Integrated service provision is essential in the delivery of consumer-centred care that is accessible, acceptable and affordable.  Through ongoing engagement with the key populations in the community, services can be mapped to ensure that there is ongoing assessment of marginalised communities in particular those living with HIV, multiple co-morbidities and poor social situations.  Access doesn't always equate to acceptable services it therefore is essential to consider what the community identifies they need and considers safe.  Signalling safety is best achieved with a broad approach through the multiple social layers.  Partner organisations play a pivotal role in extending access to prevention strategies aimed at improved consumer outcomes.  This holistic address of multiple needs can only be achieved through enabling service principles that are integrated and promote, equitable, affordable, acceptable services to exist within the communities most in need.