Greater London



Lead partner

London Borough of Hackney Public Health

Hackney Service Centre,
1 Hilman Street
E8 1DY

Other Partners

  • East London NHS Foundation Trust
  • Hackney Recovery Service
  • One Housing
  • Penrose
  • Metropolitan Police Service (Hackney Central)
  • National Probation Service
  • London CRC
  • Providence Row Housing Association
  • Single Homeless Project
  • St Mungos
  • Thames Reach
  • LB Hackney Adult Social Care
  • LB Hackney Housing Advice and Options Team
  • LB Hackney Benefits and Housing Needs
  • City and Hackney CCG
  • DWP
  • LB Hackney Safer Communities
  • Westminster Drug Project

Area Summary

Getting started – partnership, co-production and defining the problem

Hackney's Multiple Needs Service launched in 2016 due to an increasing awareness of the need to provide holistic support for those experiencing multiple disadvantage. Our programme is based within the Council’s Public Health team, and a core aim of the service is to improve the health and wellbeing of clients. The service is part of a wider operational partnership which includes local housing and hostel providers, substance misuse services, mental health services and criminal justice services. We are planning to focus on coproduction this year in more detail to ensure that our service is informed by people with lived experience.

Designing your intervention

Hackney’s Multiple Needs Service is coordinated by the service manager and delivered by our team of three practitioners. Each practitioner works with eight clients, and at any one time the service works with up to 24 individuals who often experience all four of the severe and multiple disadvantages as well as domestic violence. We work closely with partner services and have agreements on joint working with all referring services. We meet every week for clinical overview of the client’s support and hold a monthly operational partnership meeting to ensure local services are working together to the meet client's needs.

Sustainability and system change

We aim to address systems issues from the ground up with our practitioners working to identify and unblock issues that affect our clients on a daily basis. Information on systems issues and blockages will also be collected from our wider operational partnership and will feed up directly into senior strategic partnership structures with a view to resolve. We are seeking to eventually embed the service into our commissioning structure, drawing on a rigorous evaluation process.