Who are we?

• UK-based part of a European Foundation• Small permanent income• Broadest possible remit• Strong record of innovation

How we work: a bit of the theory

All about maximising beneficial impact

• impact beyond the locality of any project• time-limited programmes and partnerships• proactive and objective-driven• bridging divides and looking across issues• selective multi-year commitments• greater engagement and follow-through• learning and dissemination• change not glory

How we work: some of the practice

• exploring – scanning and scoping, gathering evidence, supporting pilot projects and identifying what works.

• exchanging – connecting to practical experience, building coalitions and supporting networks.

• explaining – advocating and communicating the outcomes of work to those who can effect change.

• exiting – ensuring a legacy and moving on.

And some of our questions….

Where are the levers for change?• Policy, practice or both?• Top down or bottom up?For practitioners• Single or multiple vehicles?• On what scale?• What are models of the future?For foundations• What is the role of philanthropy?• When should we pull out?

Changing a system …

To help improve the quality and coherence of services for individuals facing multiple needs and exclusions …

Start with a problem…Homelessness (98%)

Street Culture Activities (67%) Institutional

Care (62%)

Substance Misuse (70%)

47%

4%

15%

<1%

<1%

5%

12%6%

6%

3%

<1%

• 47% have experiences of all four needs, above, with 98% having experienced homelessness

• There is a need for an integrated response

The systemHome Office/

Justice MinistryHealth/Home

OfficeCommunities

DeptDept. HealthGOVERNMENT

Criminal Justice Substance misuse Homelessness Mental HealthCOMMISSIONERS

Prisons/Police/

ProbationDrug Treatment Hostels,

housingHospitals /

CMHTsSERVICES

INDIVIDUAL

Practical coordination

Pooled budgets

Payment by results

Personalisation/ individual budgets

Innovation

System or movement?

Some questions to address…

Where are the levers for change?• Policy, practice or both?For practioners• Single or multiple models?• How big?• What are models of the future?For foundations• What is the role of foundations?• When should we pull out?

The quote… George Bernard Shaw

The reasonable man adapts himself to the world: the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man [or woman].