This report was commissioned by Brighton & Hove City Council to assess the cumulative impacts of the Coalition Government’s welfare reforms; explore how residents and services have responded to these changes; and advise on the design and delivery of future support. The report finds that the financial impacts of reform in Brighton are among the highest in the country, driven in particular by very high private sector rents and low household incomes. Larger families, disabled people and young people are all disproportionately affected, with non-financial impacts on health, housing, nutrition, child wellbeing and family and community networks. Services are responding – and are often praised by residents – but are grappling both with rising demand and declining resource. Looking ahead, the recommendations focus on ways that partners can improve monitoring and identification of those in need, engagement with services, the targeting of support, and building resilience for the future – particularly across income, housing and employment support.