Prudent healthcare challenges us to ‘remodel the relationship between user and provider on the basis of co-production’. However co-production is a concept that is often thought of in the context of service (re-)design, rather than in clinical consultations.
So how can co-production work in one to one interactions? Co-production is an approach to public services based on equal and reciprocal relationships between professionals, people using services, their families and their communities. These are the same relationships that need to be in place to deliver person centred care through shared decision making and self management support. So, if we are able to support our service users to take a more active and confident role in managing their health and conditions, we will be nearer to achieving a prudent approach to healthcare.