Adult Community Health

At HCRG Care Group we’re moving the system forward at an agile pace, and we’re doing it in ways that were aligned to the NHS 10 Year Plan even before it was created: moving from hospital to community, from analogue to digital and from treatment to prevention.

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Adult Community Health

Creating better lifelong health outcomes by achieving three radical shifts in adult health

Local authorities and the NHS are increasingly measuring success by outcomes rather than outputs, and for a long time this is how we’ve looked at designing community services. Are adults living independently for longer? Are health inequalities narrowing? Are people confident and supported in managing their health?

Together, we create community-first services that mean adults can stay healthier for longer, with seamless access to the right level of care at the right time.

For more information, please contact

Robert Flack

Director of Growth and Partnerships

Having undertaken leadership roles in the commercial, not for profit, social enterprise and NHS sectors, Robert now works to continuously improve our teams, relationships and services at HCRG Care Group.

Hospital to Community

Our neighbourhood-based multidisciplinary teams reduce reliance on hospital services, offering personalised care planning that brings in specialists only when they’re needed.

Analogue to Digital

We set up a digital front door that offers an always-on access point for resources and self-referral – reducing the need for in-person visits and moving people away from the idea they need a GP appointment before they can receive care.

Sickness to Prevention

We join up fragmented systems to get visibility into the wider determinants of health, and we build roads between local authorities, the NHS, and VCFSEs to reach vulnerable groups to ensure they access care early.

How we’re co-designing the future of care

By investing in a digital front door and neighbourhood teams, working with VCFSE partners, and setting up multi-disciplinary triage with a single point of access, we can ensure people are fast-tracked to urgent care when needed but are otherwise supported in the community rather than in a hospital.

This opens the way for smarter care pathways that prioritise prevention. Combined with third sector partnerships and estate reform – we can deliver services at 10% lower cost without compromising quality or consistency. In BSW, for example, we transferred over 2,000 staff and 100+ service lines from nine providers without disruption.

The systems at work

Designed according to need

Being commissioned against an outcomes framework means our teams have the freedom to design services based on the community’s needs, taking into account commissioning priorities, children’s population health data and community engagement.

Pathway redesign

We redesign pathways that integrate fragmented services into needs-based models (such as frailty, foot health, or neurodiversity) to make care more personalised and create room for new efficiencies.

Continuity of care

This ensures people only have to tell their story once, and personalised care plans are followed across multi-disciplinary teams in a true integration of services.

Local people have more control

We make it easier for them to proactively manage their conditions rather than simply joining waitlists, as well as self-refer to access the community services they need.

Neighbourhood teams

We use data and population health tools to target interventions where they matter most – and are appropriately trained in trauma-informed, personalised care approaches, ensuring care plans reflect what matters to people, not just their diagnoses.

Smart delivery model

This enables us to step patients up from community to specialist intervention without defaulting to acute admissions, making the most of community beds and remote monitoring.

System leadership

We actively drive collaboration across existing community providers for system-wide benefits, as well as bringing in new strategic partners such as the Stroke Association to own specialist care pathways.

Community partnerships

We embed small charities and social enterprises into delivery, and codesign with local people and organisations, ensuring our services feel embedded rather than imposed.

Upfront investment

We invest into infrastructure and transformation – such as in BSW where we are investing over £8m to deliver change in two years rather than ten – without requiring extra funding in the initial years of a contract.

How to work with us

If you’re a commissioner looking to make change happen in your communities, our delivery model is a green light for your ambitions. Our agile, joined-up and co-designed ways of working ensure you don’t need to compromise quality to build an efficient system – even saving up to 10% in the process.

Whether you’re looking to procure or simply explore the ways we can create outcomes even on reduced budgets we want to talk.

Adult services for local authorities

We deliver our adult services in a strategic way, offering system leadership to reshape care pathways, create fairer access, and empower adults to self-manage where appropriate.

Our Quality Promise is holistic and ensures we not only deliver high quality services but we also fulfil the requirements of good citizenship: addressing the wider economic, social, and environmental challenges faced by your communities.

  • Audiology
  • ADHD Assessment and Treatment
  • Adult Complex Health Needs Service
  • Specialist Nursing
  • District / Community Nursing
  • Hearing Therapy
  • Physiotherapy
  • Podiatry
  • Speech and Language Therapy
  • Hospital at Home
  • Neurology
  • Reablement Therapy
  • Respiratory Services
  • Rapid Response Falls
  • Rehabilitation Inpatient Units
  • Autism Assessment Service

Adult services for ICBs

We work with ICBs to join up and streamline adults’ services, ensuring those with additional needs receive personalised care that results in improved outcomes and reduced health inequalities.

We also support other organisations such as foundation trusts to deliver on these contracts to ICBs.

  • Audiology
  • ADHD Assessment and Treatment
  • Adult Complex Health Needs Service
  • Specialist Nursing
  • District / Community Nursing
  • Hearing Therapy
  • Physiotherapy
  • Podiatry
  • Speech and Language Therapy
  • Hospital at Home
  • Neurology
  • Reablement Therapy
  • Respiratory Services
  • Rapid Response Falls
  • Rehabilitation Inpatient Units
  • Autism Assessment Service