Bevan Commission: reaffirming the founding principles

Founding Principles comprehensiveness, within available resources universal access, based on need services free at the point of delivery.

Aims of Bevan Commission To scrutinise, debate and discuss the relevance of emerging health issues and ideas from a disinterested perspective. To assess opportunities for speedier improvements in health and social care provision. To evaluate and utilise relevant best international practice. To advise the Minister on how to ensure that the reformed NHS Wales remained true to Bevan’s principles and values. To provide support for the goal and aspirations laid out in One Wales. To advise on rebalancing and streamlining the health and social care system within Wales as appropriate, ensuring that the patient was the focus of healthcare. To help the Minister achieve the vision of: – Establishing a “world-class” healthcare service in Wales, through an integrated system of healthcare delivery. – Ensuring that the “citizenship” model for public services was applied.

Further work Define what a world class integrated health and social care system would feel like for the citizens of Wales: – What would be the early wins? – What are the particular issues involving frail elderly people? – What are the key boundary/interface issues including social care, primary care and pharmacy services? Advise on how to accelerate the adoption of best practice in minimising harm, waste and variation across NHS Wales. Advise on the progress of the 5-year strategic service, workforce and financial framework.

Bevan Commission Principles universal access, based on need comprehensiveness, within available resources services free at the point of delivery a shared responsibility for health between the people of Wales and the NHS a service that values people getting the best from the resources available a need to ensure health is reflected in all policies minimising the effects of disadvantage on access and outcome a high quality service that maximises patient safety patient and public accountability achievement of continuous performance improvement across all dimensions of healthcare.

World-class healthcare in Welsh context ‘Health care that is best suited to the needs of Wales and comparable with the best anywhere’ and which must perform well against the Bevan Commission principles; must be balanced, integrated across all levels and effectively link health and social services; must achieve an excellent level of quality; must be matched by efforts to create world class health – with government having a crucial leadership role; must be supported by excellent information to analyse, compare and develop services.