There's no doubt that patient engagement can be a real driver for change. But all too often the perception of the process is one of tokenism.

Of course, much depends on the way that it is conducted and the purpose for which it is undertaken. Yet, even when carried out with the best intentions, patient engagement in itself can't drive the radical transformational change we need. For this, a new tactic is required.

Co-production has a vital role to play in today's healthcare system

What's important for the NHS is creating a sustainable healthcare system with better, more effective outcomes. To this end, co-production (co-designing and co-delivering services with patients, people who use services, carers, and professionals from managers to frontline staff) is extremely important. It means everyone coming to the table as an equal partner to contribute. It involves working together to find solutions, and rebalancing the power in traditionally hierarchical relationships.