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
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A Deep Dive into the Small Supports experience in Plymouth

Evaluation of the Small Supports Pilot in Leeds 2022-2024
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