Investing in Small Supports for sustainable person-centred care

Small Supports organisations are bespoke, local, person-centred, and most importantly small.

Thanks to NHS England’s support over the past three years, we’ve partnered with 18 local authorities to seed and grow these organisations.

Our experience has shown what it takes to successfully establish Small Supports organisations that deliver highly skilled, round-the-clock support (when needed), and local support for people with learning disabilities and autistic people. Some may be at risk of admission to mental health in-patient services and others may already be there, awaiting discharge.

Whether you’re shaping your ICB-wide strategy or focusing on your local authority area transformation, we can support you with:

  • The challenges of market shaping.
  • Setting up and developing support that ensures people can live at home.
  • Reducing the numbers of people who are sent out of the area.

Explore our evidence base:

These reports show that while Small Supports are not a quick fix, they offer proven long-term benefits, better lives, better outcomes, and better value.

  • Leeds evaluation report

A detailed evaluation from a two years of partnership with Leeds City Council and West Yorkshire ICB. Link to resource page

  • Plymouth deep dive 

Long-term life and economic outcomes of Small Supports in Plymouth. Link to resource page.

These reports show that while Small Supports are not a quick fix, they offer proven long-term benefits, better lives, better outcomes, and better value.

Our support

  • Scaled to the size of the area that wants to take forward the Small Supports programme.
  • Commissioning, funding and ensuring contracts are all supportive of individual commissioning, including the use of direct payments and third-party budget arrangements (including Individual Service Funds).
  • Advertising, recruiting and supporting potential new small support providers to understand the work they will need to undertake.
  • Providing mentoring from existing successful small support organisations and supporting new organisations through the registration process with CQC.
  • Specific support in the development of Individual Service/Life Design.
  • Training and information about small supports and the person-centred foundations of this support for a range of audiences, including multi-disciplinary teams, social work teams, families and the wider workforce.
  • Expertise in housing solutions and connections with networks that bring together support providers and investors.
  • Monthly calls and an annual residential bringing together existing and new sites with small support organisations.
  • A huge bank of online resources and learning from our work over the past few years.

Individual resources

Sort by:

Filter by resource type:

Resource Type
NDTi_Document_CircleBlue_RGB

A Deep Dive into the Small Supports experience in Plymouth

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

Evaluation of the Small Supports Pilot in Leeds 2022-2024

Resource
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.

Can’t find what you’re looking for?

Search our website

Quickly find the information you need. Simply enter your keywords and explore our work.

Or

Browse our topics

Use this section to search our work, updates and events by topic.

Newsletter sign up

Subscribe to our monthly newsletter and a range of other subject specific newsletters and updates.