From Control to Collaboration: Reducing Restrictive Practice Through Co-Design

Restrictive practice often starts with good intentions β€” keeping someone safe, maintaining routines, or preventing distress. But over time, these practices can become default. The solution? Co-design.


πŸ—£οΈ People Know What Works for Them

When people are part of designing their support plans, the result is:

  • More control and ownership of routines
  • Early identification of triggers and risks
  • Increased trust between staff and the person

This collaborative approach helps reduce the perceived need for restrictions β€” and promotes autonomy from the start.


🧩 Practical Co-Design in PBS

To make co-production real (not just a tick-box), show how you:

  • Use visual tools or storyboards for people with limited verbal communication
  • Ask people directly what helps or hinders them
  • Involve families or advocates where appropriate

Reducing restrictive practice is easier when people feel seen, heard, and included in the process.


πŸ“„ Reflecting This in Tenders

In learning disability bids, describe how your service:

  • Uses co-design to reduce restrictions and promote rights
  • Involves people in every step of the planning and review process
  • Supports staff to deliver truly person-led PBS

Commissioners want to see proactive, ethical approaches β€” not just compliance.


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Updated for Procurement Act 2023 β€’ CQC-aligned β€’ BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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