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Campaign for Responsible Leadership in NHS Wales
  • The Problem
    • What Is DHCW?
    • What We Have Found
    • The Scale of Failure
    • Leadership Analysis
  • The Evidence
    • Evidence
      • Financial Waste
      • Patient Safety
      • Toxic Culture
      • Nepotism & Empire-Building
      • Misconduct in Public Office
      • Timeline of Events
    • Accountability Gap
      • What They Said
      • What They Don't Publish
      • The Ghost Directors
      • The Shadow Workforce
  • Our Solution
    • Governance
    • Leadership & Talent
    • Programme Delivery
    • Technical Strategy
    • Culture
    • Benchmarking
    • Implementation Roadmap
  • Our Actions
    • Disclosures
    • FOI Tracker
  • Articles
  • About
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    • What We Will Do
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Home/The Accountability Gap

The Accountability Gap

How DHCW has built an organisation designed to prevent anyone from finding out what it does.

This is the campaign's unique contribution. Others have identified DHCW's programme failures. We are mapping the structures that prevent accountability — the hidden personnel, the unpublished data, the undisclosed contracts, and the vanishing salary records. This is not poor record-keeping. It is the architecture of unaccountability.

1

What They Said Themselves

No interpretation needed. These are DHCW's own leaders — the CEO, the Chair, the directors — admitting to failures in their own words, in public meetings, on the official record. We just wrote them down.

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2

What They Don't Publish

Programme costs, contractor spending, board meeting minutes, staff survey results, whistleblowing statistics — a systematic inventory of everything DHCW should publish but doesn't, and what that silence tells us.

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3

The Ghost Directors

Directors responsible for millions in public spending who have no public biography, no published qualifications, and no visible accountability. You are paying their salaries — but you cannot find out who they are.

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4

The Shadow Workforce

At least 23 off-payroll workers earning £245 or more per day, costing an estimated £1.5–4.5 million per year. Their names, roles, and contract values are not published. The public pays — and is told nothing.

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Campaign for Responsible Leadership in NHS Wales
Because the NHS is too important to be run like a private empire
carenhs@carenhs.org

The Problem

  • What Is DHCW?
  • What We Have Found
  • The Scale of Failure
  • Leadership Analysis

The Evidence

  • Financial Waste
  • Patient Safety
  • Toxic Culture
  • Nepotism & Empire-Building
  • Misconduct in Public Office
  • Timeline of Events

Accountability Gap

  • What They Said
  • What They Don't Publish
  • The Ghost Directors
  • The Shadow Workforce

Our Solution

  • Governance
  • Leadership & Talent
  • Programme Delivery
  • Technical Strategy
  • Culture
  • Benchmarking
  • Implementation Roadmap

Our Actions

  • Disclosures
  • FOI Tracker

Articles

About

  • Who We Are
  • What We Believe
  • What We Will Do
  • Press & Media

Take Action

  • Write to Your MS
  • Hustings Questions
  • Submit Evidence
  • Join Us
The Campaign for Responsible Leadership in NHS Wales is an independent, non-partisan initiative. We receive no public funding and have no political affiliation. We act solely in the public interest.