Small Supports 2022-2025

Discover how NHS England funding helped seed nine new Small Support organisations, with more to come, plus reports, resources, and peer network insights.

With the confirmation of NHS England funding in late 2022, we were able to roll out a full programme of support with the ambition of seeding new Small Support organisations across England. Over the past three years, we have worked alongside twenty local authorities and a number of Integrated Care Boards (ICBs). Currently, there are nine new organisations; some are live and supporting people, others have completed CQC registrations and are taking their first referrals. Over the next two years, we are hopeful that we will see a further ten Small Support organisations’ ‘go live’.

Building on our foundation partnership with Beyond Limits, C-Change Scotland, and Positive Support for You, we have hosted and supported the establishment of a ’Small Supports Network’, where new organisations and existing Small Support organisations meet, discuss, and provide ongoing peer-to-peer support. All our new Small Support organisations are part of this network and will continue to have access to peer-to-peer support in the long term.

On this page, we share reports documenting the development of new Small Supports in Leeds, the long-term impact on lives and economics (Plymouth), and a report explaining the impact of every £1 sterling invested in a local Small Support organisation. Alongside this are links to a full set of our Lunchtime Sessions and to several other resources.

The Small Supports Living Library

We champion and advocate for Small Support organisations because they work. The reports on this page explain their impact; the voices of people, including family members, are even more important. Over the past year, we have set about documenting the diverse voices of individuals who explain the impact on their lives and those of their family members. Visit our Living Library to hear firsthand what it means to people to have support from a person-centred, local, and small support organisation.

Resources

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Working with Multi-Disciplinary Teams and Small Supports

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Video
Fiona Ritchie (NDTi Associate), with Anne Worrall-Davies, Clinical Lead, Learning Disabilities and Autism, Children and Young People, NHS England, and Helen Toker-Lester (NDTi Associate), discussed the opportunity Small Supports present Multi-Disciplinary Teams to deliver a truly person-centred discharge to support that will stick with the person through thick and thin.

Human Rights and Small Supports: The foundation of everything we do

Resource
With Kirsten Peebles and Charli Clement (NDTi and people with living experience) talk about their work in delivering human rights training, the importance of human rights for Small Support organisations and getting it right by each person they support.

Reducing Restrictive Practice in the Community – Alexis Quinn with Bill Love

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Video
With Alexis Quinn from the Restraint Reduction Network. Bill (NDTi) and Alexis talk about restraint reduction and how the person-centred practice of Small Supports organisations and the focus on relationships provide a really strong blueprint for the long-term elimination of restrictive practice.
Commission evaluation

Evaluation of the Small Supports Pilot in Leeds 2022-2024

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Evaluation and learning
Report documenting the outcomes of a two year pilot in Leeds to develop new small support organisations for people with learning disabilities and/or autistic people.

Building a Bridge: Small Supports

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Video
This session talked about Small Supports that cross boundaries and services, following young people as they become independent adults.

Diving deep into the Ocean City Story

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This session shared learning from long-term Small Supports activity in Plymouth: case studies, stories and wider impact on cross-city collaboration with Nic Crosby and Mike Richardson (NDTi). This report is authored by Mike Richardson and Dr Victoria Mason-Angelow *Please note this report features real-life stories detailing instances of substance abuse, sexual abuse and mental health, which some people may find upsetting.
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A Deep Dive into the Small Supports experience in Plymouth

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Evaluation and learning
Report exploring the long term impact of Small Supports organisation Beyond Limits.

Lessons learnt and outcomes shared

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Steve Bardsley, from Leeds City Council, and Dave Barras, CEO of Positive Support for You and an NDTi Associate, were interviewed by Fiona Ritchie, also an NDTi Associate. They discussed the work and effort required to establish new support organisations and what this means for people.

“A Hole in My Bucket?” – how spending decisions impact wealth and wellbeing of our communities

Resource
Evaluation and learningVideo
Recording of a webinar about a report on spending decisions in Small Supports.

Related collections

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A local and person-centred future: Small Supports

Collection
A series of online events sharing learning, discussion, and hope. These international events were held online in Autumn 2025.
Podcast

Small Supports: Podcast series

Collection
Our Autumn 2025 podcast series featured many great conversations, covering all aspects of Small Supports, including the roots and foundations of Small Supports, people with lived experience of institutionalisation, human rights, coproduction, and what makes for good support.
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Small Supports: The need for a bespoke solution

Collection
A range of research, webinar recordings and articles on person-centred support solutions for people in secure, forensic, and mental health in-patient units.

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