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

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

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🗣️ 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 — and promotes autonomy from the start.

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🧩 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.

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📄 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 — not just compliance.

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