HFMA outlines community benefits

25 March 2019

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The value of community services: comparison with acute settings acknowledges many studies showing community care is not a cheaper alternative to hospital-based care when considered on a like-for-like basis. But the picture changes when the value of community care is factored in.

It argues that the value of community care must be analysed holistically and over time. It should include the impact of prevention and potential slowing of the deterioration of a condition.

The value-based care focus on maximising the outcomes that matter to patients at the lowest possible cost means better use of resources and improved value for money. Better outcomes can lead to more self-care and fewer admissions and A&E visits.

A University of Birmingham study said patients felt more at home in a small hospital, while community services can offer more personalised care. Patients also attribute value to less travel time and disruption, and maintaining social networks.

The HFMA said staff employed by acute trusts, but delivering care in community settings, value increased autonomy and meeting patients in less formal environments. Community staff like delivering acute-style services, allowing them to gain or maintain skills.

The report said the value of switching services into the community were wider than direct cost savings.