News
Bevan Commission launches ‘silly rules’ initiative to improve care across Wales
THE BEVAN COMMISSION, in collaboration with Llais and the Institute for Healthcare Improvement (IHI) in the United States, has launched the ‘Silly Rules’ initiative to tackle barriers hindering health and social care services in Wales.
The initiative, introduced on November 18, aims to identify outdated or unnecessary processes that obstruct safe and effective care, offering solutions to improve services for all.
SHARE YOUR EXPERIENCES
People, communities, and health and social care staff are encouraged to contribute to the initiative by completing a survey. This will help identify processes that no longer add value and may be creating unnecessary challenges in delivering or receiving care.
Building on the success of the 2016 ‘Breaking the Rules for Better Care’ campaign by Professor Don Berwick, a Bevan Commissioner and healthcare improvement pioneer, this initiative seeks to adapt global lessons to the Welsh context. The original campaign transformed healthcare systems worldwide by addressing inefficiencies, reducing waste, and improving outcomes for both patients and professionals.
WORKING TOGETHER FOR BETTER CARE
Dr. Helen Howson, Director of the Bevan Commission, highlighted the importance of collaboration: “Often the best solutions come from the people who experience health and care services and those working in the system—both those providing and receiving care. We know there are processes and rules that may have made sense at one time but are now outdated, creating unnecessary barriers and frustration.
“By launching the Silly Rules initiative in Wales, we’re giving everyone an opportunity to help identify these. This isn’t just about finding problems—it’s about working together to create practical solutions that make health and care work better for everyone. Building on the success we’ve seen globally, we believe this initiative can transform care delivery in Wales, making it more efficient, responsive, and patient-centered.”
Alyson Thomas, Chief Executive of Llais, echoed this sentiment: “This is a great opportunity for us to join forces with the Bevan Commission to hear your ‘Silly Rules.’ Our unique role in Llais allows us to hear from people across both health and social care, giving us access to a broader range of ideas and experiences. This initiative ensures that people accessing care, along with staff, have a voice in shaping better services.”
SHAPING THE FUTURE OF CARE
Findings from the Silly Rules survey will be shared in the first quarter of 2025 with health boards, trusts, social care organisations, and communities across Wales. This collective insight will guide policymakers and leaders in removing unnecessary barriers, improving care outcomes, enhancing staff satisfaction, and ensuring a better experience for everyone.
Health and social care staff, alongside Welsh communities, are encouraged to participate and contribute to these meaningful improvements. Together, we can break down the barriers to better care.
Community
Six untaxed vehicles seized in Milford Haven police operation
SIX untaxed and abandoned vehicles were seized during a joint roads policing operation in Milford Haven on Tuesday morning.
Officers from the Milford Haven Neighbourhood Policing and Prevention Team (NPPT) worked alongside the Pembrokeshire Roads Policing Team as part of targeted enforcement across the town.
In addition to the vehicle seizures, a number of traffic offence reports were issued to drivers during the operation.
Police said the action formed part of ongoing efforts to improve road safety and tackle vehicle-related offences in the Milford Haven area.
Community
Candlelit carol service brings community together in Milford Haven
ST KATHARINE and St Peter’s Church in Milford Haven hosted its annual Candlelit Festival of Nine Lessons and Carols, bringing together members of the community for a traditional celebration of Christmas.
The service featured readings from the Mayor of Milford Haven, representatives of the Soroptimists, Milford Haven Amateur Operatic Society, the Headteacher and Head Prefects of Milford Haven School, Milford Haven Town Band, and NCI Wooltack Point.
Music for the evening was provided by organist Seimon Morris, Milford Haven Town Band and the Milford Haven Cluster Band, whose performances added to the atmosphere of the candlelit service.
The Friends of St Katharine and St Peter’s Church thanked all those involved and wished the community a happy Christmas.

Crime
Man jailed after strangling partner and attacking police officer
A MILFORD HAVEN man who strangled his partner during a violent domestic assault before attacking a police officer has been jailed for two years.
Timothy John, aged 38, of Howarth Close, Milford Haven, appeared at Swansea Crown Court after admitting a series of offences arising from an incident in October.
The court heard that John had been arguing with his partner about his drug use when the situation escalated into violence. Prosecutor Craig Jones said the defendant grabbed the woman by the throat and held her in a chokehold for around ten seconds, leaving her struggling to breathe and fearing she would lose consciousness.
During the attack, John also punched and kicked the victim before smashing a glass bong over her head. At the time, the woman was still in her underwear and managed to flee the property and run into the street to seek help.
John also damaged the victim’s mobile phone by biting the screen, rendering it unusable.
Police attended the address the following day to take a statement from the victim and discovered John hiding in a bedroom. When officers attempted to detain him, he assaulted a female police officer, knocking her glasses to the floor, before escaping from the property.
The defendant handed himself in around 24 hours later.
John pleaded guilty to intentional strangulation, assault occasioning actual bodily harm, assaulting an emergency worker, criminal damage, and escaping from lawful custody. The court was told he has five previous convictions for six offences, although none for violence.
Defending, Dan Griffiths said John accepted the relationship was over and had been using cocaine at the time of the incident, which had made him paranoid, volatile and unpredictable.
He told the court that John had previously worked as a fisherman, roofer and welder, but had struggled with alcohol and substance misuse. Mr Griffiths added that a pre-sentence report highlighted a difficult upbringing and noted a lack of insight into his offending, with concerns that he attempted to minimise his behaviour.
The defence urged the court to consider a suspended sentence to allow John to work with probation services.
Sentencing, Judge Catherine Richards said the offence involved serious strangulation and a sustained assault on an intimate partner, leaving the victim frightened in her own home.
John was sentenced to two years’ imprisonment and made subject to a ten-year restraining order preventing any contact with his former partner.
Dyfed-Powys Police have been asked to provide a custody image of the defendant.
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