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Our history

Hounslow and Richmond Community Healthcare (HRCH) came into being on 1 April 2010 - following the merger of the previous community health services covering the London boroughs of Hounslow and Richmond into the new single organisation.

We became an independent NHS trust -  Hounslow and Richmond Community Healthcare NHS Trust - in April 2011, following approval  from the Secretary of State for Health.


In 2005 the Department of Health published Commissioning a Patient-Led NHS that directed Primary Care Trusts (PCTs) to separate their community services from their commissioning functions. This was followed in January 2009 with the publication of 'Transforming Community Services' which provided detailed guidance on the development of community provider organisations. The development of strong and high quality community services was also a key element of the NHS vision laid out in Lord Darzi’s Next Stage Review.  

In the context of these policies, and following two years of discussion and detailed examination of the different options available, both Hounslow and Richmond PCTs (NHS Hounslow and NHS Richmond) concluded that their community services were too small to function individually if they were to deliver the scale of change required by Transforming Community Services. 

In light of this, their respective boards agreed that the best option would be an alliance between the community services of NHS Hounslow and NHS Richmond. As a result, a management alliance between Hounslow and Richmond provider services came into effect on 1 April 2009.  A year later, on 1 April 2010, we began operating as one organisation called Hounslow and Richmond Community Healthcare, hosted by NHS Richmond.

Following approval from the Secretary of State for Health, the organisation became an independent NHS trust, Hounslow and Richmond Community Healthcare NHS Trust, on 1 April 2011. 

UCC Nurse