As a values-led investor, Fulcrum already place a clear focus on Environmental, Social and Governance (ESG) criteria in the delivery of community healthcare facilities throughout the UK.
But while ESG offers valuable criteria for companies to follow, it remains a very broad framework and it can be difficult to accurately measure the impacts and benefits these activities deliver. Fulcrum are therefore tackling this challenge head-on by publishing a ‘Social Value Annual Report’ each year.
These yearly reports are an important step in analysing the impacts of the many community partnerships, initiatives, ESG and CSR activities Fulcrum is delivering throughout the country. The latest report in 2025 shows:

COMMUNITY CONNECTION – Fulcrum’s partnerships and projects have delivered over £165m of social value to local communities
The report’s first theme – Community Connection – outlines that Fulcrum’s facilities are shown to be more than clinical spaces, they are trusted community anchors. The report sets out how a range of health centres have become vibrant hubs of social activity, offering everything from youth clubs and cultural festivals to trauma support and social prescribing – detailed analysis shows that these initiatives have helped to deliver over £165m of social value to local communities.
HEALTH AND WELLBEING OUTCOMES – three health centres alone have delivered over £850m of wellbeing value to local patients
The report’s second theme highlights how Fulcrum’s integrated, co-located facilities are delivering measurable improvements in physical and mental health. Detailed analysis of three facilities alone – the Heart of Hounslow Centre for Health, Tessa Jowell Health Centre and Newton Community Hospital – show they have delivered cumulative wellbeing impacts exceeding £850 million. Alongside this, there is clear evidence of how Fulcrum’s other partnerships with NHS bodies and community organisations are leading to improved diets, increased physical activity, and reduced anxiety among local residents.

HEALTH AND WELLBEING OUTCOMES – three health centres alone have delivered over £850m of wellbeing value to local patients

Fulcrum’s investment in community activities over the last 12 months has helped to deliver more than £1.5m of social value in total, directly benefitting a variety of audiences and community groups – from gardening projects for people in social care, healthy eating sessions for school children, better support for Mums-to-be, or access to health support for men and women over 50.

EMPOWERMENT – using health facilities to help communities to grow, learn and thrive
The report’s final theme – Empowerment – shows that through a wide range of partnerships across diverse communities, healthcare facilities can be catalysts for personal growth, social mobility, and long-term resilience. From creative arts projects to legal clinics and mental health support groups, these programmes have delivered significant Social Returns On Investment (SROI), with benefits extending to both service users and the wider health and social care system.