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The initiative, introduced on November 18, aims to identify outdated or unnecessary processes that obstruct safe and effective care, offering solutions to improve services for all.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 We know there are processes and rules that may have made sense at one time but are now outdated, creating unnecessary barriers and frustration.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
Craig Flannery appointed as new Chief Fire Officer
MID AND WEST WALES FIRE SERVICE LEADERSHIP CHANGE
MID and West Wales Fire and Rescue Service has announced the appointment of Craig Flannery as its new Chief Fire Officer, with effect from Monday, December 15, 2025.
Mr Flannery has served with the Service for more than twenty years, progressing through a wide range of middle management and senior leadership roles across both operational and non-operational departments.
During his career, he has been closely involved in strengthening operational delivery, risk management and organisational development. His work has included leading innovation in learning and development, overseeing the Service’s On-Call Improvement Programme, and driving investment in key enabling functions such as workforce development and information and communication technology.

The appointment followed a rigorous, multi-stage recruitment process led by Mid and West Wales Fire and Rescue Authority. Candidates were assessed through structured interviews, strategic leadership exercises and scenario-based assessments designed to test operational judgement, organisational vision and the ability to lead a modern fire and rescue service.
External professional assessors were also engaged to provide independent scrutiny, ensuring the process met high standards of fairness, transparency and challenge.
Mr Flannery emerged as the strongest candidate, demonstrating clear strategic leadership capability, detailed organisational knowledge and a strong commitment to community safety and service improvement.
Councillor John Davies, Chair of Mid and West Wales Fire and Rescue Authority, said: “Craig brings a deep understanding of our Service and a clear vision for its future. His appointment will strengthen our ability to innovate, support our workforce and deliver high-quality protection for the communities we serve.
“As we navigate a rapidly changing landscape, Craig’s experience in driving innovation and organisational development will be invaluable in helping us adapt and transform for the future.”
Commenting on his appointment, Mr Flannery said: “It is a privilege to lead this outstanding Service. I am committed to supporting our people, strengthening partnerships and building on the strong foundations already in place.
“As the challenges facing fire and rescue services continue to evolve, we must modernise and innovate, ensuring we have the skills, technology and capability needed to meet the needs of our communities. I look forward to working with colleagues and partners across Mid and West Wales to deliver a resilient, progressive Service that keeps people safe and places our staff at the heart of everything we do.”
Health
Resident doctors in Wales vote to accept new contract
RESIDENT doctors across Wales have voted to accept a new contract, with 83% of those who took part in a referendum backing the agreement, according to BMA Cymru Wales.
The contract includes a four per cent additional investment in the resident doctor workforce and introduces a range of reforms aimed at improving training conditions, wellbeing and long-term workforce sustainability within NHS Wales. The BMA says the deal also supports progress towards pay restoration, which remains a central issue for doctors.
Key changes include new safeguards to limit the most fatiguing working patterns, measures intended to address medical unemployment and career progression concerns, and reforms to study budgets and study leave to improve access to training opportunities.
Negotiations between the BMA’s Welsh Resident Doctors Committee, NHS Wales Employers and the Welsh Government concluded earlier this year. Following a consultation period, a referendum of resident doctors and final-year medical students in Wales was held, resulting in a clear majority in favour of the proposals.
Welsh Resident Doctors Committee chair Dr Oba Babs Osibodu said the agreement marked a significant step forward for doctors working in Wales.
He said: “We’re proud to have negotiated this contract, which offers our colleagues and the future generation of doctors safer terms of service, fairer pay, and better prospects so that they can grow and develop their careers in Wales.
“This contract will help to retain the doctors already in training, and also attract more doctors to work in Wales, where they can offer their expertise and benefit patients.”
Dr Osibodu added that the BMA remains committed to achieving full pay restoration and acknowledged that challenges remain for some doctors.
“Whilst this contract sets the foundations for a brighter future for resident doctors in Wales, we recognise that there are still doctors who are struggling to develop their careers and secure permanent work,” he said. “We need to work with the Welsh Government and NHS employers to address training bottlenecks and underemployment.”
The Welsh Government has previously said it recognises the pressures facing resident doctors and the importance of improving recruitment and retention across NHS Wales, while also highlighting the need to balance pay agreements with wider NHS funding pressures and patient demand.
The new contract is expected to be phased in from August 2026. It will initially apply to doctors in foundation programmes, those in specialty training with unbanded rotas, and new starters, before being rolled out to all resident doctors across Wales.
Crime
Swansea man jailed for online child sex offence dies in prison
A SWANSEA man who was jailed earlier this year for attempting to engage in sexual communication with a child has died while in custody.
Gareth Davies, aged 59, of the Maritime Quarter, was serving an 18-month prison sentence after being convicted in May of sending sexually explicit messages to what he believed was a 14-year-old girl. The account was in fact a decoy used as part of an online safeguarding operation.
The court heard that Davies began communicating with the decoy between November and December 2024 and persistently pursued the individual, later attempting to arrange a face-to-face meeting. He was arrested after being confronted by the decoy operators.
Davies had pleaded not guilty but was convicted following a trial. At the time of sentencing, police described the messages as extremely concerning and said his imprisonment was necessary to protect children.
It has now been confirmed that Davies died at HMP Parc on Wednesday (Nov 27) while serving his sentence.
The Prisons and Probation Ombudsman has launched an independent investigation into the death, which is standard procedure in all cases where someone dies in custody. No cause of death has been released at this stage.
A coroner will determine the circumstances in due course.
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