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In the community

What are community-based services?

The community-based services we regulate include healthcare and support and treatment for people with learning disabilities, mental health needs or substance abuse problems.

These kind of services help people to live independently and can offer care and support for both acute and chronic conditions.

Inspecting and regulating community-based services

Download this document to find out how we will be inspecting, regulating and monitoring community-based health care services:

A fresh start for community health care PDF | 576.55 KB

A fresh start for the regulation and inspection of substance misuse services

Find out about how we're changing the way we regulate, inspect and monitor specialist substance misuse services.

A fresh start for the regulation and inspection of substance misuse services PDF | 489.85 KB

Types of community-based service

Community healthcare

  • A range of healthcare professionals other than doctors
  • Care to people in their own homes, community settings or child development units
  • District and school nurses as well as community physiotherapy, rehab and health visiting teams

Community learning disability services

  • Care for people with these kinds of disabilities using a range of approaches
  • Multidisciplinary teams of health and social care professionals
  • People who use the services may receive short-term interventions or long-term support and may also move between teams

Community mental health services

  • Care for people with mental health needs using a range of approaches
  • Multidisciplinary teams of health and social care professionals
  • Care for people subject to supervised community treatment under the Mental Health Act
  • Child and adolescent mental health services (CAMHS), assertive outreach, early intervention and crisis resolution teams
  • People who use these services may receive short-term interventions or long-term support and may also move between teams

Community substance abuse services

  • Care for people who misuse drugs and/or alcohol
  • Care, treatment and support to help people reintegrate into their communities
  • A broad range of health and social care professionals
  • Community drug and alcohol teams as well as criminal justice intervention teams

Our latest findings

From our Care Update...

Our latest Care Update includes details of how well both NHS and independent community services were meeting standards up until the end of last year.

NHS community healthcare

Over the period 1 April to 31 December 2012, we saw improvements in some key areas:

  • 92 per cent of inspections showed these services planned and delivered care that met patients' needs, up from 81 per cent for the whole of 2011/12
  • 98 per cent of services were protecting people from the risk of abuse, a rise of nine per cent
  • 92 per cent of inspections found staff were supported through training and supervision, an increase of six per cent.

Read more in our Care Update.

NHS mental health, learning disability and substance abuse services

Over the period 1 April to 31 December 2012, we saw improvements in some key areas:

  • services improved at treating people with respect and involving them in their care, with 92 per cent of inspections finding this standard was met, an increase of six per cent on the whole of 2011/12
  • 96 per cent of inspections found people were protected from the risk of abuse, up from 86 per cent
  • staff were better supported through supervision and training, with 95 per cent of services meeting the standard compared to 90 per cent in 2011/12
  • there were, however, early warning signs in mental health and learning disability services, however, where we saw the proportion of services maintaining adequate staffing levels drop by 11 per cent to 80 per cent.

Read more in our Care Update.

Independent community healthcare

Generally, these services were performing better than their NHS counterparts. Over the period 1 April to 31 December 2012, we saw these positive developments:

  • 97 per cent of inspections showed these services planned and delivered care that met patients' needs, up from 88 per cent for the whole of 2011/12
  • 95 per cent of services were protecting people from the risk of abuse, a rise of five per cent
  • 95 per cent of inspections found staff were supported through training and supervision, an increase of 4 per cent.

Read more in our Care Update.

Independent mental health, learning disability and substance abuse services

Over the period 1 April to 31 December 2012, we saw improvements in some key areas, although in some these were from a very low base so there is a considerable way to go:

  • 86 per cent of services were found to have planned and delivered care that met patients' needs, up from 69 per cent for the whole of 2011/12
  • Staff were better supported through supervision and training, with 89 per cent of services meeting the standard compared to 81 per cent in 2011/12
  • Services had improved at treating people with respect and involving them in their care, with 93 per cent of inspections finding this standard was met, an increase of 8 per cent
  • 93 per cent of inspections found people were protected from the risk of abuse, a rise of 20 per cent.

Read more in our Care Update.