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Policy and culture

Welsh Government policy has clearly outlined the need to involve patients in decisions about their care, and that prudent health care principles and value-based healthcare will be the basis on which services are planned and delivered.

The implementation of value-based healthcare is a large cultural and transformational change that has grown from the grass roots in Wales, as a delivery mechanism for Prudent Healthcare. The principles are important in underpinning the way we reshape our services to meet the evolving needs of our population in Wales. As we learn and evolve, all parts of the system will have a part to play, from policy through to clinical encounters. The value-based approach underpins the delivery of the National Clinical Framework in supporting the creation of a Learning Health and Care system.

Many Health Boards and Trusts in Wales have already set up dedicated teams to focus on value-based healthcare. Under the stewardship of the Welsh Value in Health Centre’s National Leads for Planning and Delivery Group, these teams will be delivering initiatives throughout the healthcare pathway that improve the outcomes that matter most for patients, staff and the wider population.