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THE THINKING

I Built a Mental Health App in 2012. Here Is the Hazard Log I Should Have Written.

Fourteen years ago I co-designed a mental health app with young people. Reading it again as a Clinical Safety Officer, I found seven hazards, and none needed a coding error to cause harm.

7 min read
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Why We Are Building Vikela, and Why TrustPoint Will Not Review Safety Cases Made With It

Clinical safety work in the NHS still lives in spreadsheets, Word templates and inboxes. Vikela is our answer for the organisations that deploy digital health and clinical AI. Here is what it does, who it is for, and the line we have drawn to keep our assurance work independent.

4 min read
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Understanding DCB0129 & DCB0160

DCB0129 and DCB0160 in plain English - what each standard covers, who owns which one, the artefacts you'll be asked for, and how a manufacturer's safety case feeds a deploying organisation's own risk assessment.

9 min read
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AI Will Not Make Healthcare Safer by Default

A new research agenda from 18 experts names six knowledge gaps in AI diagnostic safety - and every one of them sits upstream of a UK hazard log.

2 min read
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Why Most AI Clinical Safety Cases Miss the Point

DCB0129 compliance is not the same as clinical safety. Here is why the gap matters - and what good looks like.

2 min read
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An Absence of Reported Incidents Is Not Evidence of Safety

A concept prototype for a UK Healthcare AI Safety Registry - and an open call for challenge from anyone working in patient safety, clinical safety or informatics.

2 min read
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Who Owns the Risk When an AI Scribe Writes Something Nobody Said?

HSSIB has launched a national investigation into ambient voice technology in hospitals. The timeline means boards deploying AVT this year won't have the evidence before they need the answer.

2 min read
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We Recruit for Values. Then an AI Tool Arrives and None of That Applies.

My piece in Nursing Times argues nurses should be in the room when a decision is made about which AI joins the team - not handed the result and asked to make it work.

1 min read
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Grounding AI Governance in What NHS Organisations Already Know

A Values-Anchored Framework for Trustworthy AI Conduct in Practice - why sustainable AI governance starts with the values NHS organisations have already co-produced.

5 min read
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