Increasingly people are dying at home rather than in hospital and this trend is set to continue. This raises questions about whether there are the right staff with the right skills to support people in their home at the end of life, and whether the health and care system is prepared for changing levels of demand.

The ladder describes a series of steps towards co-production in health and social care. It supports greater understanding of the various stages of access and inclusion before full co-production is achieved. Co-production operates at many levels: strategic, service design and development and individual.

From all of this work we have endeavoured to create a policy which at its heart has a flexible and person-centred approach.

Remember the basics!
Although they may seem simple there are some basic practical things that we may sometimes not give much thought to which make sure your project runs smoothly.

This document is best approached as a reflective tool that couches co-production within trauma informed principles and ethical practice.