This sets out why people who use services should be involved in their design, some case studies of where it has been done and key features of a successful co-design and co-delivery process.

One in a series of publications on people powered health, this report argues that co-design and co-delivery involves rethinking who, when and how services are designed – moving from a top-down, one-off, ‘professional experts’ approach that may or may not include wider consultation, towards an iterative, structured process that includes a broad range of people, at every stage, and is built on a community of relationships and trust.

It sets out case studies and a series of key features of success for co-design and delivery at three levels:

• Individual service users co-designing personalised care and wellbeing pathways.
• Whole services mobilising the skills and capacity of service users.
• Local healthcare systems co-creating the system conditions for People Powered Health.