This At a glance briefing gives a summary of a review of literature and a small-scale survey of good practice on the participation and co-production of older people with high support needs. The report brings together the most recent and relevant research findings and development initiatives and identifies barriers to the participation of older people with high support needs and some solutions. It also identifies effective practice initiatives for increasing the participation of older people with high support needs, as well as new approaches to involve older people with high support needs. Report published by the Social Care Institute for Excellence (SCIE) in October 2012. Review date October 2015.