Control, Choice and Consent: Foundations of Person-Centred Support

Blog 4 of 7 in our mini-series on Person-Centred Approaches: Core Principles & Values
This post looks at how control, choice and consent are not optional extras — they are the building blocks of person-centred support.


At the heart of person-centred support lies one key principle: people must have genuine control over their lives. That means not just asking for views, but actively adapting how support is delivered. Choice and consent are not optional extras — they’re fundamental rights that underpin dignity and autonomy.


🗣️ Real Choice, Not Illusion

Many providers offer the appearance of choice — such as selecting a preferred time slot or choosing between meals. But true person-centred support allows people to:

  • Decide who supports them and how that support is delivered
  • Shape daily routines around their lifestyle, not the service’s convenience
  • Opt in or out of activities, support plans, or scheduled reviews

This requires flexible systems and a culture that treats people as leaders in their own lives, not passive recipients of a service.


✅ Embedding Consent in Everyday Practice

Consent should be continuous, not a one-off tick-box. Support staff must be trained to seek consent in every interaction — and to respect when it’s not given. This includes:

  • Checking before entering a room or offering physical assistance
  • Explaining what’s happening in clear, accessible language
  • Recognising and honouring non-verbal cues and preferences

Where someone lacks capacity, best interest decisions must still reflect what matters to the person, including past and present wishes.


📑 How to Evidence This in Tenders

Commissioners want to see how these values translate into practice. In your tender response, show:

  • How people shape their support plans and make daily choices
  • How staff are trained in consent, capacity, and supported decision-making
  • How choice and control are monitored through feedback and quality checks

This isn’t about ticking compliance boxes — it’s about enabling people to live lives that reflect their own values, goals and identity.


Explore all 7 blogs in our mini-series on Person-Centred Approaches: Core Principles & Values

  1. What Person-Centred Support Really Means – and Why It Matters in Tenders
  2. Personalisation in Practice: How to Embed Choice and Control
  3. Relationships First: Why Person-Centred Support Starts with Human Connection
  4. Control, Choice and Consent: Foundations of Person-Centred Support
  5. Relationships, Community and Belonging: The Often-Forgotten Side of Person-Centred Support
  6. Choice Isn’t Just About Options – It’s About Control
  7. Co-Production Isn’t a Buzzword – It’s a Mindset

Written by Mike Harrison, Founder of Impact Guru Ltd — specialists in bid writing and strategy for social care providers

Visit impact-guru.co.uk to browse downloadable strategies, method statements, or get in touch about tender support.

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