Measuring Success in Integrated Community Mental Health Systems

As community mental health services become more integrated, commissioners are increasingly focused on how success is measured across systems rather than within individual organisations. Providers must demonstrate that integration leads to tangible improvements for people, not just structural change.

This expectation aligns with community mental health and integrated models and is closely linked to system-wide approaches to outcomes, recovery and impact measurement.

Why measuring integrated impact matters

Traditional performance measures often focus on organisational outputs. Integrated models require a broader lens that captures:

  • system-wide demand management
  • pathway flow and access
  • outcomes for people using services

Without this, it is difficult to demonstrate the added value of integration.

Common outcome measures in integrated community mental health

Commissioners typically expect a combination of quantitative and qualitative measures, including:

  • reduced crisis presentations and admissions
  • improved access and waiting times
  • progress against recovery-focused goals

These measures help assess whether integration is delivering meaningful change.

Using shared performance frameworks

Integrated systems increasingly adopt shared performance frameworks that span multiple organisations. These frameworks:

  • align metrics across partners
  • support joint accountability
  • enable system-level learning

Providers must be able to contribute reliable data into shared reporting arrangements.

Capturing lived experience and qualitative impact

Quantitative data alone rarely tells the full story. Commissioners also value evidence of:

  • service user and carer feedback
  • case studies showing joined-up support
  • examples of improved continuity of care

This qualitative evidence helps bring integrated working to life.

Learning and continuous improvement

Integrated systems are expected to use data for improvement, not just assurance. This includes:

  • regular system-wide learning reviews
  • joint action planning
  • transparent sharing of learning across partners

Providers who can evidence active learning tend to build stronger commissioner confidence.

What commissioners ultimately want to see

From a commissioning perspective, success in integrated community mental health systems is defined by improved outcomes, reduced system pressure and positive lived experience. Providers who can clearly evidence these impacts are well positioned as long-term system partners.


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Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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