  • Sussex Community NHS Trust
  • Worcestershire Health and Care NHS Trust
  • Wirral Community NHS Trust

The programme has also been supported by the FTN, NHS Confederation, The Clinical Leaders Network, NHS England, via its Manchester Office, The Health and Social Care Information Centre, NHS Benchmarking and other trusts – Cumbria Partnership NHS Foundation Trust, Northumbria Healthcare NHS Foundation Trust, Pennine Acute Hospitals, Salford Royal Hospitals, Southport and Ormskirk Acute Hospitals, Tameside and Glossop NHS Foundation Trust and Southern Health NHS Foundation Trust.

Nationally, the programme has gained recognition and support, and will develop existing close links with its partners and stakeholders including NHS England, Monitor, the Care Quality Commission, and the NHS Trust Development Authority and Further engagement work will take place to ensure the programme has support and representation from patients’ groups, Commissioners at national level, local CCGs and CSU and the social care sector.

Many other organisations have now expressed the wish to become involved. Please revisit this page soon for an up to date list of participants and partner organisations.

How is it funded?

Each participating trust is asked to contribute an annual sum of £12,000 to support the staffing of the programme and the delivery of clinical workshops and materials.
The programme receives no financial support from the centre. The FTN has generously supported the steering group meetings and the clinical workshops during 2013 and 2014.

The following NHS trusts who provide services in the community have generously financially supported the work during 2014: Berkshire Healthcare, Birmingham Community, Bridgewater Community, Cambridgeshire Community, Central London Community, Coventry and Warwickshire, Cumbria, Derbyshire Community, Gloucester Care Services, Hertfordshire Community, Hounslow and Richmond Community, Isle of Man, Kent Community, Leeds Community, Lincolnshire Community, Liverpool Community, Norfolk Community, Northamptonshire Healthcare, Shropshire Community, Solent, Southern Health, St Georges Healthcare, Staffordshire and Stoke on Trent Partnership, Sussex Community, Wirral Community, Worcester Health and Care, York Teaching Hospitals.

How to find out more or become part of the work:

The programme welcomes enquiries and new participants. In the first instance please contact:

The Programme Director

David Law, Chief Executive, Hertfordshire Community NHS Trust
Howard Court | 14 Tewin Road| Welwyn Garden City | AL7 1BW
Twitter: @DavidLawNHS  

PA: Natalie Howard
Tel: 01707 388145

Programme SROs

Colin Scales, Chief Executive, Bridgewater Community Healthcare NHS Trust

David Law, Chief Executive, Hertfordshire Community NHS Trust

Meetings and Events

View and download the documents.

Key documents

Initial Programme Plan
CI Programme PID for Vision and Strategy
CI Programme PID for Governance Accountability Final


Slides for workshops – January 2015
Presentation to NHS Providers and NHS Confed conference – 22 January 2015
Presentation to HFMA community Costing Group – March 2015
Presentation to Kings Fund Conference – March 2015

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