Fulfilling Lives: Supporting people with multiple and complex needs learning and evaluation overview

The Fulfilling Lives programme

The National Lottery Community Fund has invested £112 million over 8 years in local partnerships in 12 areas across England, helping those experiencing multiple disadvantage access more joined-up services tailored to their needs. Multiple disadvantage is defined as experience of two or more of homelessness, substance misuse, reoffending and mental ill-health.

The programme aims to change lives, change systems and involve beneficiaries. The programme is not a preventative programme, but instead aims to better support those with entrenched needs who are not otherwise engaging with services. The programme uses coproduction to put people with lived experience in the lead and builds on their assets to end the revolving door of disjointed care for adults.

The programme has three main outcomes:

  • People experiencing multiple disadvantage manage their lives better through access to person-centred and co-ordinated services.
  • Services are tailored and better connected, with service users able to fully take part in effective service design and delivery.
  • Shared learning and the improved measurement of outcomes will demonstrate the impact of service models to key stakeholders and influence future programme design by local services.

The programme also has a strong focus on systems change, so that these new ways of working can become sustainable. Each of the 12 partnerships have created their own local systems change plan with a series of priorities for the remainder of the programme. Taken together, five common themes have emerged which form the national systems change focus. The system change priorities can be read here.