Please can you supply the following information under the Freedom of Information Act:
- The Number and names of Health Boards in Wales using the MillCare (by Mill Systems Ltd) computer system for the delivery of Sexual Health Services in January 2023
- If a Public Health Impact Assessment was conducted in relation to Mill Systems Ltd (supplier of MillCare) entering liquidation on 24.01.23, and the implications of this on the delivery of sexual health services in Wales, the management of new diagnoses and prevention of onwards transmission, and in ending new HIV transmissions in Wales by 20230
- If meetings have been held with Welsh Government representatives to discuss the continued delivery of sexual health services and/or the implications of Mill Systems Ltd entering administration on population health (including delivery of the HIV Action Plan) in Wales
- Documents, correspondence, and minutes of any meetings between PHW and Welsh Government surrounding Mill Systems Ltd entering administration and the implications of this for the delivery of sexual health services in Wales.
Thank you for your request dated 28th November 2023.
The Health Boards in Wales using the MillCare system for the delivery of Sexual Health Services in January 2023 are Swansea Bay University Health Board and Cardiff and Vale University Health Board. You will need to contact them for any information they may hold regarding this matter as Public Health Wales (PHW) has no jurisdiction over the information they hold. I have provided their contact information below:
Swansea Bay University Health Board
https://sbuhb.nhs.wales/about-us1/foia/
Cardiff and Vale University Health Board
http://www.cardiffandvaleuhb.wales.nhs.uk/freedom-of-information-new
A Public Health Impact Assessment was not conducted in relation to Mill Systems Ltd (supplier of MillCare) entering liquidation on 24.01.23. PHW we were made aware by the Health Boards (sexual health services) when they were notified on 11th January.
Welsh Government (WG) representatives were made aware through a Situation, Background, Assessment, Recommendation (SBAR) as was PHW Executive. Representatives in WG have continued to be updated as part of the overall discussions regarding the need for an All Wales sexual health case management and surveillance reporting system – as outlined in the HIV Action Plan for Wales (Action 3: A case management surveillance system, overseen by Public Health Wales, will be funded and established to support clinical management and improve shared care. It will facilitate real-time data collection and timely publication and will ensure decision makers can measures their achievements against ambitions. Timescale: Funding to be made available in early 2023/2024 with implementation in 2024/2025)
There is an oversight group for the Action Plan and a number of workstreams along with a Sexual Health Programme Board which considers issues related to the sexual health of the population of Wales and this is informed in part by the anonymised data that comes through the case management systems including the one previously supplied by Millcare so the implications and steps being taken to remediate have been discussed in these various fora with stakeholder representation.
A report to advise on the potential impact on reporting data from sexual health services and the role of PHW and this is attached. Each Health Boards held a contract with Millcare and they may be able to assist with further information. Their contact details are shown below. You will need to contact them individually for this information.
Aneurin Bevan University Health Board
http://www.wales.nhs.uk/sitesplus/866/page/39187
Betsi Cadwaladr University Health Board
http://www.wales.nhs.uk/sitesplus/861/page/39134
Cardiff and Vale University Health Board
http://www.cardiffandvaleuhb.wales.nhs.uk/freedom-of-information-new
Cwm Taf Morgannwg University Health Board
https://cwmtafmorgannwg.wales/foi/
Swansea Bay University Health Board
https://sbuhb.nhs.wales/about-us1/foia/
Hywel Dda University Health Board
http://www.wales.nhs.uk/sitesplus/862/page/52085
Powys Teaching Health Board
http://www.powysthb.wales.nhs.uk/freedom-of-information
If you are unhappy with the service you have received in relation to your request and wish to make a complaint or request a review of the decision, you should write to the Corporate Complaints Manager, Public Health Wales NHS Trust, 3, Number 2, Capital Quarter, Tyndall Street, Cardiff, CF10 4BZ.
If you are not content with the outcome of your complaint or review, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Trust. The Information Commissioner can be contacted at:
Information Commissioner for Wales
2nd Floor
Churchill House
Churchill Way
Cardiff
CF10 2HH
Telephone: 029 2067 8400
Email: wales@ico.org.uk