Co-producing Quality Improvement: Cases from the Published Literature

  • Sharon J. WilliamsEmail author
  • Lynne Caley


From a sparse literature we selected five contrasting papers concerned with patient and public involvement, co-design, co-production and quality improvement, with the intention of gaining understanding of how these approaches are viewed and applied in the development of safe healthcare delivery practices. We were particularly interested in a number of areas of confusion and debate and have reported on the case studies using this lens.


Quality improvement Patient and public involvement Co-production Co-design 


  1. Armstrong, N., Herbert, G., Avelin, E., Dixon-woods, M., & Martin, G. (2013). Optimizing patient involvement in quality improvement. Health Expectations, 16, e36–e47.CrossRefGoogle Scholar
  2. De Souza, S., Galloway, J., Simpson, C., Chura, R., Dobson, J., Gullick, N., Steer, S., & Lempp, H. (2016). Patient involvement in rheumatology outpatient service design and delivery: A case study. Health Expectations, 20(3), 508–518.CrossRefGoogle Scholar
  3. Dixon-Woods, M., McNichol, S., & Martin, G. (2012). Ten challenges in improving quality in healthcare lessons from the Health Foundation’s evaluations and relevant literature. BMJ Quality and Safety, 21, 876–884.CrossRefGoogle Scholar
  4. Heaton, J., Day, J., & Britten, N. (2016). Collaborative research and the co-production of knowledge for practice: An illustrative case study. Implementation Science, 11(20).
  5. Lwembe, S., Green, S., Chigwende, J., Ojwang, T., & Dennis, R. (2017). Co-production as an approach to developing stakeholder partnerships to reduce mental health inequalities: An evaluation of a pilot service. Primary Health Care Research & Development, 18, 14–23.CrossRefGoogle Scholar
  6. Ocloo, J., & Matthews, R. (2016). From tokenism to empowerment: Progressing patient and public involvement in healthcare improvement. BMJ Quality and Safety, 25, 626–632.CrossRefGoogle Scholar
  7. Winch, R., McColgan, M., Sparrow, E., Modi, N., & Greenough, A. (2018). Public and patient involvement in Child Health Research and Service Improvements: A survey of hospital doctors. BMJ Paediatrics Open, 2, e000206. Scholar

Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.College of Human & Health SciencesSwansea UniversitySwanseaUK
  2. 2.Consolidated Caley LtdPeterboroughUK

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