Today we publish the first in a short series of briefings on multiple needs, drawing on data and insight from the Fulfilling Lives: Supporting people with multiple needs programme.

Everyone deserves the opportunity to reach their full potential. But the current system is not working for people with multiple needs. Many of their interactions with public services are negative and/or avoidable. Few receive the care and treatment they need.

This results in substantial costs to the public purse. When people first join the Fulfilling Lives programme they are each using, on average, at least £25,000 in public services per year. Across all 3,000 plus Fulfilling Lives beneficiaries this equals over £88.5million. There are also serious social and economic impacts as well as the tragic waste of human life and potential – 1 in 20 beneficiaries have died since the start of the programme.

Fulfilling Lives offers a different approach – involving persistent and ongoing support, free from restrictive timescales and focusing on beneficiaries’ priorities. Change will take time, but after just one year, the evidence suggests that Fulfilling Lives reduces negative behaviours and misdirected demand for services – including a reduction in homelessness, evictions, visits to A&E and interactions with the criminal justice system. This creates the opportunity to use resources differently. This initial annual reduction in use of services is worth at least £2,100 per beneficiary per year – £7.3million across all Fulfilling Lives beneficiaries.

Read the briefing here. Further information about data sources can be found in the accompanying method notes here.

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