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Transforming UK Healthcare

Strategic Opportunity : Strengthening Digital Innovation in the NHS

The NHS Digital Innovation Unit is an award-winning team with a proven track record of delivering scalable digital solutions. We offer mature applications, national contracts, and deep expertise in NHS governance and clinical safety. As the NHS evolves, we’re seeking a new organisation to host this ready-made innovation capability.

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Joining The Dots

AI and Ethics Series : Building a Shared Framework for AI Governance in the NHS: Seven Regions, One Conversation

The NHS is adopting AI at speed, transcription tools, diagnostics, triage systems, but our governance hasn’t caught up. In my latest article, I’ve outlined a working concept for Regional AI Ethics Committees (RAIECs), a way to share expertise, reduce duplication, and strengthen assurance across England. The idea is simple: seven regions, one shared framework. A single N365 portal for AI reviews and approvals Mutual recognition of decisions between regions to reduce duplication Consistent training and procurement standards Continuous post-market monitoring Without EU-style AI legislation, we need smarter governance and clearer contracts to protect clinicians, Trusts, and especially primary care. I’m now testing this concept with PPIE groups, NHS colleagues, and Health Innovation Networks and I’d really value your feedback.

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Regulatory And Legal Landscape

AI and Ethics Series : AI in UK Healthcare: The Regulatory and Legal Landscape (and Its Gaps)

AI in healthcare is moving fast, but the UK’s regulatory framework isn’t keeping pace. We have MHRA, NICE, ICO, CQC, HSSIB and long-standing tort law. Each plays a role, but none owns the whole picture. The result? If an AI system fails, the liability often lands on clinicians and Trusts by default. This risk is even sharper in primary care, where GP practices and pharmacies don’t have procurement or governance teams to protect them. Without a coherent national plan, the smallest providers could end up carrying the biggest risks. In Europe, the AI Act provides a clearer chain of accountability. In the UK, we’re left patching gaps with contracts and assumptions. In article 6, I map out the current UK landscape and explain why the absence of AI-specific legislation leaves the NHS and especially primary care exposed.

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Who Watches The Machines

AI and Ethics Series : Who Watches the Machines? Building Trust in NHS AI Through Governance and PPIE

Who watches the machines? AI in the NHS is still new, so examples of failure are rare. But when they happen, they matter. The Google DeepMind & Royal Free case showed what happens when governance is weak and patients are left out of the conversation: trust collapses, and progress stalls. In my latest article I explore why oversight and governance can’t be an afterthought, and why patient and public involvement must be meaningful, not just token seats at the table. That means training, experience, and independence for all committee members, from patients to non-execs. If the NHS wants AI that is both powerful and trusted, governance is the multiplier.

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