In July 2014 we were commissioned to deliver the Big Lottery's national programme, 'Fulfilling Lives: Supporting people with multiple needs.'

We are one of 12 projects across the UK working with people facing multiple and complex needs to deliver this programme.

Over a time-frame of eight years (with completion in 2022), we aim to work with approximately 470 adults in Nottingham who are experiencing at least three out of our four project criteria; homelessness, offending, mental ill-health and substance misuse.  

In order to improve the lives of people facing multiple and complex needs in Nottingham, the project has the following aims:

  1. Empowering people with multiple and complex needs. Enabling them to take control of their lives.
  2. Changing the front-line service approach. Improving coordination. Increasing Beneficiary input. Agreeing realistic timescales.
  3. Changing the system's DNA. Using project findings to make the case for change at a strategic and commissioning level.

In order to achieve these aims, we follow two core principles;


  • Individual Beneficiary support across city-wide services via our team of Personal Development Coordinators
  • Team Leader specialisms to ensure balanced support/focus across all four project criteria
  • Close City-wide partnership working at all times
  • Beneficiary input at all times
  • Representation and input at multi-disciplinary City-wide meetings.

System Change:

  • Continuous evaluation, sharing and application of learnings
  • Commissioning of services
  • Representation and input at strategic and policy-setting level (Nottingham City)
  • Beneficiary input at strategic and policy-setting level (Nottingham City)
  • Participation and input in National strategy and policy-setting, predominantly via our Beneficiary Ambassadors.

In November 2018, we launched our five-point system change challenge:

  1. The system works as one
  2. Services are welcoming
  3. The system is service user led or informed
  4. We build resilience in our service users and our workforce
  5. We acknowledge and respond to multiple and complex needs