What is RISP? It is the Welsh radiology / regional imaging solution — the national programme intended to provide unified image viewing across the seven NHS Wales health boards. RISP has a documented 'global worklist' issue threatening cross-Wales image viewing. It was one of four national systems taken offline simultaneously by the March 2026 PSBA-class infrastructure outage.
What RISP does
RISP is the national radiology and imaging programme for NHS Wales — designed to provide unified access to imaging studies across the seven health boards. The clinical case is straightforward: a consultant in Swansea should be able to view a Betsi Cadwaladr patient’s prior imaging instantly. The technical case is harder.
Status
In delivery, with documented issues. RISP has been a recurring feature of DHCW board escalation discussions.
Documented issues
- A “global worklist” issue threatens cross-Wales image viewing — flagged as a clinical risk in DHCW papers.
- In March 2026, RISP was one of four national systems taken offline simultaneously by a single failure in PSBA-class shared infrastructure (alongside O365, EPMA, and radiology). See PSBA for the infrastructure dimension of that outage.
- The full business case for RISP was moved into private session under “commercial sensitivity” in DHCW board discussions — one of the 51 documented instances of board approvals without scrutiny.
Where this is discussed in the diagnosis
- Captured Governance — RISP appears in the discussion of business cases moved into private session.
- Tragedy of the Commons — RISP is one of the nine programmes competing for shared delivery capacity.
- Intervention 1: Competent Leadership — Action 6 names RISP for clinical-safety triage.