Transcending Measurement: What Matters When Making-with-Music for Equitable Wellbeing in Health and Social Care Systems

Research has long supported the use of and engagement with music as a catalyst for health and wellbeing. However, there is a lack of research exploring how the structures, rituals and ‘minor gestures’ that go alongside music-making, making-with the materiality of music and engagement, can positively impact health. Using assemblages of interconnected community music projects in North Lanarkshire, Scotland, as collective ethnographic entry points, we examine how collective routines and communal activities—through the interplay of material-discursive practices that play out in structural elements, memories, and shared experiences—contribute to the creation of meaningful social exchanges, stability, sense of belonging and becoming. We argue that the benefits of music ‘interventions’ are not solely outcomes from isolated activities, but from the accumulative habits and rituals they affect, offering a new perspective on health as a dynamic process. This reframing invites a transcending of measurement in relation to the impact of music on individual and social wellbeing. Through this, we challenge traditional, conventional wellbeing scales and measures and call for a broader understanding of music’s potential in addressing health inequalities, concluding with implications for scalable community music models that contribute to expanding possibilities for research–practice–policy partnerships in health and social care systems.