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Doing Things Differently: Transforming the Health and Care System and Model in Wales through Innovation


Helen Howsen

Bevan Commission, Swansea University, Wales, GB
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Introduction: With health and care systems and delivery models becoming increasingly unsustainable for reasons that we are well aware of, many countries are looking to transform their care models from hospital and illness-based to ones that are more rooted in the biopsychosocial model of health and wellbeing, through innovative service delivery closer to people’s homes and in their communities, enabled by technologies.  The Bevan Commission has been at the centre of Wales’ transformational endeavours through the development and implementation of an integrated approach that is co-produced and delivered in collaboration with a range of stakeholders.

Methods: To support the realisation of the ambitions set out in A Healthier Wales , the Welsh Government has invested in a number of strategic and practice initiatives such as the Regional Partnership Boards, Intensive Learning Academies, Integrated Care Fund, Transformation Fund, and the Bevan Commission and its programmes.  The sustainability of our health and care services requires a radical approach which challenges the status quo, identifies all the many moving parts in the complex adaptive system and has a solid framework to anchor the transformation such as the Prudent Health and Care Principles as is the case in Wales.

Highlights: The Bevan Commission and its portfolio of programmes provides a comprehensive and integrated approach to transformation through collaboration with other key stakeholders and organisations.  Together with the International Commissioners and Bevan Commission team, the Bevan Exemplars, Fellows and Advocates “Challenge, Change and Champion” to enable “Doing Things Differently” as well as “Adopt and Spread”.  We lead and coordinate the development, design and testing of new practices and technologies alongside the associated organisational change, workforce development and codesign of new styles of leadership.

Information and learning for each aspect of the Bevan Commission’s programme of work will be provided during the oral presentation and further details can be found on the website

Conclusions: Although the key drivers for large-scale health system transformation emerge from the problems and challenges facing policymakers and experienced by those working in health and care systems globally, the precise mix of these drivers and pressures varies across and within systems, just as contexts vary across systems and countries. 

Implications for applicability/transferability: There are significant synergies between IFIC’s 9 Pillars of Integrated Care and the key components of health and care transformation with the overarching principle that they are all necessary for successful delivery.  We are confident that the Bevan Commission’s model of health and care innovation and transformation can be adapted and adopted by other regions and organisations to enable the sustainability of health and care services, improved outcomes and experiences for our populations.


 1.  Welsh Government, 2021.  A Healthier Wales: our plan for health and social care. 

How to Cite: Howsen H. Doing Things Differently: Transforming the Health and Care System and Model in Wales through Innovation. International Journal of Integrated Care. 2022;22(S3):496. DOI:
Published on 04 Nov 2022.


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