November 2023: Engage Britain has now merged with Demos. You can still find all our work from 2019-2023 here, but to get in touch or find out about our new ventures, go to

How we’ll get there

Our five-step approach to improve health and care across the country

Our five-step approach

Here’s a whistle-stop tour of how we’re bringing people together to improve health and care. Our approach has five steps:

We’re here so you are heard

Health and care is a national challenge that’s been gridlocked for decades.

But with your help, we can make change happen.

As you’ll see, every step of the way there are spaces for you to engage with other members of the British public. And turn your ideas into action.

We’re here to support the vital changes people across Britain believe in. Changes you feel passionately about. And ideas you can really get behind.

So that, together, we can finally sort out some of our country’s longstanding health and care problems.

Step 1: Share views and ideas with each other

Over 700 people across the country have shared their views, ideas and experiences on health and care.

Including those who rarely get heard. Or aren’t usually given the chance to put forward their perspectives.

How did we do it?

We were after as broad a range of experiences as possible. So 101 Community Conversations were facilitated all over the country.

Each online group conversation was an open space for people to share their health and care stories. What did they feel works well at the moment? And what could be better?

Hear what people said in Community Conversations >

Step 2: Prioritise ways forward

After all the Community Conversations had taken place, we set up The People’s Panel.

This brought together 100 members of the public from all walks of life, selected to represent people in England, Scotland and Wales.

Across several sessions, the Panel listened to what came out of Community Conversations and real-life stories shared online. They also heard from several experts in health and care.

The People’s Panel figured out what mattered most to different groups. What were the most important challenges to find answers to? And what trade-offs were people comfortable with?

Take a look at what the Panel found out >

Step 3: Come up with ideas for change

Our Ideas for Change phase brings together people with different perspectives – from frontline staff to politicians to people who receive care support. Their task? To come up with health and care solutions.

Working together as equals, they’ll each bring their particular expertise or experience to the table. Before putting their heads together to figure out practical, realistic ideas that can get funded.

Step 4: Test and improve ideas

Once draft solutions are drawn up, they’ll be rigorously tested with three groups:

  • the general public
  • people who work on the frontline
  • politicians who influence health and care decisions

Ideas will put back in front of The People’s Panel for their feedback, too. Just to make sure they remain true to what people across the country said mattered most.

More Ideas for Change sessions will be held in 2023. These will address the feedback coming out of testing. Alongside any trade-offs that come to light.

No doubt there will be a few rounds of back and forth to get ideas into the best possible shape. Not everything will work the first time round.

If that’s the case, we’ll go back to the drawing board and think again.

Step 5: Advocate for change

Advocate for change

In this final phase, we’ll support participants to advocate for the changes they want to see.

We’ll build relationships with politicians across political parties as well. So we know whose most keen to hear about the robust ideas – created by the British public – coming out of testing.

Because the goal is to see these ideas put into practice by government. So everyone gets the health and care they need.