Annual report
2025-26
Our Year in Numbers
A detailed look at the transformative metrics and unprecedented platform usage across NHS Wales in 2026.
"Scaling digital health."
Clinical Notes Created
Digital records securely logged by health professionals.
Patient Care Documents
Total volume of critical care documents viewed across the network.
PACS Images Viewed
High-resolution diagnostic imaging access.
Radiology Reports
Radiology analysis documents securely viewed by clinicians.
WGPRs Viewed
Welsh GP Records accessed via the integrated system.
Pathology Results
Lab results viewed seamlessly by attending medical staff.
DALs Sent
Discharge Advice Letters transmitted securely.
Unique WCP Users
Individual clinicians actively using the Welsh Clinical Portal monthly.
Patient Records
Total patient health records securely accessed nationwide.
e-Referrals Prioritised
Referrals successfully processed and triaged via the WCP.
Statement from our
Chief Executive
Overall, this has been a year where we have worked to respond to both opportunities and challenges for our organisation, strengthened our foundations and delivered progress against our objectives.
Operational Performance & IMTP Milestones
In terms of achievements, we delivered 94% of our IMTP milestones; however, delivery in diagnostic programmes and elements of the NHS Wales App did not meet our original expectations.
Throughout the year, we maintained high levels of operational performance, with more than 100 national digital services supporting NHS Wales and system availability of 99.969%.
Progress for Patients and Staff
We have continued to make progress in areas that matter to patients and staff. This includes expanding access to services through the NHS Wales App, improving access to integrated clinical information, and continuing the modernisation of key areas such as diagnostics, medicines and primary care.
These developments are helping to support safer, more joined-up care and improving the experience of services for people across Wales.
Enhanced Monitoring (Level Three)
Operating under the escalation status of Level Three (Enhanced Monitoring) has created opportunities for us to work with stakeholders to identify challenges and improve the ways in which we operate.
Throughout the year we placed a focus on strengthening our governance, planning and delivery disciplines. This has not always been straightforward, but it has been necessary to improve how we plan, oversee and deliver our work. While some progress has been made, we recognise there is more to do to fulfil our role as a trusted partner and system leader.
Strengthening Partnership Working
Partnership working has been central to our approach and delivery, and an area where we have had to be honest about the need to improve. We have worked to strengthen our engagement with health boards, trusts and Welsh Government, supported by a more structured and purposeful approach to stakeholder working.
While this has led to more consistent collaboration and clearer accountability, we recognise that building confidence and trust across the system takes time and must continue to be a priority.
System-Wide Complexity & Level Four Focus
We are clear that delivering consistent, system-wide transformation remains complex. External dependencies, variation in local capacity and digital maturity, and the scale of national programmes continue to present challenges. Our focus has therefore been on strengthening the conditions for delivery, including clarity of priorities, realistic planning and stronger system-level working.
At the start of 2026/27, our escalation level increased to Level Four (Targeted Intervention), which presents us with further scope to strengthen and improve how we work across the system. Over the coming year our focus will be on sustaining the momentum in areas where we have seen improvement, working with stakeholders to continue to strengthen partnerships, and ensuring we translate our plans into plans to outcomes. Through this, we will work hard to continue to build confidence, improve patient care and ensure digital is a force for good in health and care across Wales.