Despite UK government initiatives intended to address social exclusion, those with poor access to social and economic resources continue to experience unresponsive services. In these circumstances, small inter-agency projects may offer accessible alternatives. This article explores the implementation of inter-agency work at a local level, focusing on implications for families involved. It draws on a study of a Health Action Zone (HAZ) initiated project, working in primary schools in a deprived urban area, with children at risk of school exclusion. It examines children's and parents' experiences of the project, locating these within current social policy and social justice debates. While positive outcomes are evident, the article also highlights difficulties in inter-agency collaboration, which potentially undermine support available to families and maintain pessimism about future improvements. By focusing remedies at the level of individual intervention, such initiatives may also neglect structural and organisational factors contributing to families' difficulties.