When disabled people take the lead in evaluating community care, they produce valuable insights into service effectiveness and creative suggestions for improving services. Real changes result when community care agencies listen to and act on disabled people's assessment of services on offer. This publication discusses the benefits and practicalities of user-led evaluations and includes case studies on two Living Options Partnership projects where disabled people successfully evaluated community care services. It is essential reading for all purchasers and providers in health and social services and for organisations of disabled people.