The Bevan Commission is a group of international experts giving advice to the Minister for Health and Social Services to help ensure that increasingly Wales can draw on best practice from across the world while remaining true to the principles of the NHS as established by Aneurin Bevan.

The Bevan Commission is the advisory group to the Health Minister and  is working with the ARCH partnership, to achieve our united aims of improving health and healthcare in Wales.

Both ARCH and the commission are encouraging radical thinking  and  helping promote a  shared responsibility for health, wellbeing  and wellness between the people of South West Wales and the NHS.  The Bevan Commission is in talks with ARCH to establish a plan to help deliver these aims.

ARCH hopes to draw on  the skills, expertise and resources held by the Bevan Commission through its Exemplars, Fellows and  Commissioners, to discuss an aligned programme of work to support the development and testing of innovative approaches and promote leadership, consistent with the principles of Prudent Healthcare.

The Commission has been asked to give advice on:

  • How the health service can continue to response to enduring austerity;
  • The performance of Wales in relation to the Bevan Commission principles;
  • To assess whether Wales is achieving its stated ambition of building health and health services which meet the needs of the people of Wales; and
  • How to adopt Prudent Healthcare putting Wales at the forefront of an international movement to secure greater value in the delivery of healthcare.

In 2013 the Bevan Commission published 'Simply Prudent Healthcare' which first articulated the concept of Prudent Healthcare. The paper considered how Wales could make the most effective use of the available resources to ensure high quality and consistent care across Wales. In addition to this paper, the Bevan Commission developed a set of provisional principles that would underpin the concept of Prudent Healthcare. After considering the advice of the Bevan Commission the Minister for Health and Social Services outlined his vision for Prudent Healthcare at the Welsh NHS Confederation Conference in January 2014.

Over the course of 2014 a wide ranging conversation on Prudent Healthcare was held. This conversation took the form of workshops, debates and the launch of a dedicated website for making prudent healthcare happen.

In January 2015 the Bevan Commission, after considering the findings from the workshops and the various debates, developed a final set of prudent principles. The final prudent principles are:

  • Achieve health and wellbeing with the public, patients and professionals as equal partners through co-production
  • Care for those with the greatest health need first, making most effective use of all skills and resources
  • Do only what is needed, no more, no less; and do no harm
  • Reduce inappropriate variation using evidence based practices consistently and transparently

The  'Prudent Health Principles' paper not only articulated the final prudent principles, but it also explained the intention behind each of the four principles. This underpinning context was developed to provide a useful reference for those individuals and groups at the forefront of making this step change happen.

In January 2015 the Minister for Health and Social Services endorsed the final set of four principles at the Welsh NHS Confederation Conference, prudent healthcare one year on. 

To find out more about the Bevan Commission visit: