Our Demands
Six demands for accountability, transparency, and reform at Digital Health and Care Wales.
What we are calling for
1. Independent external review of DHCW
Conducted by reviewers with no prior relationship to the organisation, its leadership, or its suppliers. Findings published in full.
2. Transparent disclosure of all programme costs and outcomes
Total expenditure on every programme, contract values, off-payroll and consultancy costs, and measurable benefits delivered against investment. No more hidden spending.
3. Independent Freedom to Speak Up Guardian
A genuinely independent whistleblower protection function, external to DHCW management, with the power to investigate retaliation and report directly to the Senedd. Not a policy on paper — a person with power.
4. Board reform with genuine technical competence
An end to appointments based on networks rather than expertise. Independent verification of qualifications. Mandatory inclusion of members with proven digital delivery experience.
5. Public accountability for leadership failures
Those responsible for sustained programme failure, financial waste, and the suppression of legitimate concerns must face consequences proportionate to the harm caused.
6. Adoption of NHS England-standard digital service standards
Welsh digital health programmes must be assessed against the same independent service standards applied in England, with public publication of assessment results.
These demands are supported by a detailed reform blueprint benchmarked against what works in NHS England, Scotland, Denmark, and Estonia. See our full Solution section (English).