The discourse in healthcare Knowledge Mobilisation (KMb) literature has shifted from simple, linear models of research knowledge production and action to more iterative and complex models. These aim to blend multiple stakeholders’ knowledge with research knowledge to address the research-practice gap. It has been suggested there is no ‘magic bullet’, but that a promising approach to take is knowledge co-creation in healthcare, particularly if a number of principles are applied. These include systems thinking, positioning research as a creative enterprise with human experience at its core, and paying attention to process within the partnership. This discussion paper builds on this proposition and extends it beyond knowledge co-creation to co-designing evidenced based interventions and implementing them. Within a co-design model, we offer a specific approach to share, mobilise and activate knowledge, that we have termed ‘collective making’. We draw on KMb, design, wider literature, and our experiences to describe how this framework supports and extends the principles of co-creation offered by Geenhalgh et al. [1] in the context of the state of the art of knowledge mobilisation. We describe how collective making creates the right ‘conditions’ for knowledge to be mobilised particularly addressing issues relating to stakeholder relationships, helps to discover, share and blend different forms of knowledge from different stakeholders, and puts this blended knowledge to practical use allowing stakeholders to learn about the practical implications of knowledge use and to collectively create actionable products. We suggest this collective making has three domains of influence: on the participants; on the knowledge discovered and shared; and on the mobilisation or activation of this knowledge.

An important area of focus for the reduction of domestic waste is packaging and food packaging specifically. At some point in the life of packaging in the consumers' home, the packaging goes through a transition from something of use, of value and of worth to the consumer to something that is no longer any of these. Being able to indentify attributes of packaging that might have an impact on this transitional point to change the use or value so that the packaging is re-used, recycled or composted rather than being landfilled is very important in successfully diverting packaging waste from landfill.This research aimed to conduct a variety of tests to indentify attributes of packaging that have an influence on the eventual waste route and to determine what that influence was. The research included an extensive literature study looking at consumer test methods, current waste and packaging waste studies, and packaging design literature. This was followed by a series of four tests: 'bin raids', 'digital diary', 'visual survey' and 'ethnography'. These tests were designed to determine how consumers would treat specific examples of packaging in an end-of-life scenario and what influences those decisions.

Openability of consumer packaging is becoming a major issue as the demographics of society are changing and society is getting older. Sadly, ageing brings with it many issues, not least a loss of strength and dexterity. In order to design effective packaging, understanding the ability of aged consumers is crucial. This paper outlines the development of a torque-measuring device and the results obtained to date.

Recent media attention has amply demonstrated the need for changes in our society regarding waste. The cost of waste is rising, European legislation is driving forward waste reduction policies and industry is being made responsible for the waste that all products make. This legislation is also driving a reduction in biodegradable municipal waste. In general there are a number of factors ranging from the media, financial and political to environmental, that are driving forward an agenda to decrease both general waste and food waste going to landfill. A necessary requirement of such an agenda is a benchmark of the current composition and scale of both general waste and food waste. Hence, this can then be used as a measure to demonstrate improvement. A measurement methodology and the benchmark data already exists for general waste. However, there is little or no previous work about the compositional make up of food waste. This paper discusses the necessity for a compositional food waste analysis and the pros and cons of various food waste measurement methodologies. Results for a specific methodology are illustrated and suggestions for a revision of this methodology are proposed.

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The Rycroft-Malone paper states that co-production relies on ‘authentic’ collaboration as a context for action. Our commentary supports and extends this assertion. We suggest that ‘authentic’ co-production involves processes where participants can ‘see’ the difference that they have made within the project and beyond. We provide examples including: the use of design in health projects which seek to address power issues and make contributions visible through iteration and prototyping; and the development of ‘actionable outputs’ from research that are the physical embodiment of co-production. Finally, we highlight the elements of the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) architecture that enables the inclusion of such collaborative techniques that demonstrate visible co-production. We reinforce the notion that maintaining collaboration requires time, flexible resources, blurring of knowledge producer-user boundaries, and leaders who promote epistemological tolerance and methodological exploration.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

IntroductionPeople with long-term conditions typically have reduced physical functioning, are less physically active and therefore become less able to live independently and do the things they enjoy. However, assessment and promotion of physical function and physical activity is not part of routine management in primary care. This project aims to develop evidence-based recommendations about how primary care can best help people to become more physically active in order to maintain and improve their physical function, thus promoting independence.Methods and analysisThis study takes a realist synthesis approach, following RAMESES guidance, with embedded co-production and co-design. Stage 1 will develop initial programme theories about physical activity and physical function for people with long-term conditions, based on a review of the scientific and grey literature, and two multisector stakeholder workshops using LEGO® SERIOUS PLAY®. Stage 2 will involve focused literature searching, data extraction and synthesis to provide evidence to support or refute the initial programme theories. Searches for evidence will focus on physical activity interventions involving the assessment of physical function which are relevant to primary care. We will describe ‘what works’, ‘for whom’ and ‘in what circumstances’ and develop conjectured programme theories using context, mechanism and outcome configurations. Stage 3 will test and refine these theories through individual stakeholder interviews. The resulting theory-driven recommendations will feed into Stage 4 which will involve three sequential co-design stakeholder workshops in which practical ideas for service innovation in primary care will be developed.Ethics and disseminationHealthcare and Medical Sciences Academic Ethics Committee (Reference 2018-16308) and NHS Wales Research Ethics Committee 5 approval (References 256 729 and 262726) have been obtained. A knowledge mobilisation event will address issues relevant to wider implementation of the intervention and study findings. Findings will be disseminated through peer-reviewed journal publications, conference presentations and formal and informal reports.PROSPERO registration numberCRD42018103027.