Principles of Co-Production: From Tokenism to True Partnership


๐Ÿ“˜ Blog 2 of 7 in our Co-Production & Engagement Series
Principles of Co-Production: From Tokenism to True Partnership

Links to all 7 blogs in this series are at the bottom of this post.


๐Ÿงฉ What Do We Mean by Co-Production?

Co-production means working in equal partnership with people who use services, their families, and communities to design, deliver, and evaluate care. It is not consultation, focus groups, or feedback forms โ€” it is about sharing power and decision-making so that people influence outcomes directly.

Commissioners increasingly see co-production as a test of culture: do providers value lived experience as much as professional expertise? For the learning disability sector, for example, this often means enabling people with lived experience to co-design care pathways, training, and governance structures.


๐Ÿ”‘ Core Principles of Genuine Co-Production

The Social Care Institute for Excellence (SCIE) highlights four pillars of authentic co-production:

  • Equality โ€” lived experience has equal weight to professional expertise.
  • Diversity โ€” involving a wide range of voices, including those often excluded.
  • Accessibility โ€” information, meetings, and decision-making are inclusive and understandable.
  • Reciprocity โ€” people are valued and rewarded for their contributions, not treated as unpaid advisors.

Embedding these principles shows commissioners and the CQC that co-production is more than a buzzword โ€” it is a working practice.


โš ๏ธ Avoiding Tokenism

Tokenism occurs when providers involve people superficially without sharing real influence. Examples include:

  • Inviting one โ€œservice user representativeโ€ onto a board but not listening to them.
  • Running a survey and calling it co-production without follow-up action.
  • Only involving families after key decisions have already been made.

Commissioners see through this quickly. Stronger bids show how engagement shapes real change โ€” whether thatโ€™s redesigning rotas, co-authoring policies, or contributing to recruitment panels.


๐Ÿ’ก Practical Example (Domiciliary Care)

Scenario: A domiciliary care provider wants to improve scheduling.

  • โŒ Weak response: โ€œWe asked service users for feedback on call times.โ€
  • โœ… Stronger response: โ€œWe co-designed a new scheduling system with service users and families, piloted it with 12 households, and adopted their recommendations. Satisfaction scores rose from 65% โžœ 91%.โ€

The second approach demonstrates influence and measurable outcomes โ€” what commissioners and inspectors value most.


๐Ÿงฐ Getting Tender-Ready

  • Show how you apply SCIEโ€™s four principles in daily practice.
  • Include examples of service changes directly shaped by co-production.
  • Record outcomes (e.g., satisfaction, reduced complaints, improved continuity).
  • Integrate co-production evidence into method statements.
  • Polish with proofreading.

๐Ÿ› ๏ธ Practical Tips for Providers

  • Make every answer scorable: mirror the questionโ€™s headings, signpost clearly, and prove each claim with a concise data point or example.
  • Standardise your toolkit: keep one live set of method statements, annexes and KPIs so teams arenโ€™t reinventing content each time.
  • Protect word counts: prioritise impact lines, cut duplication, and move low-value detail into annexes or tables.
  • Evidence cadence: publish a quarterly mini โ€œcommissioner packโ€ (KPI trends, governance actions, case studies) so renewals are never a scramble.
  • Triaging discipline: only pursue tenders where you can evidence fit, safe mobilisation and measurable outcomes at the proposed price.

๐Ÿค Need a hand putting this into practice?

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Updated for Procurement Act 2023 โ€ข CQC-aligned โ€ข BASE-aligned (where relevant)


๐Ÿ“š Catch up on the full Co-Production & Engagement Series:

  1. ๐Ÿ“˜ Why Co-Production Matters in Social Care
  2. ๐Ÿงญ Principles of Co-Production: From Tokenism to True Partnership
  3. ๐Ÿ‘ฅ Involving Families and Carers in Service Design
  4. ๐Ÿ›๏ธ Co-Production in Governance and Quality Assurance
  5. ๐ŸŒ Building Engagement Pathways for Under-Represented Voices
  6. ๐Ÿ’ก Case Studies: Co-Production That Changed Services
  7. ๐Ÿ“„ Evidencing Co-Production in Tenders and Inspections

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

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