Our portfolio vision:
 
“Making the prescribing, dispensing and administration of medicines everywhere in Wales, easier, safer, more efficient and effective, through digital.”
May 2022
WELCOME TO THE NHS WALES
DIGITAL MEDICINES TRANSFORMATION PORTFOLIO
NEWSLETTER
We want to keep you informed with news and information from all the projects and programmes in the Digital Medicines Transformation Portfolio (DMTP). You can view this newsletter via the DMTP webpages, or you can subscribe and receive it directly into your inbox. 
DIGITAL MEDICINES TRANSFORMATION PORTFOLIO (DMTP)
Introduction to DMTP
The Digital Medicines Transformation Portfolio brings together the programmes and projects that will deliver the benefits of a fully digital prescribing approach in all care settings in Wales.

Responding to an independent review, the Minister for Health and Social Care set out her ambition for a comprehensive digital medicines plan for Wales in September 2021 and asked Digital Health and Care Wales to establish the Digital Medicines Transformation Portfolio.
The portfolio coordinates four different areas of work, all of which have connections with each other:
Primary Care Electronic Prescription Service
Electronic signing and transfer of prescriptions from GPs and non-medical prescribers to the community pharmacy or appliance dispenser of a person’s choice.
Secondary Care Electronic Prescribing and Medicines Administration
Implementing e-prescribing and medicines administration (ePMA) across all of Wales’ hospitals. Sending outpatient prescriptions to the person’s pharmacy of choice.
Patient Access 
Using the NHS Wales App to share and collect medicines information, order repeat prescriptions and nominate a person’s pharmacy of choice.
Shared Medicines Record
Building a single shared record of medicines for every patient in Wales so that all the information is in one place.
Eluned Morgan MS, Minister for Health and Social Services
“We want to make sure services deliver the best outcomes for citizens, and are designed around how citizens and service providers want to use and manage those services. Through ePrescribing, we can improve and digitise the way patients, clinicians and pharmacists access and manage the provision of medicines across the health system. This programme will transform prescribing in Wales, supported by a digital platform.”  
Independent review into ePrescribing
In 2021, Welsh Government undertook an independent review into ePrescribing in Wales. The review involved stakeholders from across all parts of NHS Wales, and informed the plan launched by Welsh Government for the Digital Medicines Transformation Portfolio.
Questions and Answers with Portfolio Senior Responsible Owner – Prof Hamish Laing
You can watch Hamish answering these questions in a five-minute video, where he talks in more detail about the DMTP Portfolio.
What is the digital medicines transformation portfolio and why is it needed?
The portfolio is a collection of programmes and projects that individually are tackling all parts of the system that gets medicines to patients in Wales.
It's necessary because medicines are a really important part of healthcare. There are 81 million prescribed items just by GPs alone every year in Wales, and at the moment it's really inefficient, a lot of it is transacted on paper. The portfolio is aiming to make the whole process safer, easier for patients, easier for clinicians, and more efficient all round.

What are the first priorities for the portfolio?
Now that we've established the portfolio, the very first thing we're doing is to make sure that each of the programmes and projects is set up on a sound footing and has the right processes and governance. The other thing is to help join up the thought processes of the four areas to make sure that we understand what all those connections are, and we have a plan to make sure they work together to deliver the overall vision.

As the Digital medicines portfolio starts to launch its services, what will patients notice changing in their care?
One of the first things people will find is when they go to their GP to get a prescription -  they won't have to wait for a paper form to be printed out and signed, they'll be able to say to the GP where they would like to collect medicines from, and the prescription will automatically be sent there electronically.
If a person is admitted to hospital, they'll find that the days of the paper medicines chart that used to be clipped to the end of the bed will be a thing of the past. Nurses will be administering the medicines from a digital drug chart which will have been pre-populated with medicines that the patient was already taking when they came to hospital. The doctors will check those to see if they want to carry them on, or make any changes to them.
And when the patient leaves hospital, again the information about the medicines they had in hospital will automatically be transferred to their GP, so no risk of any mistakes in copying down medicines from one system to another.
We also hope that when the NHS Wales App is launched, people will use that to see what medicines they have been prescribed, order their repeat prescriptions and choose which pharmacy they would like to collect them from.

Why did you want to be involved in the digital medicines transformation portfolio?
I have always cared hugely about improving the safety and quality of care in the NHS, and medicines is a big part of that. I genuinely believe that when we complete the work of the portfolio, we will be leaving things in a much better and safer place.
This is a great opportunity to really change the way clinical teams and patients engage with each other over this really important aspect of health care, which is medicines.

Introducing the Portfolio Team
The DMTP portfolio is hosted by Digital Health and Care Wales, supported by the NHS Collaborative and teams within each health board and trust. The portfolio team will oversee each of the programmes or projects that make up the portfolio.
 
Why a Portfolio?
DMTP is using a portfolio management approach to oversee and co-ordinate the four areas of work. A portfolio approach ensures that interrelationships between programmes and projects are identified and that resources are allocated strategically. The projects and programmes within the portfolio are focused on the deployment of outputs, outcomes and benefits and the portfolio exists as a coordinating structure to support delivery.
 
Contact the team
You can contact the team at [email protected]
Senior Responsible Owner (SRO)
Professor Hamish Laing

After a long career as a reconstructive Plastic Surgeon and Sarcoma specialist and holding many NHS leadership positions, Hamish was Executive Medical Director and Chief Information Officer at Abertawe Bro Morgannwg University Health Board. There he led a cross-sectoral review of clinical and digital strategies, co-authored its quality strategy, and established programmes for digital transformation and Value-Based Health Care. Appointed to a personal chair in Swansea University’s School of Management in 2018, Hamish is Director of the Value-Based Health and Care Academy.

Hamish is a non-Executive Director of Life Science Hub Wales, deputy chair of the Digital Services for Patients and Public Programme and chair of the Digital Inclusion Alliance for Wales. A Senior Fellow of the Faculty of Medical Leadership and Management, Hamish is also a Fellow of the Faculty of Clinical Informatics.

Programme Director
Rhian Hamer      

Rhian is a leading figure in transformational change in Wales, and joins the Digital Medicines Transformation Portfolio from a background of implementing large-scale change programmes across Wales, and the UK. She was recognised by Welsh Assembly Government as one of the “top 10 contributors” to transforming public services across Wales in 2016.
 
Rhian spent 10 years leading transformational change in the Ministry of Justice before joining the Office of National Statistics where she provided consultancy services on the design, build and test of the first ever UK digital-first Census in 2021. 
 
Rhian is passionate about leading business transformation which puts the user at the centre of its design and has represented the UK as a keynote speaker on change and leadership, including at two conferences run by the Australian government. She has an MBA specialising in public sector change management and has lectured in Leadership and Change at University of Buckingham (MBA level).
 
Programme Lead
Laurence James

Laurence has previously worked as Programme Manager in Digital Health and Care Wales for the Single Record Programme , overseeing areas including the Welsh Care Records Service (WCRS), the Welsh Results Reporting Service (WRRS) and the Digitisation of Nursing Documents projects.
 
Laurence has BSc and MSc degrees. He has also worked as a Programme Manager within Cardiff and Vale University Health Board managing a suite of productivity and efficiency improvement projects, and at Velindre Cancer Centre on digital projects.
 
During the pandemic, Laurence project managed COVID-19 response projects, including the ability to upload and view the All Wales Medical Genomics Service (AWMGS) cancer genomics reports in the Welsh Clinical Portal (WCP) patient record, and a WCP COVID-19 Mortality Surveillance electronic form. He also project managed the Choose Pharmacy Discharge Medicines Review (DMR) and GP electronic referrals phase 2 projects.
 

Introducing the Portfolio Team
National Pharmacy and Medicines Management Lead
Cheryl Way   
 
Cheryl is a pharmacist with an MSc. in Health Service Management who spent most of her career as a hospital pharmacist in Cardiff and Vale University Health Board. in 2006 she began to combine this role with her current role in Digital Health and Care Wales.
 
She was the Senior Responsible Owner for the Medicines Transcribing and e-Discharge (MTeD) project, which grew out of her Heath Foundation Leaders for Change project. She led on funding bids for the development of the Choose Pharmacy platform which is now used in 98% of community pharmacies in Wales. Her Leadership for Collaboration project led to an Invest to Save project to implement printed prescriptions in out-patient clinics across Cardiff and Vale Health Board. She is dedicated to improving the safe use of medicines through the use of digital technology.
Assistant Chief Architect
Rhian Rice    
 
Rhian has joined the Digital Medicines Transformation Portfolio from industry where her focus had been creating clinical natural language processing (CNLP) products to solve real world problems.
 
She is most proud of working with Rady Children’s Institute of Genomic Medicine (RCIGM), California, where their collaboration won a Guinness World Record title for the fastest genetic diagnosis. Rhian was responsible for solutions covering a range of use cases including analytics, clinical trials, revenue-cycle and phenotyping.
 
After working internationally for the past eight years with health care providers across the US, including Mt. Sinai and Northwell Health, Rhian is delighted to have the opportunity to rejoin NHS Wales. She is really excited to be continuing her work to digitally transform medicines and improve patient journeys here in Wales.
 Look out for more introductions…
In the next edition of the DMTP newsletter we will introduce the Primary Care Electronic Prescription Service team and the Secondary Care Electronic Prescribing and Medicines Administration team.
 
Portfolio updates:
DMTP Portfolio
Appointments have been made to key roles in the portfolio, including the Senior Responsible Owner.

Further work is underway to define the scope, dependencies and high-level plans for each portfolio area

New web pages launched on the DHCW website
Primary Care Electronic Prescription Service 
Programme Manager and Technical Lead appointed

Initial discussions held with GP system and community pharmacy system suppliers

Aiming for technical proof of concept around Spring 2023
Secondary Care Electronic Prescribing and Medicines Administration 
Key programme roles defined

Learning from Swansea Bay pathfinder deployment captured

Plan to start developing Health Board / Trusts roadmaps to implementation
New DMTP web page
Our DMTP web page has been launched and we will be posting lots more information as the portfolio progresses.