All figures are drawn from published public records. Each is independently verifiable.

The Numbers

~£200 million — Identifiable programme costs alone. The true total is substantially higher. Six of the nine programmes have never published any expenditure figure at all.

9 programmes — Every one of DHCW's major programmes is under Level 3 — the highest tier of Welsh Government intervention — simultaneously, under the same leadership.

£0.5 million — The only quantified return the organisation could demonstrate. Non-cash "time savings" from a single system. Against approaching £200 million in costs.

0 directors held accountable — Not one member of DHCW's senior leadership has faced consequences for any of it.

~1,200 staff — DHCW's workforce grew by 25% between 2021 and 2023, from approximately 960 to 1,200. The NHS Wales average over the same period: 2.7%.

£78 million+ — DHCW's annual budget, funded by the Welsh taxpayer.

23 off-payroll workers — Earning £245+ per day, collectively costing an estimated £1.5 to £4.5 million per year. Not one is named in any public document.

21 outages — System outages in seven months, disrupting GP appointments, prescriptions, and clinical care across Wales.

741,000 — Open patient pathways in Wales. Every one flows through DHCW systems.


Programme Costs Where Known

ProgrammeCostStatus
WCCIS / Connecting Care£42M+11 years in; organisations trying to leave
Radiology (RISP)£47-56MImplementation setbacks within 2 years
GP SystemsUp to £80MDouble migration — GPs forced one way, then back
OpenEyes (ophthalmology)£8.5M+Two deadlines missed; 7+ years behind
Promptly Health (PROMS)£11MPatient outcomes from an organisation that can't measure outcomes
NHS Wales AppUndisclosed"Mired in delay, non-delivery"
LINC (laboratory)Undisclosed8 years; one lab partially live
National Target ArchitectureUndisclosedConsultancy-led; no public procurement
Digital Medicines / Cyber SecurityUndisclosedUnder Level 3 scrutiny

Six of the nine programmes have never published any expenditure figure at all.


Sources: DHCW annual reports and accounts, Audit Wales reports, Senedd proceedings, Welsh Government statements, DHCW Public Accountability Meeting (29 January 2026).