Support continued for people experiencing severe and multiple disadvantage in Nottingham City

The Nottingham City Place-Based Partnership is delighted to learn that the government’s Changing Futures programme, which was scheduled to close in March 2025, is to be extending for a further year. Changing Futures has been at the core of the PBP’s severe and multiple disadvantage* (SMD) programme since 2022, supporting people experiencing extreme health inequalities in Nottingham.

As part of the Spending Review settlement covering 2025/26, the government has announced £10m is to be allocated to support the continuation of service provision across the 15 participating areas. Nottingham is to receive just under £650k of this allocation.

The Nottingham City PBP’s SMD programme has been successful in stopping the revolving door of the same services spinning for hundreds of people, improving health outcomes, helping them to recover, sustain tenancies and get back into employment. It has also delivered financial efficiencies across sectors including, health, social care, housing, police and criminal justice, reducing demand pressures and empowered staff to challenge traditional ways of working.

Last year, the Nottingham City PBP secured just under £1.5m in recurrent funding from the Nottingham and Nottinghamshire Integrated Care Board’s Health Inequalities and Innovation Fund enabling the continuation of core services previously funded under Changing Futures. This announcement from the government allows continuity of the wider programme of work provided in Nottingham since 2022, enabling partners to continue to make progress in transforming the lives of people facing extreme health inequalities.

To learn more about our work to support people experiencing severe and multiple disadvantage, watch this episode of Health & Wellbeing LIVE.

* People who experience SMD (co-occurring experiences of homelessness, problematic substance use, mental-ill health, domestic and sexual violence and/or abuse, and offending) are amongst the most vulnerable to poor health outcomes within our population. The challenges they face substantially increases their exposure to chronic health problems, shortened healthy life expectancy, and significantly premature death.