Community healthcare and local centres provide local services some of which would formerly been entrenched in acute hospitals. These facilities are emerging as models which support local people where specialist care can be safely be provided in less hi-tech facilities. A wide range of health and care professionals from a variety of agencies often come together in local centres and patients may be able to access a wide variety of consultations, services and tests in one place. Some specialist centres are also relocating out of main hospitals into local settings.

Tangram has also designed community hospitals, some with inpatient provision. These generally larger buildings are often equipped with a very broad range of services and equipment requiring detailed understanding of the full spectrum of acute design albeit for a local facility.