Embed lived experience through the Lived Experience Advisory and Action Group (LEAG) to drive change

The evidence:

  • The State of the System report highlights that amplifying marginalised voices and co-designing support are essential to building a more equitable and compassionate cancer care landscape. 

  • Evidence consistently shows that involving communities in governance and decision-making — through approaches such as co-production and participatory action research — improves the relevance, legitimacy and effectiveness of systems change. 

  • We know there are communities we do not yet reach well; without adequate representation and power-sharing, well-intentioned work risks reinforcing existing inequities.   

What we are curious about:

  • How to meaningfully involve children and young people with cancer and their families, including sharing power to achieve greater impact.  

  • How to build community engagement and prioritise equity across the children and young people's cancer system. 

  • How to avoid tokenism and ensure lived experience has influence.  

  • How to employ targeted universalism, working alongside those who experience the greatest inequity.   

What we want to see happen:

  • Children, young people and families meaningfully shape decisions across the system, with lived experience embedded in governance, design and evaluation. 

  • Strong, trusted relationships with underrepresented groups, built in ways that are inclusive and equitable without placing the burden of change on them. 

  • More joined-up system relationships that reduce complexity and burden for children, young people and families. 

Why is this important?

  • We believe that embedding lived experience at the heart of governance, decision-making and system design - in ways that genuinely share power, include underrepresented groups without overburdening them, and strengthen system-wide relationships - is essential to creating more equitable, participatory and effective support for children, young people with cancer and their families.