Welsh agency for specialist healthcare services should be wound up, report says

BMJ 2008; 336 doi: (Published 19 June 2008) Cite this as: BMJ 2008;336:1399
  1. Roger Dobson
  1. 1Abergavenny

Health Commission Wales, the body set up five years ago to commission specialist services, should be wound up and replaced, a new report says.

Fundamental flaws in the way the commission was established, poor governance arrangements, and an unsound budget allocation are among the criticisms in the independent report commissioned by the Welsh Assembly’s health minister, Edwina Hart.

The report, by Mansel Aylward, chairman of the Wales Centre for Health, says that the structure, governance, and functioning of Health Commission Wales were not fit for what the organisation required.

The report also urges the setting up of an all Wales independent panel, including lay members, which will hear appeals in relation to individual commissioning decisions. This recommendation has already been accepted.

Health Commission Wales was established as an executive agency …

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