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Reference

Sources

All 86 references behind The State of DHCW: Welsh Government, Audit Wales, Senedd and DHCW board documents — with archived copies of 48 public-sector PDFs.

The complete reference list for The State of DHCW. Every numbered citation across the seven parts resolves to an entry on this page. Archived copies of 48 public-sector documents — Welsh Government, Audit Wales, Senedd and NHS Wales board papers — are hosted here under the Open Government Licence, alongside links to every canonical source.

Every numbered citation in The State of DHCW — the documented record of Digital Health and Care Wales (DHCW) — resolves to an entry below. Entries keep the numbering used across the seven parts, so [12] always means the same document wherever it appears.

Archived copies. Forty-eight public-sector documents — published by the Welsh Government, Audit Wales, the Senedd, DHCW and other NHS Wales bodies — are archived here as PDFs, unaltered, so the record does not depend on link rot or website reorganisations. They are reproduced under the Open Government Licence v3.0; each entry also links the canonical copy at its original location. Eight sources are not public-sector material and are not archived here — press reporting, a paywalled journal article, professional-body submissions and third-party sites. Those are cited by URL only.

Welsh Government

  • [1] Welsh Government, Digital Health and Care Wales oversight and escalation framework: May 2026, published 9 July 2026. gov.wales
  • [2] Welsh Government, Digital Health and Care Wales oversight and escalation framework: May 2025, published 24 September 2025. gov.wales
  • [3] Jeremy Miles MS, Cabinet Secretary for Health and Social Care, Public Accountability Meeting follow-up letter to the Chair of Digital Health and Care Wales, ref. DC/JMHSC/00046/26, 12 February 2026 (addressed to Ruth Glazzard, Interim Chair, and Helen Thomas, Chief Executive). gov.wales PDF · landing page · archived copy
  • [4] Digital Health and Care Wales, Public Accountability Meeting Evidence Paper, meeting 29 January 2026, submitted 15 January 2026, published March 2026. gov.wales PDF · archived copy
  • [5] Welsh Government, Written Statement: NHS Wales data centre outage, 4 April 2018. gov.wales
  • [6] Welsh Government, Written Statement: Update on Digital Health and Care, 30 September 2019. gov.wales
  • [7] Welsh Government, Written Statement: Digital Health and Care Wales, 23 March 2021; and DHCW, DHCW appoints Helen Thomas as CEO, 11 May 2021. gov.wales · dhcw.nhs.wales
  • [8] Welsh Government, Written Statement: Appointment of Chair – Digital Health and Care Wales, 22 September 2021. gov.wales
  • [9] Ministerial Advisory Group on NHS Wales Performance and Productivity, NHS Wales performance and productivity: independent review, April 2025. gov.wales PDF · archived copy
  • [10] Welsh Government, New health minister sets out bold plans for NHS Wales, 2026. gov.wales
  • [73] NHS Wales Shared Services Partnership Procurement Services (hosted by Velindre University NHS Trust), Contract Award Notice: Artificial Intelligence (AI) Stroke Imaging System, 9 February 2021 — "acting on behalf of Cardiff and Vale University Local Health Board." Sell2Wales notice FEB358631. sell2wales.gov.wales
  • [76] Welsh Government, AI helping to diagnose cancer in Wales, 27 July 2023 (13% increase in prostate cancer detection; "Funded through the Welsh Government's Innovation Fund and supported through the work of the Small Business Research Initiative (SBRI) Centre of Excellence"; extension to six health boards). gov.wales
  • [86] Welsh Government, NHS Wales escalation and intervention arrangements — the five levels of governance arrangements and the current escalation status of every NHS Wales organisation. gov.wales
  • [87] Welsh Government, Written Statement: Escalation and Intervention Arrangements, July 2025 — revised escalation status of NHS organisations against the March 2025 position. gov.wales

Audit Wales / Auditor General for Wales

Senedd Cymru / National Assembly for Wales

  • [11] Senedd Cymru, Written Question WQ93085, answered 7 June 2024. record.senedd.wales
  • [18] Auditor General for Wales, Informatics systems in NHS Wales, 10 January 2018. senedd.wales PDF · committee copy · archived copies: report · committee copy
  • [19] Auditor General for Wales, Incidents affecting availability of national clinical information systems — letter to the Chair of the Public Accounts Committee, 23 May 2018. senedd.wales PDF · archived copy
  • [21] National Assembly for Wales Public Accounts Committee, Informatics Systems in NHS Wales, November 2018 (Chair: Nick Ramsay AM). senedd.wales PDF · archived copy
  • [22] Senedd Cymru Health and Social Care Committee and Public Accounts and Public Administration Committee, Scrutiny of Digital Health and Care Wales, July 2023, ref. CR-LD15930. senedd.wales PDF · archived copy
  • [23] Senedd Cymru, Slow roll out and a lack of direction is hindering the development of digital health services, news release, 2023. senedd.wales
  • [24] Public Accounts Committee Chair, Letter to the Welsh Government regarding NHS Wales Informatics Services, 14 January 2020. senedd.wales PDF · archived copy
  • [25] Welsh Government, update to the Public Accounts Committee on NWIS and WCCIS, 11 February 2021. senedd.wales PDF · archived copy
  • [26] John Hitchcock, Senedd Research, Can NHS Wales go digital?, 20 May 2026 ("What's next? Key issues for the Seventh Senedd"). research.senedd.wales
  • [27] Senedd Research, ePrescribing: The next stage of digital healthcare, 16 March 2022. research.senedd.wales
  • [28] Senedd Cymru, Motion NDM8679 (opposition debate on eye care), tabled by Darren Millar MS, 27 September 2024. record.senedd.wales
  • [29] Senedd Cymru, Plenary, 17 June 2026. record.senedd.wales
  • [30] Senedd Cymru, Questions to the First Minister — The Digitisation of Medical Records (OQ62388), 4 March 2025. Record of Proceedings via TheyWorkForYou — cited by URL only
  • [31] Digital Health and Care Wales, board paper on the Digital Eyecare Programme supplied to the Senedd, 2023–24. senedd.wales PDF · archived copy
  • [32] Senedd Cymru Health and Social Care Committee, proceedings of 10 July 2025 — evidence of John Williams, practice manager, Flintshire, on SNOMED coding in Welsh primary care. record.senedd.wales
  • [50] Digital Health and Care Wales, Annual Report 2021–22, laid before the Senedd, ref. GEN-LD15167. senedd.wales PDF · archived copy

DHCW board, committee and corporate record

  • [35] Digital Health and Care Wales, Programmes Delivery Committee agenda and papers (public), 2 February 2026. dhcw.nhs.wales · archived copy
  • [36] Digital Health and Care Wales, Confirmed Programmes Delivery Committee minutes (public), 1 May 2025. dhcw.nhs.wales · archived copy
  • [37] Digital Health and Care Wales, SHA Board unconfirmed public minutes, 31 July 2025. dhcw.nhs.wales · archived copy
  • [38] Digital Health and Care Wales, SHA Board agenda and papers (public), 28 May 2026. dhcw.nhs.wales · archived copy
  • [39] NHS Wales Shared Services Partnership Audit and Assurance Services, National Data Resource — Final Internal Audit Report, presented to DHCW Audit and Assurance Committee, 8 April 2024. dhcw.nhs.wales · archived copy
  • [40] Digital Health and Care Wales, Audit and Assurance Committee private abridged minutes, 8 April 2025 (Limited Assurance on Recruitment Processes). dhcw.nhs.wales · archived copy
  • [41] NHS Wales Shared Services Partnership Audit and Assurance Services, Final Internal Audit Report: Follow-up of Internal Audit Recommendations, June 2024. dhcw.nhs.wales · archived copy
  • [42] Digital Health and Care Wales, Incident Review and Learning Group Annual Report 2023/24, Digital Governance and Safety Committee, 2 May 2024. dhcw.nhs.wales · archived copy
  • [43] Digital Health and Care Wales, Management Board Report, SHA Board, June 2023. dhcw.nhs.wales · archived copy
  • [43a] Digital Health and Care Wales, Annual Report — Other control framework elements (personal data incidents 2022–23). dhcw.nhs.wales
  • [44] Digital Health and Care Wales, Integrated Organisational Performance Report, May–June 2024, SHA Board, 25 July 2024. dhcw.nhs.wales · archived copy
  • [45] Digital Health and Care Wales, Q4 2023-24 SHA Board portfolio reports, 30 May 2024. dhcw.nhs.wales · archived copy
  • [46] Digital Health and Care Wales, Annual Report 2024–25: Staff Report. dhcw.nhs.wales · Remuneration Report
  • [47] Digital Health and Care Wales, Annual Report 2024–25: Annual Governance Statement. dhcw.nhs.wales
  • [48] Digital Health and Care Wales, Annual Report 2024–25: Mission 5 (performance overview). dhcw.nhs.wales
  • [49] Digital Health and Care Wales, Integrated Medium Term Plan 2023-2026. dhcw.nhs.wales · archived copy
  • [60] Digital Health and Care Wales, Audit and Assurance Committee — PRIVATE ABRIDGED minutes, 21 January 2025, item 5.2 "Raising Concerns" (three whistleblowing investigations; independent culture review concluded December 2024). dhcw.nhs.wales · public confirmed minutes · archived copies: private abridged · public confirmed
  • [61] Digital Health and Care Wales, Audit and Assurance Committee — PUBLIC CONFIRMED minutes, 7 October 2025, items 4.2 (Information Governance Framework — Substantial Assurance; Staff Culture / Wellbeing advisory review), 4.3 (Audit Wales update), 4.4 (Audit Action Tracker), 5.1 (DHCW Escalation Approach). dhcw.nhs.wales · archived copy
  • [62] NHS Wales Shared Services Partnership Audit and Assurance Services, Internal Audit Progress Report — Digital Health and Care Wales, October 2025 (2025/26 Internal Audit Plan, Appendix A: item 3 Staff Culture / Wellbeing, Advisory, 15 recommendations; item 5 Recruitment Process, Work in Progress). dhcw.nhs.wales · archived copy
  • [63] Digital Health and Care Wales, SHA Board agenda and papers, 2 February 2026 — including the Audit and Assurance Committee Highlight Report (private session: "Spot Checks for Recruitment Processes Report") and the DHCW Performance Report (§4.5 "Resolved Areas of Concern": recruitment KPIs, 47.4 days vacancy-to-offer, mandatory hiring-manager training from March 2026). dhcw.nhs.wales · archived copy
  • [64] Digital Health and Care Wales, Annual Governance Statement 2025–26 — "Effectiveness of Raising Concerns (Whistleblowing / Speaking up Safely) Arrangements" (two cases; NHS Wales Staff Survey results for DHCW). dhcw.nhs.wales
  • [65] Digital Health and Care Wales, Staff Report, Annual Report 2025–26 (signed by Helen Thomas, Chief Executive and Accountable Officer, 30 June 2026) — board composition and "Chair – Vacancy"; sickness absence; consultancy and temporary-staff spend; exit packages; off-payroll engagements. dhcw.nhs.wales
  • [66] Digital Health and Care Wales, Information Governance Arrangements, Annual Report 2024–25 — Head of Internal Audit annual opinion for 2024/25 (Reasonable Assurance; composition of reviews including one Limited Assurance report carried into 2025/26). dhcw.nhs.wales
  • [67] Digital Health and Care Wales, Mission 2: Deliver high quality digital products and services — Annual Report 2024–25 (service availability 99.974%; 61 major incidents; 98% within target fix-times; the June 2024 data-room cooling failure; Connecting Care / CareDirector devolution; Digital Maternity Cymru national programme closure; Welsh Immunisation System). dhcw.nhs.wales
  • [68] Digital Health and Care Wales, Mission 5 — Annual Report 2024–25 (nine clinical incidents logged in 2024–25; four escalated to Welsh Government as Early Warning Notifications). dhcw.nhs.wales
  • [69] Digital Health and Care Wales, SHA Board confirmed public minutes, 27 March 2025 (five major incidents for DHCW-provided services; change control reiterated). dhcw.nhs.wales · archived copy
  • [70] Digital Health and Care Wales, SHA Board public minutes, 31 July 2025, item 3.1 "Shared Listening and Learning Presentation — Data Centre Learning Incident" (11 June 2025 Data Centre 1 failure; both cooling systems failed; resilience restored 13 June; June availability 99.8%), and item 6.3 Performance Report. dhcw.nhs.wales · archived under [37]
  • [71] Digital Health and Care Wales, Incident Review & Learning Group — Quarter 3 Report 2025/26 (period 1 October–31 December 2025), presented to the Digital Governance and Safety Committee, 5 March 2026: thematic review "Incidents caused by Change" (eleven change-attributable major incidents); AWS Early Warning Notification; NIS Directive referrals; Digital Maternity and Bridgend Disaggregation lessons-learned reviews. dhcw.nhs.wales · archived copy
  • [72] Digital Health and Care Wales, SHA Board agenda and papers, 28 May 2026 — Performance Report (availability 99.95%; four major incidents in February 2026; major national IT incident affecting NHS Wales broadband services). dhcw.nhs.wales · archived under [38]
  • [77] Digital Health and Care Wales, Major Programmes Assurance Reports, December 2025, presented to the Programmes Delivery Committee, 5 February 2026 — RAG Framework v5 (April 2025) delivery-confidence assessments for Connecting Care, Digital Medicines/EPS, DSPP, GP Systems Migrations, Integration Hub (IH), LIMS 2.0, Microsoft 365, National Data Resource (NDR), National Target Architecture (NTA), RISP and WICIS. dhcw.nhs.wales · archived copy
  • [78] Digital Health and Care Wales, National Target Architecture — report to SHA Board, 28 May 2026 (author Alex Percival, approver Ifan Evans, Executive Director of Strategy): project established June 2025; architecture repository and external consultancy procured; Current State Assessment September 2025; Strategic Investment Plan January–March 2026 and the evidence gaps. Within the SHA Board papers, 28 May 2026 · archived under [38]
  • [79] Digital Health and Care Wales integration-platform commitments across successive plans: IMTP 2024–27 · IMTP 2025–28 · Q3 2024–25 portfolio reports (SHA Board, 27 March 2025) · archived copies: IMTP 2024–27 · IMTP 2025–28 · Q3 portfolio reports
  • [80] NHS Wales Informatics Assurance Group / Digital Governance and Safety Committee, Safety Case and Readiness Reports — Appendix D, 15 August 2024: "The scope of the assurance plan is for the migration of all workflows from Fiorano version 10 into Fiorano version 13." dhcw.nhs.wales · archived copy
  • [84] Digital Health and Care Wales, Remuneration Report, Annual Report 2025–26 — definition of "senior manager"; Tables 1 and 2 (salary and benefits 2025–26 and 2024–25) and Tables 3 and 4 (pension benefits), listing every senior manager by name and title; footnotes recording the Finance Director secondment to Swansea Bay UHB from 9 March 2026 and the acting arrangement. dhcw.nhs.wales

Health boards and other NHS Wales bodies

  • [51] Hywel Dda University Health Board, LIMS (Laboratory Information Management System), Digital, Data and Innovation Committee, 22 July 2025. hduhb.nhs.wales · archived copy
  • [52] Hywel Dda University Health Board, In-Year Delivery of Programmes, Digital, Data and Innovation Committee, 7 October 2025. hduhb.nhs.wales · archived copy
  • [53] Cwm Taf Morgannwg University Health Board, Digital Programme Assurance Report, Digital and Data Committee, 12 July 2021. ctmuhb.nhs.wales · archived copy
  • [55a] Public Health Wales, internal audit final report on the August 2020 data breach, Audit and Corporate Governance Committee, 20 January 2022. phw.nhs.wales · context: National Cyber Security Centre, MOVEit vulnerability and data extortion incident
  • [74] NHS Wales Performance and Improvement, Revolutionary new technology set to transform stroke care in Wales (Brainomix 360 national commissioning; rollout from October 2023; thrombectomy rate 1.8% → 2.6%; Dr Shakeel Ahmad, National Clinical Lead for Stroke). performanceandimprovement.nhs.wales · see also National Stroke Programme
  • [75] Betsi Cadwaladr University Health Board, 'We are pioneers' says Betsi consultant using Artificial Intelligence to improve prostate cancer diagnosis, 2 December 2021. bcuhb.nhs.wales · BBC News, Prostate cancer: AI pathologist used to help diagnosis, 2 December 2021 ("Betsi Cadwaladr University Health Board has rolled out an 'AI pathologist'"). bbc.co.uk — press copy cited by URL only

UK bodies

  • [59] Welsh Government, response to Prevention of Future Deaths report 2023-0526 (Catherine Lisa Jones), 6 February 2024. judiciary.uk PDF · archived copy
  • [85] HM Courts & Tribunals Service, Employment tribunal decisions register — searched for "Digital Health and Care Wales", no matching judgment published as at 30 July 2026. Judgments are added on hand-down. gov.uk

Third-party sources — cited by URL only

  • [54] Tammy Lovell, 'Serious concern' raised about Digital Health and Care Wales, Digital Health News, 19 May 2025. digitalhealth.net
  • [55] Bevan Commission, Unleashing data to make a difference to people's health and care, August 2023. bevancommission.org PDF
  • [56] Royal College of Podiatry, written evidence to the Senedd Public Accounts Committee and Health and Social Care Committee scrutiny of Digital Health and Care Wales, 2023. rcpod.org.uk
  • [57] BMA Cymru Wales, letter to Ruth Jones MP, Chair of the Welsh Affairs Committee — cross-border care evidence submission, January 2025. bma.org.uk PDF
  • [58] Bowen JL, Caley L, Thomas H, Matthewson S, Smith J, Hewer L et al., Nurses' experiences of adopting a digital record keeping system: a mixed-methods evaluation of the Welsh Nursing Care Record, British Journal of Healthcare Management. doi:10.12968/bjhc.2025.0075
  • [83] SAIL Databank, About us — "Funded by Health and Care Research Wales, SAIL is based within the Medical School, Swansea University." saildatabank.com
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