Jubilee Gardens – Development That Gives Back
- April 2025
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The story of the complex needs alliance begins in 2012 when Plymouth participated in the bidding process for the BIG Lottery Making Every Adult Matter fund. As part of that process we carried out a huge consultation with services and the people that use them. As a result, commissioners, services, and the people using those services concluded that parts of the system were highly dysfunctional. Targets were disparate and set-up perverse incentives, there was little or no synergy between commissioning strategies, competition militated against co-operation to the detriment of people using services and thresholds and boundaries had little utility other than as a means of excluding people from services. We were unsuccessful with the lottery bid but felt the issues were so important that we would continue the work with a view to transformational change towards a whole system approach with the needs of the end user at the centre of the process.
Story of Change
When the 2012 lottery bid was unsuccessful, the core leadership team of the bid continued to meet weekly for 18 months to try to progress some of the learning garnered during the bid and to maintain momentum. In early 2014, it became clear that continuing austerity meant complex needs services – drugs, alcohol, homelessness, and mental health were unsustainable in their then-current form. The director of the Integrated Commissioning Team, therefore, invited the leadership team and the public health person facilitating the team to work with two commissioners to explore more systemic approaches to complex needs with a view to a radical re-design.
Gary Wallace
Lead Manager Plymouth Health Determinants Research Collaborative
Plymouth City Council