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.

We have a System Change Plan with six priorities:

  1. Improving access to services (including accessible information)
  2. Working towards a unified single assessment and data sharing
  3. Beneficiary-led person-centred services and support, including treatment
  4. A joined-up pathway, starting with prevention and early intervention
  5. A focus on recovery
  6. Working towards sustained change – commissioning, funding and policy