Our Demands
Seven 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. World-class leadership through open international recruitment
The clinicians, engineers, and patients of Wales deserve an executive team selected for proven delivery at scale. CEO, COO, CFO, and Chief Digital Officer recruited through open, international competition — not inherited from the organisation that failed. Every senior appointment independently verified for qualifications, track record, and absence of conflicts of interest.
5. An independent oversight board with genuine technical authority
Board members with proven experience in digital delivery, healthcare technology, and programme governance. Personal accountability statements for every director. An end to appointments based on networks rather than expertise.
6. 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.
7. 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).