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Part 3c. Strategic co-production



If you can influence how your organisation operates and meets its statutory duties, then you can create a culture that puts service user and carer voice at its heart, by establishing policies and governance processes that foster co-productive behaviours across your organisation.

Valuing all participants, and building on their strengths
  • You demonstrate that you value everyone’s contribution, and you ensure everyone’s voice is heard.
  • For example, you make sure you provide your service user and carer co-producers with the support they need to take part fully; you have ground rules and you call our behaviours that fall short of respecting and valuing their presence and contribution.
Developing networks across silos
  • You use networks to make positive change happen.
  • Connecting professionals with service users and carers creates shared understanding, increased insights, and innovation. You could set up service user and carer groups to maintain these connections on an ongoing basis.
Doing what matters for the people involved
  • Your monitoring and evaluation systems include measuring the good outcomes as defined by your service users, patients and carers; and they are a part of the process.
Building relationships of trust and sharing power
  • You ensure your approaches, systems and structures enable and encourage people to build connection and trust, and lead to shared decision-making.
Enabling people to make change happen
  • You work in partnership with the service users and carers you support to co-commission, co-design, co-deliver and co-evaluate your services. For example, they are part of boards and steering groups.


Change at strategic level doesn’t happen overnight, but remain alert to the signs of co-production that you can nurture and develop. Strategic co-production creates frameworks that enable more group and individual co-production to take place, instead of practitioners having to find ways to co-produce in spite of the system they operate in.