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Prudent Healthcare

Prudent Healthcare is the concept which underpins the work undertaken by the Bevan Commission and its members. It is this approach that provides guidance on how the Commission can best support healthcare within Wales.

In December 2013, the Commission introduced the concept of Prudent Healthcare with the publication of Simply Prudent Healthcare, which included a set of provisional principles that underpins the concept’s aims and objectives.

Throughout 2014, the Commission reached out and encouraged a wide-ranging conversation on what Prudent Healthcare should be. Following a series of workshops, debates and the launch of a dedicated website, the Commission launched the finalised Prudent Principles in January 2015. These were endorsed by the Minister for Health and Social Services at the Welsh NHS Confederation Conference. A copy of the Minister's speech is available here.

Prudent healthcare is at the heart of A Healthier Wales, Welsh Government's long-term plan for health and care, and informs much of today's health and care policy and discussion in Wales. The Bevan Commission's Exploiting the Welsh Health Legacy series explores the concept in detail and how it can inspire A New Way of Thinking, A New Way of Planning and  A New Way of Doing.

Prudent Healthcare Principles

Prudent Principle 1

  • Achieve health and wellbeing with the public, patients and professionals as equal partners through co-production.

Prudent Principle 2

  • Care for those with the greatest health need first, making most effective use of all skills and resources.

Prudent Principle 3

  • Do only what is needed – no more, no less – and do no harm.

Prudent Principle 4

  • Reduce inappropriate variation using evidence-based practices consistently and transparently.


Bevan Commissioner Professor Don Berwick on the principles of Prudent Healthcare:

Watch the video here:



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