{"id":11952,"date":"2026-08-06T14:36:12","date_gmt":"2026-08-06T13:36:12","guid":{"rendered":"https:\/\/www.rldatix.com\/en-uki\/?p=11952"},"modified":"2026-08-06T15:01:20","modified_gmt":"2026-08-06T14:01:20","slug":"closing-panel-what-we-have-learnt-and-where-do-nhs-wales-go-next","status":"publish","type":"post","link":"https:\/\/www.rldatix.com\/en-uki\/resources\/closing-panel-what-we-have-learnt-and-where-do-nhs-wales-go-next\/","title":{"rendered":"Closing panel: What We Have Learnt and Where Do NHS Wales Go Next"},"content":{"rendered":"\n

Insights from Jonathan Webb, Helen Hughes, Gethin Bateman and Paul Sanders, recorded at the RLDatix Wales: Listening and Learning for Improvement and Safe Care event, 23 June 2026, St. David’s Cardiff<\/em> <\/p>\n\n\n\n

After a full day of keynotes, case studies, workshops and open discussion, the speakers came together for a closing panel. The conversation moved from the theoretical to the practical: how do you connect fragmented systems? What would patients redesign if they could start from scratch? How do you celebrate good practice when safety reporting is built around failure? And what is each panellist taking away? <\/p>\n\n\n\n

<\/div>\n\n\n\n

Key takeaways from this session<\/strong>\u00a0<\/h2>\n\n\n\n
    \n
  • The future of data integration is a shared platform, not systems talking to each other.<\/strong> The Databricks pilot in NHS Wales is channelling multiple data feeds into a single data warehouse where correlation, AI and pattern recognition become possible.\u00a0<\/li>\n<\/ul>\n\n\n\n
      \n
    • Data and systems are necessary but not sufficient.<\/strong> Leadership must be willing to hear difficult things, act on them and be transparent about what they find.\u00a0<\/li>\n<\/ul>\n\n\n\n
        \n
      • Patients want information and confidence.<\/strong> When asked what patients would redesign, the panel said it starts with empowering people through clear, accessible information and genuine co-production.\u00a0<\/li>\n<\/ul>\n\n\n\n
          \n
        • We are far better at reporting failure than celebrating good practice.<\/strong> Complaint letters often contain 20 compliments alongside one issue, but the system is not designed to extract and share what is going well.\u00a0<\/li>\n<\/ul>\n\n\n\n
            \n
          • Collaborative culture is Wales’s greatest asset.<\/strong> Every panellist described a renewed sense of purpose drawn from the community in the room.\u00a0<\/li>\n<\/ul>\n\n\n\n
            <\/div>\n\n\n\n

            Connecting fragmented systems<\/strong>\u00a0<\/h2>\n\n\n\n

            A data warehouse, not a thousand handshakes between systems<\/em> <\/p>\n\n\n\n

            A question from the floor about how Wales’s different digital systems interact drew a candid response from Gethin Bateman. The short answer: they don’t, not well enough. There is siloed working, and interoperability is not always considered when new systems are procured. <\/p>\n\n\n\n

            But the direction of travel is clear. Rather than trying to make every system talk to every other system, RLDatix and Digital Health and Care Wales (DHCW) have been piloting a different approach: channelling data feeds from multiple sources into a shared platform built on Databricks technology. <\/p>\n\n\n\n

            \n

            \"I think the future of this is all of these data feeds being channelled into what is probably known as a data warehouse. DHCW are doing some work on a national data repository, and the work we’ve been piloting in terms of patient safety has seen real success.”<\/em><\/p>\nJonathan Webb, Head of Safety and Learning, Welsh Risk Pool<\/strong>\u00a0<\/cite><\/blockquote>\n\n\n\n

            Paul Sanders reinforced the opportunity but cautioned against underestimating the complexity. Data volume, unstructured formats and edge cases all create challenges. And AI, if applied to fragmented data, can accelerate silos rather than resolve them.<\/p>\n\n\n\n

            \n

            \"The power you’ve got as a region of Wales is you can define what you want, work with suppliers and have a pragmatic, balanced view. We don’t want lots of silos, because AI can accelerate those silos of data as well.”<\/em><\/p>\nPaul Sanders, UK and Ireland President, RLDatix<\/strong>\u00a0<\/cite><\/blockquote>\n\n\n\n

            Data is necessary but not sufficient<\/strong>\u00a0<\/h2>\n\n\n\n

            Leadership must be willing to hear what the data says<\/em> <\/p>\n\n\n\n

            Helen Hughes brought a characteristically direct perspective. Connected data and intelligent systems are essential, but they only make a difference if the leadership receiving that information is prepared to act on it, especially when it tells them things they don’t want to hear. <\/p>\n\n\n\n

            \n

            \"You’ve got to have organisation leadership that is committed to understanding and then taking action. When it’s telling you things you don’t particularly want to hear, organisations have to be committed to being transparent about that.”<\/em><\/p>\nHelen Hughes, Chief Executive, Patient Safety Learning<\/strong>\u00a0<\/cite><\/blockquote>\n\n\n\n

            She shared a personal example. As a director at the National Patient Safety Agency, she was involved in publishing the first data from the National Reporting and Learning System. The agency was nearly shut down for putting that data in the public domain, despite that being exactly what it was set up to do.\u00a0<\/p>\n\n\n\n

            \n

            \"My Joint Chief Executive nearly got asked, ‘What are you doing telling the world about how bad healthcare is?’ So, there’s a gap between what politicians say about transparency and how they respond when the data is actually published.”<\/em><\/p>\n<\/blockquote>\n\n\n\n

            What would patients redesign?<\/strong>\u00a0<\/h2>\n\n\n\n

            Information, co-production and going back to basics<\/em> <\/p>\n\n\n\n

            The panel was asked a provocative question: if a patient or their family were going to redesign patient safety from scratch, what would they do differently? <\/p>\n\n\n\n

            \"\"<\/figure>\n\n\n\n

            Jonathan Webb: information and empowerment<\/strong>\u00a0<\/h2>\n\n\n\n

            Jonathan Webb pointed to the digital consent pilot at Aneurin Bevan University Health Board. By replacing the old paper consent process for endoscopy with a digital link sent during a screening call, patients are arriving at their appointments better informed, asking fewer questions and complimenting the process.<\/p>\n\n\n\n

            \n

            \"People feel empowered when they’re informed. The days of ‘doctor knows best’ are well and truly over. People are less accepting of unsatisfactory answers, and you need to be an even better communicator in healthcare than you already needed to be.”<\/em>\u00a0<\/p>\nJonathan Webb, Head of Safety and Learning, Welsh Risk Pool<\/strong>\u00a0<\/cite><\/blockquote>\n\n\n\n

            Helen Hughes: co-production and action, not just words<\/strong><\/h2>\n\n\n\n

            Helen argued that the patient voice must be embedded in the design of safety systems, not consulted after the fact. And when harm occurs, the response must go beyond apology.<\/p>\n\n\n\n

            \n

            \"What really cheeses me off is when a chief exec is wheeled out in front of the cameras and does the handwringing ‘we’ve learned lessons.’ I’m not interested in what lessons you’ve learned. I’m interested in what lessons you are applying and how you’re making a change.”<\/em><\/p>\nHelen Hughes, Chief Executive, Patient Safety Learning<\/strong><\/cite><\/blockquote>\n\n\n\n

            Gethin Bateman: time, empathy, reassurance<\/strong>\u00a0<\/h2>\n\n\n\n

            Gethin brought it back to the human level. Drawing on his experience as a paramedic, he argued that what patients want most is not technology. It is time, communication and the feeling that someone genuinely cares.\u00a0<\/p>\n\n\n\n

            \n

            \"Sometimes you’ve got to go back to basics. When people are unwell, they’re worried. They want reassurance. That’s all they want: your time, your reassurance. They don’t want new-fangled technical solutions. They want you to just talk to them.”<\/em>\u00a0<\/p>\nGethin Bateman, Digital Health and Care Wales<\/strong><\/cite><\/blockquote>\n\n\n\n

            Celebrating good practice<\/strong><\/h2>\n\n\n\n

            We report failure fluently. We barely mention success.<\/em> <\/p>\n\n\n\n

            A question from the floor about civility and appreciative inquiry opened one of the most resonant exchanges of the day. How do we capture what is being done well, and how much of that links to patient safety? <\/p>\n\n\n\n

            Jonathan Webb shared the results of a recent emergency department survey across Wales. The team was not expecting positive results. What came back was overwhelmingly positive: kind, compassionate, caring, supportive. The negative sentiment was what you would expect from emergency patients: wait, harm, pain. <\/p>\n\n\n\n

            \n

            \"There’s certainly things we can do better. But what we’ve got to do is share with those staff better than we have done about the recognition of their skills.”<\/em><\/p>\nJonathan Webb, Head of Safety and Learning, Welsh Risk Pool<\/strong>\u00a0<\/cite><\/blockquote>\n\n\n\n

            Gethin Bateman made the point personal. He has never written a patient safety report that highlighted good practice. Every report to his board focuses on incidents, never events and early warnings. It is always negative, always reinforcing failure.<\/p>\n\n\n\n

            \n

            \"I don’t think I’ve ever written a patient safety report that says, look at all these good things we did this week. I never get the chance to tell them there’s something good going on in the world of patient safety.”<\/em><\/p>\nGethin Bateman, Digital Health and Care Wales<\/strong><\/cite><\/blockquote>\n\n\n\n

            Paul Sanders described how AI and natural language processing can help. Sentiment analysis can detect not just whether something is an issue, but the underlying tone: compassion, frustration, cultural signals. Technology can find the needle in the haystack, both positive and negative, in ways that volume makes impossible for humans alone.\u00a0<\/p>\n\n\n\n

            <\/div>\n\n\n\n

            What the panel is taking away<\/strong>\u00a0<\/h2>\n\n\n\n

            Each panellist was asked what they had learnt what they would carry into the next quarter. <\/p>\n\n\n\n

            Helen Hughes<\/strong> said she had already followed up with several people in the room, asking them to write up their good practice for the Patient Safety Learning Hub. The takeaway was simple: there is a lot of good work happening. It needs to be captured, celebrated and shared more broadly. <\/p>\n\n\n\n

            Jonathan Webb<\/strong> said the day reaffirmed what he already knew: NHS Wales has an extraordinary collaborative culture. His renewed passion is to drive forward the data and learning agenda, because the opportunity that new systems provide is tremendous, and a challenging economic climate is not a reason to slow down. <\/p>\n\n\n\n

            Paul Sanders<\/strong> described a deepened resolve to protect the profession of patient safety and risk management, to elevate the risk agenda and to fight for its importance at the highest levels. <\/p>\n\n\n\n

            Gethin Bateman<\/strong> captured the mood of the room: <\/p>\n\n\n\n

            \n

            Sometimes I feel like a lone voice in the wilderness. Today it’s affirming that all of us understand we need to be more proactive and less reactive. We’re all trying, but we’re all trying individually. Collaboratively, after today, we can make a huge difference.”<\/em>\u00a0<\/p>\n<\/blockquote>\n\n\n\n

            The common thread<\/strong><\/h2>\n\n\n\n

            The closing panel brought the day full circle. Jan Williams opened the event with a challenge: learning must travel faster than risk. Every session explored what that looks like in practice, from culture to data to technology to clinical engagement. <\/p>\n\n\n\n

            The panel’s closing reflections confirmed that the ingredients are in place: the data, the systems, the collaborative culture, the will. What comes next is the hard work of connecting it all, acting on what it reveals and building a system that learns not just from what goes wrong, but from what goes right.<\/p>\n\n\n\n

            <\/div>\n\n\n\n \n \n
            \n \n\n
            \n
            \n

            <\/p>\n\n\n\n

            FAQs<\/h2>\n\n\n\n

            <\/p>\n\n\n\n

            <\/div>\n<\/div>\n\n\n\n
            \n\n\n
            \n
            \n \n What is the Databricks platform being piloted in NHS Wales?<\/span>\n <\/span>\n <\/button>\n
            \n
            \n \n\n

            Databricks is a data platform being used to channel multiple data feeds from different systems into a single data warehouse. Rather than requiring individual systems to communicate directly with each other, it aggregates data from sources including Datix Cymru, workforce systems and other platforms into a shared environment where correlation, AI analysis and pattern recognition become possible. The pilot has been run with Cardiff and Vale and other health boards, led by Digital Health and Care Wales and RLDatix.<\/p>\n\n\n <\/div>\n <\/div>\n <\/div>\n<\/div>\n\n

            \n
            \n \n What is the digital consent pilot at Aneurin Bevan?<\/span>\n <\/span>\n <\/button>\n
            \n
            \n \n\n

            Aneurin Bevan University Health Board has digitised the consent process for endoscopy procedures. Instead of receiving paper forms by post, patients receive a digital consent link during a screening telephone call with an endoscopy nurse. The result has been patients arriving more informed, asking fewer questions and reporting a better experience. The system also allows clinicians to see how long a patient spent reviewing the material, enabling more tailored conversations on the day.\u00a0<\/p>\n\n\n <\/div>\n <\/div>\n <\/div>\n<\/div>\n\n

            \n
            \n \n Why does the panel say celebrating good practice matters for safety?\u00a0<\/span>\n <\/span>\n <\/button>\n
            \n
            \n \n\n

            Patient safety reporting is overwhelmingly focused on incidents, failures and harm. This means boards and leadership teams receive a constant stream of negative information without a corresponding view of what is working well. The panel argued that identifying and sharing good practice is not just a morale issue but a safety issue: understanding why things go right is as important as understanding why they go wrong, and recognising staff strengthens the culture that keeps care safe.\u00a0<\/p>\n\n\n <\/div>\n <\/div>\n <\/div>\n<\/div>\n\n

            \n
            \n \n What did the panel mean by “data is necessary but not sufficient”?\u00a0<\/span>\n <\/span>\n <\/button>\n
            \n
            \n \n\n

            Helen Hughes made the point that connected data and intelligent systems will only improve safety if the leadership receiving that information is genuinely committed to transparency and action. If data surfaces uncomfortable truths and leadership is unwilling to confront them, the system will not change. Technology enables learning, but culture and leadership determine whether learning happens.\u00a0<\/p>\n\n\n <\/div>\n <\/div>\n <\/div>\n<\/div>\n\n

            \n
            \n \n What was the overall takeaway from the event?\u00a0<\/span>\n <\/span>\n <\/button>\n
            \n
            \n \n\n

            The consistent message across every session was that NHS Wales has the data, the collaborative culture and the shared commitment to build a genuine learning system. The challenge is connecting fragmented data, closing the gap between investigation and sustained action, engaging frontline teams directly, celebrating good practice alongside investigating harm, and ensuring leadership at every level is prepared to act on what the data reveals.<\/p>\n\n\n <\/div>\n <\/div>\n <\/div>\n<\/div><\/div>\n<\/div>\n\n\n <\/div>\n <\/section>\n\n","protected":false},"excerpt":{"rendered":"

            Insights from Jonathan Webb, Helen Hughes, Gethin Bateman and Paul Sanders, recorded at the RLDatix…<\/p>\n","protected":false},"author":10,"featured_media":11987,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"inline_featured_image":false,"footnotes":""},"categories":[50],"tags":[419,413,411,410,400],"class_list":["post-11952","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-digital-health-and-care-wales","tag-welsh-risk-pool","tag-nhs-wales","tag-wales-listening-and-learning-for-improvement-and-safe-care","tag-patient-safety-learning","primary-category-blog"],"acf":[],"yoast_head":"\nClosing panel: What We Have Learnt and Where Do We Go Next | RLDatix<\/title>\n<meta name=\"description\" content=\"The day's speakers reflect on what NHS Wales needs to make learning travel faster than risk: connected data, transparent leadership, patient 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