Efforts to integrate patient and public involvement (PPI) in health and social services, including efforts to improve, redesign, or shape services, are growing. By using the unique experiences of patients and public, the role of people changes from just being the receiver of services to producers and participants. This has a beneficial effect on quality. By tailoring the support to the patients’ level of activations, voice, choice, and coproduction, as ideal types of patient and public involvement, can be developed. More co-creative practices at the individual level, community level, organizational level, and at the system level need development professionals’ skills, attitude, and values at all levels of care. Incorporating patients’ expertise, perspectives, and stories as a legitimate source of knowledge in practice, education, and research will enhance the quality and relevance of what we strive for in integrated care. Frameworks and strategies are provided that put the patient and the public at its’ heart.