The Ladder of Co-production
The usefully illustrative ladder of co-production was developed by Think Local Act Personal and is used to describe co-production at strategic commissioning level, but it can be adapted to any of the other levels as well.
Think Local Act Personal (TLAP) is a national partnership of over 50 organisations working together with people who use services, carers and family members to transform health and care through personalisation and community-based support.
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.