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The world is changing rapidly. We face increasing and new social needs such as ageing populations; mass immigration; the rise of long-term, chronic health conditions such as diabetes; high rates of unemployment for young people; a mental health epidemic; increasing loneliness across the generations; homelessness; and, new trends in substance misuse. At the same time we have witnessed the rise of populism, nationalism and the erosion of public trust in government and public services. Economic shocks of recent years including the financial crisis that started in 2008 and the current COVID-19 crisis is making difficult decisions about the future of public services more immediate. If improvements in public wellbeing are to be achieved we need public services designed to deliver social outcomes more effectively for less resources and in more joined-up ways.However, the way that public institutions design and deliver these services also needs to change. Many models of innovation involve co-creation, which implies that people who use (or potentially use) public services work with providers to initiate, design, deliver and evaluate them. The goal of the Co-Creation of Public Service Innovation in Europe project (CoSIE) is to contribute to democratic renewal and social inclusion through cocreating innovative public services by more actively engaging diverse citizen groups and stakeholders in varied public services beyond traditional and less effective participation channels, such as consultative boards. This paper draws together key findings from CoSIE with a particular focus on what these imply for new policy and practice in public services in the form of a discussion paper aimed at European, national and regional policy-makers. The big ideas emerging from CoSIE can be grouped together as ideas associated with conceptualising co-creation, implementing cocreation and moving beyond piloting co-creation to extending co-creation across systems.