International Community Hospitals

The Community Hospitals Association continues to make connections with community hospitals internationally, and to learn from studies and visits.  We have produced a resource pack of references on key international papers.  Read more


The CHA has been interested in the programme to develop community hospitals in Italy.  The CHA committee has been working with Professor Giovanni Fattore and his team at the University of Boccini. The team is advising the Italian Government on their strategy to develop 400 community hospitals.  Members of the committee, including Tom Brooks and Helen Tucker, have made presentations to the team. 

The CHA was invited to present at a national conference in Italy on health services in November 2022, at the CONVEGNO OASI 2022 at the University of Bocconi 16th November 2022 - download presentation here

The CHA presented to the National Hospital Construction Technology Center, Centro Nazionale Edilizia Tecnica Ospedaliera on the 13th February 2023  - link to programme   and the CHA presentation here 

We were also pleased to meet Verdiana Morando of the University of Bocconi who talked of La Casa Della Salute (House of Health) and advised of the Government requirements for levels of intermediate care in every area.


Jostas Mwebembezi
Food relief in Covid 19

Jostas is the Executive Director of the Rwenzori Center for Research and Advocacy (RCRA) in Uganda. Jostas has already achieved much with the provision of integrated outreach clinics. He has now prepared a business plan for a community hospital with beds.  This is with the help of a UN volunteer with considerable international expertise. Committee members of the CHA have talked to Jostas on a zoom call, and shared ideas, links and resources. Some of the themes and challenges have similarities with the UK in terms of rurality and access, although clearly the context is very different. We will continue to follow progress with interest, and continue to share in a mutually beneficial way. 

Jostas has asked us to publicise their appeal for Ultrasound equipment for women and children in Kasese.  Jostas would be pleased to talk about secondhand equipment.  More details here

Jostas Mwebembezi is an active member of our Association.    Please contact the CHA if you think you can help.  We wish the project well. It is clearly a much-needed facility. 



The CHA organised a visit by Simo Kokko from Finland, who has just carried out a major study exploring the use of community beds in community hospitals.  With the CHA, Simo was invited to visit Crowborough Hospital and Rye Hospital in Sussex.  The CHA has had a long association with Finland, with connections to Kekki in the 1980s, and visits to Finland in the 1990s as reported by Dr Roger Jones.


Studies of community hospitals in Norway are contributing to our understanding of this model of care, and in particular the work of Garasen, Lappegard and Dhal as well as the earlier work of Aaraas.  Their work has included assessing outcomes, cost, and quality.  Norway has recognised the role of community hospitals in supplementing the work of the acute hospitals.


There has been a development of community hospitals in the Netherlands, with studies of the first community hospital by Charante showing that the community hospital was an alternative to acute care or care at home, and Roijen demonstrating that these services are a cost-saving alternative.


There is much to learn from the Canadian programme which has resulted in the closure of many rural hospitals.  Studies that have explored the impact of the closures on communities and community health include those by Petruka and James.

International Study

The NIHR has funded Rand to carry out a study of community hospitals internationally, in order to share the learning across countries. The report concluded that the community hospital model is "fluid" and very often these small local hospitals are designed either to serve a designated geographical area or a patient cohort.  The study identifies the role of community hospitals as an integrator.  The report is now available.