In this workshop, we will delve into the concept of person-centred cultures and examine the robust evidence base that highlights the vital role culture plays in sustaining person-centred care. These cultures are essential for fostering care practices that are collaborative, inclusive, and participatory for everyone involved. Yet, we recognize that cultivating such cultures is both complex and challenging, and that conventional education and training approaches often fall short. Central to the existence of a person-centred culture is ‘respect for all persons’ and so in this workshop, we meld and blend perspectives on lived experience and meaningful engagement as a healthy tension that needs to be navigated in healthcare relationships and systems. A variety of principles, frameworks and participatory methods are being used to include perspectives of people with lived experiences in healthcare development globally.  We will explore a range of methodologies, guiding principles and frameworks to support the development of relational practices that focus on ensuring all voices are heard in the development of effective person-centred services and the systematic implementation of patient and public involvement (PPI). Our intention is to share learning and practices that can overcome systemic barriers to meaningful engagement and participation of all interested parties. Target group: Those who are interested in developing person-centred cultures and have responsibility for doing so – e.g. healthcare leaders; implementation scientists; practice development facilitators, health service evaluators; academics engaged in culture change; patient and public representatives; people with lived experience.