Co-production
What is co-production?
Co-production means designing and delivering services together with the people who use them, on an equal footing. In recovery services, it means people with lived experience are not just consulted after decisions are made — they are genuine partners from the very beginning, helping to shape what services exist, how they work, and how success is measured.
It is different from consultation (asking people what they think after decisions are made) and from participation (inviting people to join a meeting but not giving them real influence). Co-production means sharing power from the start.
Why it matters for recovery services
The Social Care Institute for Excellence (SCIE) identifies co-production as one of the most effective ways to improve public services. In recovery, co-production:
- Produces services that people actually want to use
- Reduces the gap between what services offer and what people need
- Builds trust and reduces feelings of “us and them”
- Helps people in recovery build skills, confidence, and purpose
- Leads to better value for money because resources go where they are needed most
The ladder of co-production
Think Local Act Personal (TLAP) describes a ladder that helps organisations understand where they are and where they want to get to:
- Involvement — people are asked for their views and those views genuinely influence decisions
- Participation — people are active partners in planning and review processes
- Partnership — power is shared; people with lived experience have real decision-making authority
- Co-production — services are designed, delivered, and evaluated by people with lived experience working alongside professionals as equals
The six principles
Based on the SCIE framework and TLAP guidance:
1. Equality
Everyone’s contribution is valued equally. Professional knowledge is not more important than lived experience.
2. Diversity
Include people with different backgrounds, experiences, and perspectives. Avoid relying on the same small group.
3. Accessibility
Remove barriers to involvement. Think about timing, venues, language, childcare, travel costs, and digital access.
4. Reciprocity
Everyone benefits. People give time and expertise; they should receive recognition, development, and fair payment where possible.
5. Shared responsibility
Co-production is not a one-off event. It requires ongoing commitment from everyone involved.
6. Transparency
Be honest about what can and cannot change. Share budgets, constraints, and timelines openly.
Practical steps
Step 1: Create the conditions
Ask honestly: is the organisation ready to share power? What structures are in place to act on what people tell you?
Step 2: Involve people at the right stage
The most common mistake is involving people too late. Genuine co-production means involvement from the very beginning: when the problem is being defined and options are being explored.
Step 3: Remove practical barriers
- Pay people for their time and expertise (not just expenses)
- Hold meetings in accessible, welcoming spaces
- Offer different formats (one-to-one, online, creative methods)
- Be flexible about when meetings happen
- Provide support — a trusted peer who can help someone prepare
Step 4: Build capacity
Not everyone is ready to sit in a formal planning meeting on day one. Invest in peer researcher training, facilitation skills, and confidence building.
Step 5: Be honest about the limits
Not every decision can be co-produced. Being transparent about what is on the table and what is not builds trust.
Step 6: Close the feedback loop
Always report back: here is what you told us, here is what we changed, here is what we could not change and why.
Co-production readiness checklist
Are you ready to co-produce?
- ☐ We have a clear topic or question to co-produce around
- ☐ We have identified people with lived experience to involve (not just the usual suspects)
- ☐ We have a budget for expenses and fair payment
- ☐ We have a venue that is accessible, neutral, and comfortable
- ☐ We have a skilled facilitator (not a senior manager)
- ☐ We are willing to share real decision-making power
- ☐ We can be transparent about budgets, timelines, and constraints
- ☐ We have a plan for feeding back to participants after the process
- ☐ We can commit to ongoing involvement, not just a one-off session
Workshop plan template
Co-production Workshop — 3 Hour Plan
| Time | Activity | Purpose |
|---|---|---|
| 0:00 | Welcome, introductions, ground rules | Build safety and trust |
| 0:20 | Scene setting — what are we here to work on? | Shared understanding |
| 0:35 | Small group discussion — what works, what does not | Capture diverse perspectives |
| 1:05 | Feedback to whole group, identify themes | Build shared picture |
| 1:25 | Break (refreshments provided) | Rest and informal conversation |
| 1:40 | Small groups — design ideas and solutions | Creative problem-solving |
| 2:10 | Share ideas, discuss feasibility, prioritise | Move from ideas to commitments |
| 2:40 | Agree actions, responsibilities, and timeline | Clear next steps |
| 2:50 | Reflection and close | Continuous improvement |
Example: Redesigning a drop-in service
A local authority in the North West invited 15 people with lived experience to a co-production workshop series (three sessions over six weeks) to redesign their main recovery drop-in service. Every participant was paid £25 per meeting plus full travel expenses.
Participants redesigned the opening hours (adding evenings), the welcome process (replacing the reception desk with a peer greeter), and the activity programme (adding cooking sessions and a podcast studio). The group was explicitly told: “We will only proceed if you are happy with the design. You have a veto.”
Attendance at the service increased by 40% within three months. The commissioner reflected: “We spent four months longer on design than we normally would. We saved two years of rebuilding a service that didn’t work.”
Further reading
- SCIE — Co-production: What it is and how to do it
- Think Local Act Personal — Co-production hub
- NICE NG58 — Coexisting severe mental illness and substance misuse
- NHS England — Co-production and Quality Improvement Resource Guide
- New Economics Foundation — Co-production: a manifesto for growing the core economy