This project will enable disadvantaged people, such as adults who self harm, housebound older people, people with mental health concerns and older carers, to have a stronger role in designing user-led and user responsive health and social care services. The project will work with people from 40 groupings and networks using a community development approach. This four year project will directly benefit 40 organisations and 250 disadvantaged people. This four year grant will part fund salaries.