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Doctors are using AI software that does not meet minimum standards to record and transcribe patient meetings, according to a Sky News investigation.

NHS bosses have demanded GPs and hospitals stop using artificial intelligence software that could breach data protection rules and put patients at risk.

A warning sent out by NHS England this month came just weeks after the same body wrote to doctors about the benefits of using AI for notetaking – to allow them more time to concentrate on patients – using software known as Ambient Voice Technology, or “AVT”.

Health Secretary Wes Streeting will next week put AI at the heart of the reform plan to save the NHS in the 10-year plan for the health service in England.

But there is growing controversy around software that records, transcribes and summarises patient conversations using AI.

In April, NHS England wrote to doctors to sell the benefits of AVT and set out minimum national standards.

However, in a letter seen by Sky News, NHS bosses wrote to doctors to warn that unapproved software that breached minimum standards could harm patients.

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Text of warning letter with highlighted sections
NHS warning letter with text highlighted

The 9 June letter, from the national chief clinical information officer of NHS England, said: “We are now aware of a number of AVT solutions which, despite being non-compliant … are still being widely used in clinical practice.

“Several AVT suppliers are approaching NHS organisations … many of these vendors have not complied with basic NHS governance standards.

“Proceeding with non-compliant solutions risks clinical safety, data protection breaches, financial exposure, and fragmentation of broader NHS digital strategy.”

Sky News has previously revealed the danger of AI “hallucinations”, where the technology makes up answers then lies about them, which could prove dangerous in a healthcare setting.

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Is ChatGPT reliable despite its ‘hallucinations’?

NHS England sets minimum standards but does not tell NHS trusts and healthcare providers which software providers to use.

Sky News can now reveal there is growing pressure on NHS England and similar bodies to be more proactive.

Dr David Wrigley, deputy chair of the British Medical Association’s GP committee, said: “Undoubtedly, as a GP myself and my 35,000 colleagues, we’ve got responsibilities here – but in such a rapidly developing market when we haven’t got the technical knowledge to look into this.

“We need that help and support from those who can check that the products are safe, check they’re secure, that they’re suitable for use in the consulting room, and NHS England should do that and help and support us.”

Dr Wrigley continued: “We’re absolutely in favour of tech and in favour of taking that forward to help NHS patients, help my colleagues in their surgeries.

“But it’s got to be done in a safe and secure way because otherwise we could have a free for all – and then data could be lost, it could be leaking out, and that just isn’t acceptable.

“So we are not dinosaurs, we’re very pro-AI, but it has to be a safe, secure way.”

Matthew Taylor, chief executive of the NHS Confederation
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The head of the NHS Confederation says the letter is ‘a really significant moment’

The spectre of dozens of little-known but ambitious AI companies lobbying hospitals and surgeries to get their listening products installed worries some healthcare professionals.

There are huge profits to be made in this technological arms race, but the question being asked is whether hundreds of different NHS organisations can really be expected to sift out the sharks.

Matthew Taylor, chief executive of the NHS Confederation, said the letter was “a really significant moment”.

He said it was right for the NHS to experiment, but that it needed to be clearer what technology does and does not work safely.

“My own view is that the government should help in terms of the procurement decisions that trusts make and should advise on which AI systems – as we do with other forms of technology that we use in medicine – which ones are safe,” Mr Taylor said.

“We’ll need [government] to do a bit more to guide the NHS in the best way to use this.”

When pressed whether in the short term that actually makes it sound like it could be quite dangerous, Mr Taylor replied: “What you’ve seen with ambient voice technology is that kind of ‘let a thousand flowers bloom’ approach has got its limits.”

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Godfather of AI warns of its dangers

Earlier this year, the health secretary appeared to suggest unapproved technology was being used – but celebrated it as a sign doctors were enthusiastic for change.

Mr Streeting said: “I’ve heard anecdotally down the pub, genuinely down the pub, that some clinicians are getting ahead of the game and are already using ambient AI to kind of record notes and things, even where their practice or their trust haven’t yet caught up with them.

“Now, lots of issues there – not encouraging it – but it does tell me that contrary to this, ‘Oh, people don’t want to change, staff are very happy and they are really resistant to change’, it’s the opposite. People are crying out for this stuff.”

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GP Anil Mehta
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GP Anil Mehta says the AI software helps cut paperwork and patients are ‘extremely reassured’

Doctors who use AI that complies with national standards already say there are big benefits.

Anil Mehta, a doctor in the health secretary’s Ilford constituency, told Sky News he backed his MP’s drive for more AI technology in healthcare.

“I spend 30% of my week doing paperwork,” he said. “So I think once I’ve explained all of those features of what we’re doing, patients are extremely reassured. And I haven’t faced anybody that’s not wanted to have me do this.

He added: “(I) think that consultation with your doctor is extremely confidential, so that’s not changed at all.

“That remains confidential – so whether it’s a vulnerable adult, a vulnerable child, teenager, young child with a parent, I think the concept of that confidentiality remains.”

An NHS spokesperson said: “Ambient Voice Technology has the potential to transform care and improve efficiency and in April, the NHS issued guidance to support its use in a safe and secure way.

“We are working with NHS organisations and suppliers to ensure that all Ambient Voice Technology products used across the health service continue to be compliant with NHS standards on clinical safety and data security.”

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French officials pressured Telegram to censor Moldova election posts: Durov

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French officials pressured Telegram to censor Moldova election posts: Durov

French officials pressured Telegram to censor Moldova election posts: Durov

Telegram co-founder Pavel Durov said that French intelligence pressured Telegram into censoring political content, which he refused to do.

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Reform’s immigration policy is ‘racist’, says Sir Keir Starmer

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Reform's immigration policy is 'racist', says Sir Keir Starmer

Reform’s immigration policy is “racist”, Sir Keir Starmer has said.

He was reacting after Nigel Farage‘s party said it would axe the right of migrants to apply for indefinite leave to remain (ILR), ban anyone who is not a UK citizen from claiming benefits, and force those applying for UK citizenship to renounce other citizenship.

This policy could impact hundreds of thousands of people, although Reform has exempted EU citizens with settled status from its plans to ban migrant access to benefits and its policies on ILR.

Indefinite leave to remain is the status which grants legal migrants the ability to settle in the UK without the need to renew a visa every few years.

Labour conference in Liverpool – follow live updates

Speaking to the BBC, the prime minister and Labour leader said: “Well, I do think that it is a racist policy. I do think it is immoral. It needs to be called out for what it is.”

But he did not condemn those supporting Reform UK.

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Sir Keir added: “No, I think there are plenty of people who either vote Reform or are thinking of voting Reform who are frustrated.

“They had 14 years of failure under the Conservatives, they want us to change things.

“They may have voted Labour a year ago, and they want the change to come more quickly. I actually do understand that.”

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Can Reform scrap common migration path?

He had said previously: “It is one thing to say we’re going to remove illegal migrants, people who have no right to be here. I’m up for that.

“It is a completely different thing to say we are going to reach in to people who are lawfully here and start removing them. They are our neighbours.

“They’re people who work in our economy. They are part of who we are. It will rip this country apart.”

Labour has proposed its own changes to indefinite leave to remain, although it does not appear to be retrospective like Reform’s.

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PM mounts fightback against Reform

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‘I’m proud of the job Starmer’s doing’

Responding to the prime minister on social media, Reform’s head of policy Zia Yusuf said “Labour’s new message to the British electorate just dropped:

“‘Pay hundreds of billions for foreign nationals to live off the state forever, or we’ll call you racist!'”

Polling released at the start of the Labour conference by Survation shows that 65% of party members think Labour is going in the wrong direction, 64% think Sir Keir has done badly since taking office and 53% think the party should change leader before the next general election.

A poll suggests over half of Labour members want Sir Keir to exit before the next election. Pic: Reuters
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A poll suggests over half of Labour members want Sir Keir to exit before the next election. Pic: Reuters

Speaking to Sunday Morning with Trevor Phillips on Sky News, Housing Secretary Steve Reed defended his government’s record.

He claimed wages went up faster in 10 months under Labour compared to 10 years under the Conservatives.

But he claimed it “takes time” for improvements to really be felt by the public, “so we have to stay on course and not divert on the basis of one poll or another”.

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Mr Reed said that the “revolving door” of Tory leaders was one of the reasons for Labour’s tricky inheritance – and he was “absolutely” sure Sir Keir should lead the party into the next general election.

The minister went on to brand Mr Farage a “plastic” patriot after the Reform UK leader “begged” the US Congress to put sanctions on British workers.

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More than half of Labour members do not want Starmer to lead party into next general election – poll

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More than half of Labour members do not want Starmer to lead party into next general election - poll

More than half of Labour members do not want Sir Keir Starmer to fight the next general election as party leader, a new poll has revealed.

The Survation survey for LabourList, shared with Sky News’ Sunday Morning with Trevor Phillips, showed 53% of the party membership want a new leader by the time of the next election, while only 31% want Sir Keir to remain in post until then.

The findings lay bare the scale of the challenge facing the prime minister as he heads to Liverpool for the Labour Party conference.

He arrives at the gathering just days after a separate poll showed Reform leader Nigel Farage had a clear path to Number 10, and after Greater Manchester mayor Andy Burnham appeared to set out his own bid for the Labour leadership in a series of interviews in which he claimed Labour MPs had privately urged him to return to Westminster.

In a direct criticism of Sir Keir, Mr Burnham – who previously ran for the Labour leadership in 2010 and 2015 – said Number 10 had created a “climate of fear” among MPs and created “alienation and demoralisation” within the party.

And in an apparent rebuke of the government’s policies and priorities so far, Mr Burnham set out an alternative vision to “turn the country around”, including higher council tax on expensive homes in London and the South East and for greater public control of energy, water and rail.

It follows a turbulent few weeks in which the prime minister has lost several close appointments: Angela Rayner as deputy prime minister, Peter Mandelson as US ambassador, Paul Ovenden as his director of political strategy and most recently Steph Driver, his director of communications.

More on Andy Burnham

The LabourList poll, which surveyed 1,254 Labour members between 23 and 25 September, also showed Labour members were unhappy with the general direction of the government, with 65% saying Sir Keir was heading in the wrong direction, compared with 26% who said he was getting it right.

More than 60% said he had governed badly, compared with 35% who had said he had done a good job.

The results will add to further grim reading for Labour after a mega poll conducted by YouGov for Sky News showed that Mr Farage is on course to be the next prime minister.

The YouGov MRP polling projection, based on a 13,000 sample taken over the last three weeks, suggested an election held tomorrow would see a hung parliament with Reform UK winning 311 of the 650 seats – 15 seats short of the formal winning line of 326.

The projection of Commons seats in Great Britain puts Reform UK on 311 seats, Labour on 144 seats, Liberal Democrats on 78 seats, Conservatives on 45 seats, SNP on 37 seats and Greens on seven seats, with Plaid on six seats and three seats won by left-wing challengers.

Northern Ireland constituencies are excluded.

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YouGov: Farage set to be next PM

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The result would see Labour lose around two-thirds of their existing seats, down from the 411 they won in last year’s general election.

It would also represent the worst result for the party since 1931 and would mark a further decline on the party’s performance under Jeremy Corbyn in 2019, when the party won 202 seats.

Meanwhile, Sir Keir’s approval rating has hit a historic low. Just 13% of the public approves of the job he is doing as PM, according to a new Ipsos poll, while 79% is dissatisfied – giving him a net approval rating of -66.

That is worse than the previous record the pollster has recorded of -59, held by both Rishi Sunak in April 2024, and Sir John Major in August 1994.

Greater Manchester mayor Andy Burnham. Pic : PA
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Greater Manchester mayor Andy Burnham. Pic : PA

The Labour Party doesn’t fare much better, with just 22% of the public saying they would vote for it if a general election were held today, while 34% would vote for Reform UK.

But Sir Keir has insisted that he can “pull things around”, telling The Sunday Times: “It is the fight of our times and we’ve all got to be in it together. We don’t have time for introspection, we don’t have time for navel-gazing.

“You’ll always get a bit of that at a Labour Party conference, but that is not going to solve the problems that face this country.

“Once you appreciate the change – in the sense of the division that Reform would bring to our country and the shattering of what we are as a patriotic country – then you realise this is a fight which in the end is bigger than the Labour Party.”

Sir Keir has previously warned that the next election will be an “open fight” between Labour and Reform UK.

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