Nobody Left Outside (NLO)

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The Nobody Left Outside (NLO) initiative is a collective of organisations representing people in some of the most marginalised communities in Europe, who are underserved with respect to healthcare. These communities include homeless people, LGTBI people, people who use drugs, prisoners, sex workers and undocumented migrants.

The NLO initiative provides a European-level platform for organisations to collaborate to identify shared challenges, exchange lessons and good practice, seek innovative solutions, and speak with a unified voice to offer guidance to improve healthcare access for the communities of people they represent – on the basis that nobody should be left outside



Some populations including homeless people, LGTBI people, people who use drugs, prisoners, sex workers and undocumented migrants, minorities at a significantly higher risk of poor health than the general population and are often in highly vulnerable situations. At the same time, they face significant challenges in accessing healthcare systems. Underserved groups are often described as ‘hard to reach’, whereas, from the perspective of users, it is frequently the services that are hard to reach. Pockets of best practice across the European region show us that inequalities in service access are not inevitable and can be addressed. Successful models of community-based care are ripe for replication. Such innovative pilots prove what can be achieved with community engagement, in spite of limited resources. Coupled with political will, they could be used to inform service redesign and spark a paradigm shift towards more integrated, people-centred, and equity-based health care services.



Activities to date include: NLO Platform meetings to identify common barriers and identify best practices; Health service redesign checklist; Policy incubation workshops; awareness-raising; Communication through journal articles and blogs; Advocacy through open letters signed by all NLO organizations and awareness-raising communications campaign; participation and presentation at policy meetings.


For what outcome?

Common challenges and promising practices to address them are identified, shared and promoted via evidenced-based recommendations for policies and guidance. These will inform services redesign and support the transformation of current health systems towards people-centred, efficient care including community-based care.


EATG contact person(s):Ann Isabelle von Lingen –
Duration of the project/initiative:2017 – ongoing
Initiative secretariat coordinator:Dentons
Main partner(s):AAF, Correlations, EATG, FEANTSA, Hep C Trust, ICRSE, ILGA-Europe, ISGlobal, NPS Italia Onlus, PICUM
Main funding sources:Merck Sharp and Dohme (MSD)


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