Turning the tide: a vision paper for multiple needs and exclusions

Document type
Anna Page; Oliver Hilbery;
Revolving Doors Agency
Date of publication
5 September 2011
Social Work, Social Care and Social Services, Offenders, Mental health services, Criminal Justice Services, Housing and Homelessness, Poverty Alleviation Welfare Benefits and Financial Inclusion, Substance Misuse
Social welfare
Material type

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This paper sets out a vision to support people experiencing multiple needs. People facing multiple needs and exclusions experience several problems at the same time: mental ill health, homelessness, drug and alcohol misuse, offending and family breakdown. They are routinely excluded from effective contact with the public services they need and tend to lead chaotic lives that are costly to society and their own wellbeing. This vision statement calls for national leadership to ensure local areas provide effective coordinated services to people with multiple needs.  The paper sets out five building blocks for this new approach:

  • Communicating a clear message that tackling multiple needs and exclusions is a government priority
  • Defining and identifying people experiencing multiple needs and exclusions
  • Creating accountability, leadership and transparency
  • Making outcomes and commissioning work for this group
  • Getting the finances right in local areas

The paper expands upon each of these building blocks, including making specific recommendations.

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