Foundation 4: Conversations with and not about people

Our Shared Agreement Foundation 4: Conversations with and not about people

This means that together we:

  • Recognise the importance of active listening and having time to make choices

  • Do what we say we will do, in an environment of openness and honesty

  • Offer information, knowledge, and skills


Bringing Foundation 4 to life in Lincolnshire

The case studies and articles below show that talking with people - not about them - makes all the difference in health and care.

It’s how we build trust, really understand what matters to someone, and work together to make decisions that feel right.

These conversations help people feel more confident and in control, reduce confusion, and lead to better experiences all round.

When we truly involve people in shaping their own care, everything works better—for them and for the services that support them.

Our Shared Agreement Foundation 4_Beth's Story

Case study: Beth's story

I’ve been a carer for my mum since I was 15, after a car accident turned all of our lives upside down.

It was a really tough time. I ended up leaving school and felt completely alone—like I was carrying everything with no support.

Eventually, we found out what help we were entitled to, and slowly, things began to get better.

Feeling listened to - and sharing my knowledge and experience - through co-production

When I was 20, I heard about something called co-production and was invited to share my experience as a carer.

I was told that my story could help shape better services in Lincolnshire—so that others wouldn’t have to feel as isolated as I had.

Now, being part of the carers group, surrounded by people who truly understand, has been life-changing. It feels good to know that by sharing what I’ve been through, I’m helping to make a difference.


Here are other great examples of where having conversations with, and not about, people is making a real difference:

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