Improvement Cymru initiated the partnership to accelerate the pace and scale of improvements in patient safety on a national scale by drawing together international expertise, national support and local knowledge. Through the Safe Care Partnership health boards and trusts are coached and supported by Improvement Cymru and IHI to improve the quality and safety of care across their systems. The IHI Publication Framework for Safe, Effective and Reliable Care is the evidence-based roadmap shaping the partnership.