The Key Facts
The numbers behind DHCW's failure — drawn from public records, independently verifiable.
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
| Programme | Cost | Status |
|---|---|---|
| WCCIS / Connecting Care | £42M+ | 11 years in; organisations trying to leave |
| Radiology (RISP) | £47-56M | Implementation setbacks within 2 years |
| GP Systems | Up to £80M | Double migration — GPs forced one way, then back |
| OpenEyes (ophthalmology) | £8.5M+ | Two deadlines missed; 7+ years behind |
| Promptly Health (PROMS) | £11M | Patient outcomes from an organisation that can't measure outcomes |
| NHS Wales App | Undisclosed | "Mired in delay, non-delivery" |
| LINC (laboratory) | Undisclosed | 8 years; one lab partially live |
| National Target Architecture | Undisclosed | Consultancy-led; no public procurement |
| Digital Medicines / Cyber Security | Undisclosed | Under 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).