This is a summary of research literature on the participation and co-production of older people with high support needs. Benefits and barriers are identified and practice examples are listed. The report will be of particular interest to commissioners of social and health care services. It will also be useful for people working in housing provision and service users and others developing the co-production/participation agenda in care provision and service development. Resource published by Social Care Institute for Excellence (SCIE) in October 2012. Review date in October 2015.