Disclosures — Campaign for Responsible Leadership in NHS Wales

We are engaging directly with the bodies responsible for oversight of DHCW and NHS Wales. This page tracks our formal disclosures — letters presenting documented evidence to the Welsh Government, the Senedd, Audit Wales, Healthcare Inspectorate Wales, and other relevant authorities.

Each disclosure is a formal letter backed by evidence from public records: Senedd proceedings, Audit Wales reports, DHCW's own annual accounts, Welsh Government statements, and the DHCW Public Accountability Meeting of 29 January 2026. We do not ask these bodies to take our word for it — we present the evidence and ask them to act on it.

Status key:PlannedFiledAcknowledgedResponseOverdue

Letters to Welsh Government

Ref	Recipient & Subject	Status
DIS-001	Cabinet Secretary for Health and Social Care (Jeremy Miles MS) Presenting the full evidence of programme delivery failure, financial waste, and leadership accountability gaps at DHCW. Requesting: (1) an independent external review of DHCW leadership and governance, (2) publication of programme-level spending data, (3) personal accountability requirements for directors. The Cabinet Secretary escalated DHCW to Level 3 in March 2025 and confirmed in February 2026 that the organisation remains "some distance from being able to consistently quantify return on investment." This letter asks what happens next.	Planned
DIS-002	Deputy Chief Executive of NHS Wales (Nick Wood) Presenting evidence of programme delivery failures and their impact on Health Boards. Requesting: (1) Health Board-level assessment of DHCW service quality, (2) a framework for Health Boards to escalate concerns about DHCW directly to Welsh Government, (3) publication of the independent digital expert's findings. Nick Wood described the NHS Wales App as "mired in delay, non-delivery" at the January 2026 accountability meeting — the most damaging internal assessment from DHCW's own oversight body.	Planned

Letters to the Senedd

Ref	Recipient & Subject	Status
DIS-003	Public Accounts and Public Administration Committee Presenting evidence of financial waste across DHCW's programme portfolio: £42M+ on WCCIS, £47-56M RISP contract with implementation setbacks, £8.5M OpenEyes over seven years, undisclosed NTA procurement. Requesting: (1) a dedicated inquiry into DHCW spending, (2) calling DHCW's CEO and finance director to give evidence on programme-level costs, (3) requesting Audit Wales to conduct a value-for-money examination. The Senedd's own joint committee report in July 2023 made 16 recommendations. DHCW admitted at the January 2026 meeting that optimism bias remains — the same finding the committee made two and a half years earlier.	Planned
DIS-004	Health and Social Care Committee Presenting evidence of patient safety risks: WPAS identified as a factor in at least one patient death, WCCG running on eight-year unsupported technology, eMPI outage mixing up patient records, Royal Colleges warning of "delays that lead to worsening health." Requesting: (1) calling DHCW's CEO and medical director to give evidence on patient safety, (2) requesting DHCW publish all serious incident reports related to digital system failures, (3) commissioning an independent clinical safety review of DHCW's critical systems. The CEO summoned to this committee in May 2025 on OpenEyes conceded that engagement "could have worked a lot better" — the understatement of a programme seven years behind schedule.	Planned

Letters to Regulators and Oversight Bodies

Ref	Recipient & Subject	Status
DIS-005	Audit Wales Requesting a value-for-money examination of DHCW's programme delivery, focusing on: (1) total expenditure across all nine Level 3 programmes, (2) the gap between reported "consultancy" spend (£0.757M) and actual external advisory costs, (3) the off-payroll workforce (23 individuals, estimated £1.5-4.5M/year), (4) the absence of any demonstrable return on investment beyond £0.5M in non-cash savings. Audit Wales concluded in 2022 that WCCIS's ambition was "still a long way from being realised." The auditor has jurisdiction over DHCW's accounts and value for money. This request asks them to exercise it across the full portfolio.	Planned
DIS-006	Healthcare Inspectorate Wales (HIW) Presenting evidence of patient safety risks arising from digital system failures at DHCW. Requesting: (1) an assessment of whether DHCW's digital infrastructure meets minimum patient safety standards, (2) inclusion of digital system quality in routine Health Board inspections, (3) investigation of the eMPI outage that mixed up patient records and the WPAS system implicated in a patient death. DHCW itself acknowledged that the current digital environment "ultimately increases the risk of harm to patients." HIW has a duty to investigate when a public body admits its systems endanger patients.	Planned
DIS-007	Information Commissioner's Office (ICO) Presenting concerns about DHCW's data protection compliance in the context of: (1) the eMPI outage that resulted in patients receiving incorrect health communications, (2) patients missing invitations to life-saving screening treatments due to record mismatches, (3) the adequacy of DHCW's data protection impact assessments for systems known to have critical quality issues. Patient record integrity is a fundamental data protection requirement. When the system responsible for matching patients to records fails at national scale, the ICO has jurisdiction to investigate.	Planned
DIS-008	Wales Audit Office / Public Services Ombudsman for Wales Presenting evidence of governance failures: (1) salary disclosures vanishing from annual accounts, (2) off-payroll workforce operating below accountability thresholds, (3) the board admitting it receives information "late in the day," (4) the absence of any published whistleblowing or disciplinary data despite statutory requirements. When formal governance mechanisms — statutory accounts, board oversight, whistleblowing policies — are not functioning as intended, the bodies responsible for public service standards should be informed.	Planned

Letters to Professional Bodies

Ref	Recipient & Subject	Status
DIS-009	British Computer Society (BCS) / FedIP Requesting clarification of the standards and evidence required for BCS fellowship and FedIP registration, in the context of senior DHCW leaders who hold these credentials while presiding over systemic programme delivery failures. Asking whether these bodies conduct ongoing fitness-to-practise assessments for registered professionals in senior public sector roles. If professional registration is to have meaning, the bodies that grant it should be aware when registered professionals preside over documented systemic failures in their area of claimed expertise.	Planned
DIS-010	Royal Colleges (RCP, RCGP Cymru Wales) Supporting and amplifying the Royal Colleges' own July 2025 joint briefing warning that patients "regularly experience delays that lead to worsening health" due to digital failures. Providing additional evidence of specific system risks (WPAS, WCCG, eMPI) and requesting continued clinical pressure for digital modernisation. The Royal Colleges have already spoken. This letter provides additional ammunition and ensures their intervention is sustained, not a one-off statement that DHCW can wait out.	Planned

How this works

Preparation: Each letter is drafted with full evidence citations from public records. We do not make claims we cannot support. Every figure, every quote, every timeline is sourced and verifiable.

Filing: Letters are sent by recorded delivery and email. We publish the full text of each letter on this site on the day it is sent.

Tracking: When a letter is acknowledged, we update the status. When a substantive response is received, we publish it in full alongside our analysis. If no response is received within a reasonable timeframe, we publish that fact and escalate.

Transparency: The oversight bodies receive nothing that is not also available to the public on this site. We have no private agenda. The evidence speaks for itself.