Prevention Based Health and Care Framework
Published on: 1st May 2025
The key components of the PBHC framework, and the checklist questions (as illustrated) are designed to help build consensus through collaboration.
The PBHC framework consists of four layers:
- At the centre of the PBHC framework is a focus on the person-centred and population
health Outcomes which preventative action is aiming to achieve - The framework then considers the Prevention Cycle which incorporates:
• Identification – consideration of the target population, their needs, and how they can
be reached equitably
- Interventions – consideration of interventions needed and their alignment to the 6 quality domains within Welsh Government’s Duty of Quality i.e. Safe, Timely, Effective, Efficient, Equitable, Person-centred (STEEEP). The Duty applies within healthcare
settings and aligns with the values of social care. - Implementation – consideration of how best to deliver high quality interventions at scale
3. The next layer of the PBHC framework focuses on Workforce – PBHC recognises that optimum conditions need to be created for the workforce to deliver preventative actions through addressing workforce capability (C), opportunities (O) and motivation (M)
4. The outer layer of the PBHC framework integrates system Enablers, co-designed with the
Welsh Value in Health Centre. These recognise the need for a systems approach, achieved
through addressing:
• Leadership, collaboration
and influence
• People involvement, engagement
and experience
• Digital health and wellbeing
• Data and analytics
• Research, evidence and impact
delivering value
• Strategic partnerships
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Prevention Based Health and Care Framework
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