Joshua Hunt is Head of Agile Delivery fat Digital Health and Care Wales, the national digital organisation for NHS Wales. His teams build and run national systems used across all seven Welsh health boards.
Much of Joshua's career has centred on immunisation. He is responsible for the Welsh Immunisation System, the national platform that has recorded more than 13 million vaccinations, and for Wales' first citizen-facing vaccination booking service. During the pandemic Wales led the most effective national COVID-19 vaccination roll out in the world, and at the heart of that was a digital system that managed the end to end vaccination delivery from stock to surveillance of outcomes.
Joshua's team are now working on expanding that award winning digital product to include the end to end management of all Green Book vaccination campaigns in Wales. His current focus is childhood and school-age immunisation, the data that underpins vaccine effectiveness research, and the responsible use of AI in public health delivery.
Wales built its national vaccination platform one campaign at a time. The Welsh Immunisation System began as a pandemic response and grew, increment by increment, into the system that now delivers the winter respiratory programmes (COVID-19, RSV and flu) across all seven health boards, with more than 13 million vaccinations recorded.
This talk follows what that platform makes possible once it sits on common data standards and a shared record from stock to surveillance. Because every dose is recorded once, in structured and FHIR-compliant form, and shared through the system. The same data supports high-quality effectiveness and safety studies. WIS data contributed to the four-nation UK study of RSV vaccine effectiveness published in The Lancet Regional Health (Europe) in 2026, which found adjusted effectiveness against hospitalisation of 82% in Wales. The same record also lifts uptake: it identifies who is eligible, prioritises by clinical risk, prompts invitations and reminders, and shows where coverage is falling short by deprivation in near real time.
Wales is now extending the platform to school-age immunisation, beginning with MenB in late summer 2026, on the way to delivering every vaccine, end to end, within one digital solution. The session is for anyone working at the implementation end of the value chain, and it sets out where the opportunities lie for manufacturers, funders and researchers who need delivery and real-world evidence at national scale.