Engagement and co-design inventory report

Engagement and co-design inventory report

Co-design and engagement are key ingredients to advancing meaningful change. There is a growing body of evidence that shows co-design improves how patients and families experience care, the relationship between patients and providers, and how service is delivered.[1] The Ministry of Health requires “demonstrated history of meaningful patient, family and caregiver engagement” as an essential component for system change to models of integrated care. When they are up and running, the Ministry expects Ontario Health Teams to “uphold the principles of patient partnership, community engagement, and system co-design.”

The Change Foundation has worked in partnership with family caregivers, patients and healthcare providers across the health and social care system – this work has deepened our knowledge and experience of co-design and engagement, and we’ve translated our learnings into various tools, tips and resources. To build on our goal of advancing positive change, we created this inventory to support individuals, organizations and community coalitions as they build their capacity for engagement and co-design.

Orientation to the inventory: Evidence-based co-design (EBCD)

Underpinning our learning journey was the U.K.’s Point of Care Foundation’s Evidence Based Co-Design (EBCD) framework. We used the six phases of EBCD to orient you to the tools and resources included in this inventory.


The opening section profiles resources that are more overarching in scope, followed by the six sections of EBCD. The majority of resources were developed by the Change Foundation or by the Foundation’s Changing CARE teams. We’ve also included a few resources developed by other organizations that we have found useful.

In order to be responsive to the range of knowledge and experience that individuals and organizations have with co-design and engagement, and the range of unique needs, resources in the inventory are categorized to one of three applications:

  • deepening your knowledge and understanding of engagement and co-design
  • learning the how-to
  • using plug and play resources that are adaptable to your context.

[1] Bate, Paul & Robert, Glenn. 2006. Experience-Based Design: From Redesigning the System Around the Patient to Co-designing Services with the Patient. Quality & safety in health care. 15. 307-10.  Van Citters, A. 2017. Experience-Based Co-Design of Health Care Services. Cambridge, Massachusetts: Institute for Healthcare Improvement.