This chapter takes along view of the practice to observe structures, principles and methods that have run through the work. A process of “joining up” is identified, which facilitated the input of diverse sources of expertise to address social issues, and it is noted how all the projects have woven together elements of need, opportunity, research, skills, context and funding. The artist’s role is described in terms of the construction of organisational and material “frameworks” to enable collective creativity, together with the requirement to “hold” a project while disparate elements combine to produce a creative outcome. Emphasis is also made on the importance of “staying true” to the input of each participant and ensuring that “drivers” of the content come from those with direct experience of the issues involved. The chapter ends with a comment on the precarious nature of practice in this field.