Campaign for Responsible Leadership in NHS Wales

They were entrusted with your healthcare.
They built themselves an empire.

Digital Health and Care Wales controls every GP system, every hospital appointment, every prescription in Wales. Its leaders were given hundreds of millions of public money to keep you safe when you need the NHS. They failed to deliver a single major programme on time. They silenced the people who warned them. And they made themselves invisible to anyone who might hold them to account.

Every claim on this site is drawn from the Welsh Government's own intervention records, Senedd committee findings, Audit Wales reports, Royal College warnings, and the leaders' own admissions — on the record, in their own words.

All figures verified from Senedd proceedings, Audit Wales reports, Welsh Government written statements, and DHCW's own public accountability meeting of 29 January 2026.

Every patient in Wales depends on an organisation you've never heard of

Digital Health and Care Wales is the single organisation behind every GP system, hospital appointment, test result, and prescription in Wales. It employs over 1,100 people and spends tens of millions of public money every year. When it fails, patients wait longer, records go missing, and lives are put at risk.

The Welsh Government placed DHCW under its highest tier of intervention for "serious concerns about the ability to deliver major programmes" — across all nine of its biggest projects. The Royal Colleges warned of patient delays. CEO Helen Thomas, when asked whether systems were ready for another pandemic, answered simply: "No."

When pressed on returns for the public's investment, she admitted: "We don't have an ROI on all of our investments." The people of Wales have a right to know what is being done in their name, with their money, by the people they entrust with their healthcare.

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They Waste Your Money

Hundreds of millions of pounds of your money spent across nine major programmes — every one now under the highest tier of government intervention. When CEO Helen Thomas was asked what return the public had received, she admitted: "We don't have an ROI on all of our investments." The only benefit she could point to was £0.5 million in notional savings. Not cash. Time saved.

Thomas then compared measuring returns on digital investment to measuring the value of electricity — arguing that accountability for your money is inherently impossible. The Welsh Government disagreed. That is why DHCW is under intervention.

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They Endanger Patients

A hospital system used across all of Wales has been linked to at least one patient death. A national identity system outage mixed up patient records — wrong communications sent, life-saving screening invitations missed. The Royal Colleges warned that patients "regularly experience delays that lead to worsening health."

Thomas admitted NHS Wales systems were not ready for another pandemic. The Deputy Chief Executive of NHS Wales called the national patient app — developed under her leadership — "mired in delay, non-delivery." These are not hypothetical risks. They are documented harms happening under her watch.

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They Silence Anyone Who Speaks Up

In 2018, a parliamentary committee warned the culture was "the antithesis of open" and feared it was "masking wider and deeper problems." Thomas was a director at the time. She became CEO. Eight years later, every problem the committee feared has materialised under her leadership.

At least two senior employees were allegedly dismissed after raising concerns about the very failures the Welsh Government later confirmed. Their roles were downgraded after their departure. Under Thomas, DHCW publishes zero whistleblowing data. Zero.

See the evidence →

They've Made Themselves Invisible

Try to find the person responsible for programme delivery at Thomas's organisation — an organisation under government intervention for programme delivery failures. You cannot. Directors appointed under her leadership hold consequential titles while maintaining no public presence whatsoever. One director's salary vanished from published accounts without explanation.

A shadow workforce of 23 off-payroll workers — collectively costing millions of your money per year — makes decisions that affect your healthcare. Not one is named in any public document. Under Thomas, the people making the most consequential decisions are the people least visible to you.

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In their own words, on the public record

"We don't have an ROI on all of our investments."
Helen Thomas, Chief Executive, DHCW — Public Accountability Meeting, 29 January 2026
"It would be lovely to sit here and be able to demonstrate the value."
Helen Thomas, asked whether 25% workforce growth had produced measurable patient benefit — Public Accountability Meeting, 29 January 2026
"We share your frustration as a board when things don't happen as quickly as possible, or we get informed in what we perceive to be late in the day."
Ruth Galzzard, Interim Chair, DHCW — admitting that the board itself receives late information from its own executive team — Public Accountability Meeting, 29 January 2026
"It's been mired in delay, non-delivery."
Nick Wood, Deputy Chief Executive of NHS Wales, on the NHS Wales App — Public Accountability Meeting, 29 January 2026
"Are we ready for the next one? No."
Helen Thomas, asked about pandemic preparedness — Digital Health interview, January 2025
"The culture at NWIS was the antithesis of open."
Welsh Public Accounts Committee, on DHCW's predecessor organisation — November 2018

All quotes sourced from publicly available Senedd proceedings, Welsh Government records, published media interviews, and live-streamed accountability meetings. Full sources cited on our evidence pages.



This is not bad luck. It is textbook destructive leadership.

DHCW's failures follow patterns so well-documented in leadership science that researchers have given them precise names. When leaders override technical experts, promote loyal allies over competent candidates, punish those who raise problems, and prioritise their own reputations over their mission — the outcome is always the same. Systems deteriorate. Money is wasted. The best people leave. And the people the organisation is meant to serve pay the price.

The Welsh Public Accounts Committee described DHCW's predecessor as "the antithesis of open" in 2018. Staff were afraid to speak. Testimony was choreographed. Eight years later, two senior technologists have allegedly been dismissed for raising concerns the Welsh Government would later confirm. This is not interpretation — it is diagnosis.

Read the full leadership analysis →


We Don't Just Criticise — We Have a Solution

Criticism without constructive alternatives is mere complaint. We have developed a detailed reform blueprint benchmarked against what actually works — in NHS England, in Scotland, in Denmark, in Estonia. Seven solution areas. Every recommendation comes with a concrete mechanism, a named comparator, and a measurable outcome.

Fix the Governance

Independent technical oversight, mandatory transparency, competent board members, and real accountability for directors who fail to deliver.

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Fix the Delivery

Adopt proven service standards, rationalise the portfolio, introduce sunlight rules for stalled programmes, and reform procurement.

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Fix the Culture

Independent whistleblowing protection, psychological safety measurement, blameless post-mortems, and staff voice that cannot be silenced.

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Our full blueprint also covers Leadership & Talent, Technical Strategy, Benchmarking, and a Roadmap for implementation.

Explore Our Solution →

Do you know something the public should see?

If you have witnessed failures, waste, misconduct, or the suppression of concerns at DHCW — whether as an employee, contractor, clinician, or member of the public — we want to hear from you. Failed programmes, patient safety incidents, questionable procurement, leadership conduct — anything that troubled you and you didn't know who to tell.

Your identity is protected. We will never reveal who you are without your explicit written consent. You can submit anonymously.

Email: carenhs@carenhs.org

Submit what you know →

Stand With Us

This campaign exists because individuals tried the proper channels and were ignored. It will succeed because enough people decide that the people of Wales deserve to know the truth about how their healthcare is being run.