Co-Producing Support Plans With Families and Advocates in ABI Services
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Co-production is central to person-centred planning in acquired brain injury services, particularly where cognition, insight or communication are affected. Families and advocates often hold vital knowledge about history, preferences and effective approaches. Commissioners and inspectors expect providers to demonstrate how these perspectives inform planning without undermining the person’s own voice.
This article explores effective co-production in ABI services. It should be read alongside Involving Family & Advocates and Person-Centred Planning & Strengths-Based Support.
Why co-production matters in ABI
ABI can change relationships, roles and communication. Co-production helps services understand what matters most while navigating complex dynamics.
Commissioner and inspector expectations
Expectation 1: Inclusive planning. Inspectors expect evidence that families and advocates are involved appropriately and proportionately.
Expectation 2: Balanced decision-making. Commissioners expect providers to evidence how different views are considered and resolved.
Operational example 1: Structured co-production meetings
An ABI service introduced facilitated planning meetings with clear agendas, ensuring the person’s views were prioritised while incorporating family insight.
Managing disagreement and conflict
Disagreement can arise around risk, independence or pace of change. Plans should document discussion, rationale and review points.
Operational example 2: Decision rationale records
A provider recorded how differing views were weighed, strengthening transparency and inspection confidence.
Maintaining the person’s voice
Co-production must not replace involvement. Supported decision-making remains essential.
Operational example 3: Voice-first planning tools
A service used visual and audio tools to capture the person’s preferences before family input was added.
Evidencing co-produced practice
Providers should evidence:
- Who was involved and why
- How views influenced planning
- How decisions are reviewed
Co-production as quality practice
In ABI services, effective co-production strengthens outcomes, trust and governance when delivered with clarity and balance.
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