The Blueprint analysis names nine national NHS Wales digital systems and infrastructure components. Each has a one-page reference below — what it is, what it does, its current status, the patient-safety record where one exists, and where it is discussed across the diagnosis.
These pages are reference, not advocacy. They compile what is documented in DHCW board minutes, programme reports, Welsh Government correspondence, and the Blueprint’s diagnosis. Citations link back to the relevant feedback-loop or trap analyses.
- Welsh Patient Administration System (WPAS) WPAS — the Welsh Patient Administration System — is the primary national clinical administration system for NHS Wales. It has been linked to at least one patient death and carries documented patient-safety risk that has not been resolved.
- Regional Imaging Solution / RISP (RISP) RISP — the Welsh radiology and imaging programme — has a documented 'global worklist' issue that threatens cross-Wales image viewing. The programme has been a regular feature of DHCW board escalation discussions.
- Laboratory Information Management System (LIMS) LIMS — the national NHS Wales Laboratory Information Management System programme — was compressed by Welsh Government from a four-year programme into two years. It was one of two Phase One Level 4 milestones documented as missed in March 2026.
- Electronic Prescribing and Medicines Administration (EPMA) EPMA — the national NHS Wales Electronic Prescribing and Medicines Administration programme — illustrates the accountability gap the Blueprint diagnoses. DHCW is measured against milestones for EPMA delivery, but the accountable delivery body is the health boards, not DHCW.
- Welsh Master Patient Index (EMPI) eMPI — the Welsh master patient index — is the national patient-identity reconciliation system for NHS Wales. It has been linked to patient record mixups, with documented incidents in DHCW board papers.
- Welsh Clinical Communications Gateway (WCCG) WCCG — the Welsh Clinical Communications Gateway — has run on technology unsupported by its vendor for 8+ years, against repeated warnings from DHCW's own technical staff. It is the canonical example of the drift-to-low-performance trap.
- Welsh Integrated Cancer Information System (WICIS) WICIS — the Welsh Integrated Cancer Information System — is the national cancer IT layer for NHS Wales. As of recent DHCW board papers, the programme is 'effectively still on pause'.
- DHCW Data Centre DHCW's data centre is the physical infrastructure layer on which national NHS Wales systems run. It suffered near-identical cooling-failover failures in July 2024 and June 2025 — twelve months apart, 32 services offline each time. Both the CEO's 'never event' characterisation of the recurrence and the Executive Director of Operations's prior-incident admission were erased from the published board minutes.
- Public Sector Broadband Aggregation (PSBA) PSBA — Public Sector Broadband Aggregation — provides shared network infrastructure across the Welsh public sector including NHS Wales. In March 2026 a single PSBA-class failure took O365, EPMA, RISP, and radiology offline simultaneously across NHS Wales.