The Bevan Commission is Wales’ leading health and care think tank

Chain Reaction examines the challenges affecting patient flow across health and care systems and presents practical solutions to improve access, efficiency, and patient outcomes. Drawing on evidence, innovation, and best practice, the report highlights the importance of prevention, integrated care, digital solutions, and whole-system collaboration to ensure services are better connected, more sustainable, and focused on meeting people’s needs now and in the future.

Are We Brave Enough to Change?

Bringing together thought-provoking insights from the Bevan Commissioners, this publication explores how Wales can move from treating illness to creating health and build a sustainable system fit for future generations.

Published by the Bevan Commission and Llais, in partnership with the Institute for Healthcare Improvement, the Silly Rules National Report identifies unnecessary bureaucratic barriers within Wales’ health and social care system. The report highlights how rigid policies, outdated habits, and duplicated processes, often termed “Silly Rules”, create friction that drains time, energy, and resources. The report serves as a practical call to action to simplify governance and remove low-value rules, aiming to restore professional autonomy and improve the quality of care for service users across Wales.

Wales is at a defining moment — and the choices we make now will shape the future of our health and care system for generations. The Bevan Commission’s 2026 manifesto, Health Matters: Creating Sustainable Health and Care in Wales, sets out the bold actions needed to build a fairer, more sustainable system that truly delivers for people. Discover the three commitments that can transform health and care and see how Wales can create a future‑ready system by acting now.