Independent guidance for better public participation in health and care research
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Archive overview

Beyond the usual suspects

Towards public involvement that reaches people and communities too often left out of decisions about research and services.

People taking part in a community discussion
Inclusive involvement

Why this matters

This archived report explores how people can have more influence over the services they use and the research that affects their lives.

It drew on a national programme of work examining how involvement can be made more inclusive. The central message remains useful: teams should not wait for people to find them. They should build respectful relationships with communities, remove barriers and make sure contributions can influence decisions.

Archive note

The original publication is presented here as background reading. Language and examples have been updated into clear, respectful archive wording while retaining the report's central themes.

Key learning from the report

  • People can be excluded from involvement for many reasons, including inaccessible information, communication barriers, institutional practices, stigma and a lack of practical support.
  • Inclusive work starts by reaching out through trusted community connections rather than expecting every interested person to use the same route into involvement.
  • Organisations led by people with lived experience can help teams understand local context, build relationships and identify barriers that may otherwise be overlooked.
  • Meaningful involvement needs ongoing testing, reflection and improvement rather than a one-off invitation to comment.
  • Access needs should be considered across venues, travel, information, communication, culture and the time people can realistically give.
  • Teams should notice when procedures or intermediaries limit people's choices, and create safer, clearer ways for contributors to take part directly.
  • Support, confidence-building and clear expectations can help contributors participate on their own terms.
  • Public discussion can shape whether people feel welcome. Careful language and respectful engagement are part of inclusive practice.

Putting the learning into practice

Inclusion is not achieved by naming a list of groups. It comes from being specific about who may be affected by a research question, asking what could make participation difficult, and changing the process where possible.

Research teams can begin by making their purpose clear, offering more than one way to contribute, allowing enough time for relationships to develop and recording how contributors' views have informed the work. Feedback matters too: people should be told what happened after they gave their time and expertise.

For practical planning prompts, explore the briefing notes for researchers and guidance on how to involve people in research.

A practical approach

From invitation to shared influence

Map who is missing

Consider whose experience is relevant and which perspectives are not yet represented.

Build connections

Allow time to work through trusted networks and community-led organisations.

Remove barriers

Offer accessible information, flexible formats and appropriate support from the outset.

Show the difference

Explain what changed as a result of contributions and what the team learned.

What is included

Useful starting points

Use clearer language

Make research information easier to navigate and discuss without avoidable technical terms.

Plain-English summaries →

Learn from examples

Explore evidence and practical material to help reflect on involvement approaches.

Visit the libraries →
Common questions

Questions to ask when planning inclusively

Who is likely to be affected by this research?

Start with the research question, then consider which experiences and communities may be especially relevant. Avoid assuming that one contributor can represent everyone.

How can we reduce practical barriers?

Ask early about format, timing, communication and access needs. Provide clear information and revisit arrangements as the work develops.

Why work through community connections?

Established community relationships can offer contextual knowledge and help teams approach involvement with more care and realism.

What does meaningful influence look like?

Be clear about which decisions are open to influence, record contributions and explain how they affected the work. Where a suggestion cannot be taken forward, give a reason.

Where can research teams find more guidance?

Visit the resource centre or review the introduction to public involvement.

Need a starting point?

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