Our health and well-being mission is to keep our people well for as long as possible.

We help public bodies to increase their prevention activity and investment, work together on the root causes of ill health and address health inequalities.

We are helping find solutions to future-proof our health care as it faces many challenges (increase of illness, reduction of resources, declining staff numbers for example).

Future Generations Report 2025: Recommendations

1. Welsh Government should commit Wales to becoming a Marmot nation, adapting the Marmot model with tailored principles aligned with the Well-being of Future Generations Act, to help reduce inequalities and improve the well-being of our population.
2. Welsh Government and the NHS Executive should ensure prevention is embedded at the start of all clinical pathways, with performance measures adjusted to reflect this shift.
3. Welsh Government should develop a plan to halt the rise in obesity within five years, reverse it within ten and create a Wales that supports healthy weight by default by 2035, reducing inequalities.
4. Public bodies and Public Services Boards should work together, along with the private and voluntary sectors, to implement the social model of health, placemaking and/or the Marmot principles to improve action on the wider determinants and reduce inequalities in their areas.
5. Public bodies should include prevention as a core strategic objective in corporate strategies and planning.
6. Public bodies and Public Services Boards should use the Public Services Boards’ well-being assessments and Regional Partnership Board population needs assessment to identify the most significant inequalities in their populations and develop targeted plans to close the equity gap in health outcomes.

What public bodies have told us:

• Most public bodies agree with the importance of prevention. They recognise that addressing issues early improves well-being and reduces long-term costs. Many have started to embed prevention in strategies.
• Overall, public bodies are at different stages in the journey as some have comprehensive prevention frameworks; others are still building definitions and alignment.
• Several public bodies flagged practical barriers such budget pressures, regulatory expectations, annual financial cycles, and increasing service demand.
• Most public bodies support ambitions to improve action on health inequalities by using, for example, the Marmot Principles, placemaking, and the social model of health. Some told us that they were unsure how to implement this, or how it may relate to their work.
• Public bodies told us that they want to use available evidence to better prevent health inequalities, but access and availability of research is fragmented. For example, Public Services Board (PSB) and Regional Partnership Board (RPB) well-being and population assessments may duplicate some analysis yet is not consistently used to inform decisions.

As a result of this feedback, Future Generations Cymru (FGC) will:

• Work closely with the Public Health Wales, the World Health Organisation, Welsh Government and other public bodies to ensure prevention is prioritised at all levels of activity and in budgets (see also actions listed below and under the budgeting section).
• Work closely with the Equality & Human Rights Commission, Public Health Wales, Welsh Government and other public bodies to clarify which levers they have to improve population health.
• Support development of the Marmot Cymru approach in partnership with Welsh Government, Public Health Wales and the Institute for Health Equity.
• Continue building our evidence base to demonstrate how public bodies can shift funding toward primary prevention.
• Continue to work with public bodies across Wales to share good practice on evidence and use of future trends.
• Work with PSBs, the Welsh Local Government Association and RPBs to reduce duplication and improve how evidence is shared and used in wellbeing assessments and planning.