The Trafford Children with Disabilities (CwD) – Complex Needs Service has undergone significant transformation in response to longstanding concerns from families, schools, and professionals about accessibility, clarity, and effectiveness. Historically, the service faced challenges including unclear pathways, limited short break options, and a lack of trust among stakeholders. This practice guide outlines Trafford’s journey to redesign and co-produce a more responsive, inclusive, and needs-led service. Through streamlined access, strengthened assessment processes, and a renewed focus on partnership and co-production, the service now delivers more timely, tailored support to children with complex needs and their families—ensuring better outcomes and building confidence across the system.