Social exclusion is defined as a: “process through which individuals or groups are wholly or partially excluded from full participation in the society in which they live” (European Foundation, 1995). Across the 2Seas region health/social care providers have become aware of a growing number of socially excluded vulnerable people whose needs are not recognized/met by current structures & services. At present services are accessed by allocating people a pre-determined “label” eg autistic. ENSURE will reach both the significant number of people who do not fit these labels & are passed from one service to another without attaining support as well as those who do not access support despite meeting the criteria. ENSURE will provide a simple, effective solution to prevent their situation worsening & causing great cost to them & society. It recognises that services are failing these people & provides a cost-effective system redesign to prevent vulnerability in our communities.