1 INTRODUCTION Patient and public involvement (PPI) in healthcare education and research is an increasing priority for several stakeholders including regulators,1-3 research policymakers4-7; research funders8, 9; and charities.10 Many see PPI as essential to ensuring relevance and meeting societal needs. However, public contributor diversity remains a challenge, as does genuine partnership work to ensure PPI influences and makes a difference to higher education research and teaching.