Caregiving for long-term conditions is increasingly focused on holistic "person centred" care [9,34], with leisure and recreation providing an important and essential part of maintaining quality of life. This article documents examples of large leisure events and creative projects. These were adapted for, and considered to be suitable and supportive of, the needs of adults with complex and profound disability as a result of neurological damage or disease. The ways in which events have been tailored by the Recreation and Leisure Service, incorporating sensory elements with the view to increased accessibility and enjoyment for participants, are highlighted in this article. The ultimate challenge faced was programming events to suit more than 170 people aged over 18 who each have particular preferences, varied interests and abilities including the most profound physical and cognitive impairments. These developments and changes in format have encouraged essential input from participants themselves and their families and carers, whilst involving the wider community; volunteers, external charitable groups and professional organisations.

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