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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Image: The version seen in the GP demonstration to Sky News complies with all NHS England standards and guidance
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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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.”
Image: 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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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.”
Image: GP Anil Mehta says 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.
Dr Mehta demonstrated the version of Ambient Voice Technology that he uses.
This software, Accurx Scribe, has been developed and deployed in line with all current NHS England requirements for AVT, and there is no suggestion this product breaches any rules, standards or guidance.
Indeed, the company which developed it meets weekly with NHS England on creating a standardised approach to scale the benefits across the NHS.
“I spend 30% of my week doing paperwork,” Dr Mehta 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.”
Prince Harry and six other household names are suing the publishers of the Daily Mail newspaper over alleged unlawful information gathering dating back 30 years.
The case has been ongoing since 2022 and is just one of several Harry has filed against media organisations since 2019 over alleged breaches of privacy, unlawful practices and false stories.
Associated Newspapers (ANL) – which also publishes The Mail on Sunday and MailOnline – strongly denies any wrongdoing.
A full trial is not expected to start at London’s High Court until January, but a pre-trial hearing, which helps manage the case and resolve any outstanding issues, is set to take place today.
Here is everything you need to know about the case.
What’s alleged?
The alleged unlawful acts are said to have taken place from 1993 to 2011, including the publisher hiring private investigators to secretly place listening devices inside cars and homes and paying police officials for inside information.
When bringing the lawsuit in 2022, lawyers for the claimants said they had become aware of “highly distressing” evidence revealing they had been victims of “abhorrent criminal activity” and “gross breaches of privacy” by Associated Newspapers.
Associated Newspapers denies the allegations, describing them as “preposterous smears”, and claims the legal action is “a fishing expedition by [the] claimants and their lawyers”.
The accusations include:
• The hiring of private investigators to secretly place listening devices inside people’s cars and homes;
• The commissioning of individuals to surreptitiously listen into and record people’s live, private telephone calls while they were taking place;
• The payment of police officials, with corrupt links to private investigators, for inside, sensitive information;
• The impersonation of individuals to obtain medical information from private hospitals, clinics, and treatment centres by deception;
• The accessing of bank accounts, credit histories and financial transactions through illicit means and manipulation.
Image: Pic: iStock
Who else is involved?
While Prince Harry is one of the key players, as a group litigation, he is not the only claimant.
The others include:
• Actress Elizabeth Hurley • Actress Sadie Frost • Sir Elton John and his husband, filmmaker David Furnish • Baroness Doreen Lawrence, mother of Stephen Lawrence • Former Liberal Democrat politician Sir Simon Hughes
Image: Sadie Frost. Pic: PA
Image: Baroness Doreen Lawrence. Pic: AP
They all allege they have been victims of “abhorrent criminal activity” and “gross breaches of privacy” by ANL.
David Sherborne is the lawyer representing all the claimants.
Image: Sir Elton John and his husband David Furnish (below). Pic: AP
Image: Pic: AP
What happened in 2023?
During a preliminary hearing in March 2023, Judge Matthew Nicklin was tasked with ruling whether the case can proceed to trial.
ANL had asked for the case to be struck out entirely, arguing the legal challenges against it were brought “far too late”, but David Sherborne called for the publisher’s application to be dismissed.
Lawyers for the publishers said the claims fell outside the statute of limitations – a law indicating that privacy claims should be brought with six years – and the claimants should have known, or could have found out, they had a potential case before October 2016.
Image: Prince Harry at the High Court in 2023
They also argued some aspects of the cases should be thrown out as they breach orders made by Lord Justice Leveson as part of his 2011 inquiry into media standards.
During the hearing, a number of the claimants attended the High Court, including Prince Harry, to the surprise of the British media.
Witness statements from all seven claimants were also released. The duke’s statement said he is bringing the claim “because I love my country” and remains “deeply concerned” by the “unchecked power, influence and criminality” of the publisher.
“If the most influential newspaper company can successfully evade justice, then in my opinion the whole country is doomed,” he said.
On 10 November 2023, Mr Justice Nicklin gave the go-ahead for the case to go to trial, saying ANL had “not been able to deliver a ‘knockout blow’ to the claims of any of these claimants”.
What’s happened since?
Earlier this year, lawyers for the claimants sought to amend their case to add a swathe of new allegations for the trial.
They argued that they should be allowed to rely on evidence that they said showed the Mail was involved in targeting Kate, the Princess of Wales.
However, Mr Justice Nicklin ruled this allegation was brought too late before trial.
In a further development in November, the High Court heard that a key witness in the case, private investigator Gavin Burrows, claimed his signature on a statement confirming alleged hacking had taken place, was forged.
Image: Lawyer David Sherborne is representing all the claimants
In the statement from 2021, Mr Burrows allegedly claimed to have hacked voicemails, tapped landlines, and accessed financial and medical information at the request of a journalist at the Mail On Sunday.
The statement was important, as five of the seven claimants involved in the case told the court they embarked on legal action against ANL based on evidence apparently obtained by Mr Burrows.
Mr Burrows previously retracted his statement in 2023, but the court heard he reiterated the denial to ANL’s lawyers in September this year.
It is now up to the claimant’s lawyer Mr Sherborne to decide if he still wants to call Mr Burrows as a witness for the trial.
Mr Justice Nicklin previously said if Mr Burrows gave evidence that was inconsistent with the evidence they had obtained, then he could apply to treat him as “hostile”.
Could the case end before going to trial?
In short, yes.
During pre-trial reviews, cases can either be settled or dismissed from court in both civil and criminal cases, meaning no trial will take place.
This happened in Harry’s case against News Group Newspapers (NGN), which publishes The Sun. The duke made similar accusations about NGN, which involved unlawful information gathering by journalists and private investigators.
Before an up-to 10-week trial began earlier this year, it was announced both sides had “reached an agreement” and that NGN had offered an apology to Harry and would pay “substantial damages”.
The settlement was reported to be worth more than £10m, mostly in legal fees.
Another of Harry’s legal cases, this time against Mirror Group Newspapers (MGN) over accusations of historical phone hacking, did go to trial.
The trial saw Harry take to the witness box, making him the first senior royal to give evidence in a courtroom since the 19th century.
In December 2023, the Honourable Mr Justice Fancourt concluded that the duke’s phone had been hacked “to a modest extent” between 2003 and 2009, and 15 of 33 articles he complained about were the product of unlawful techniques.
Bereaved families of black, minorities and migrant women who died after suffering violence and abuse have called on the prime minister to help end femicide.
At a Downing Street vigil on International Day for the Elimination of Violence Against Women, the group said urgent reforms to policing and sentencing are needed “to address systemic failures”.
Yasmin Javed, whose daughter Fawziyah Javed was killed after being pushed by her husband from Arthur’s Seat in Edinburgh, said authorities had ignored Fawziyah’s reports of abuse.
Image: Fawziyah Javed died after being pushed by her husband from Arthur’s Seat in Edinburgh
“It fell on deaf ears,” she told Sky News, explaining that Fawziyah, 31, who was pregnant when she died, had made complaints about her husband but had been murdered days before she was set to leave him.
“We’ve had our hearts ripped into millions of pieces. It’s not getting any easier, it’s getting more and more difficult.”
Tuesday’s vigil highlighted key legislative amendments the families, led by campaign group Southall Black Sisters, are championing.
The amendments include Banaz’s Law, named after 20-year-old Banaz Mahmod, who was subjected to an horrific assault, strangled and stuffed in a suitcase by family members on the orders of her father.
Image: The Downing Street vigil took place on International Day for the Elimination of Violence Against Women
The amendment seeks to explicitly recognise “honour-based” abuse as an aggravating factor in sentencing for relevant offences.
The families also want courts to impose sentences equivalent to murder for self-harm and suicides driven by domestic and “honour”-based abuse, and say the government must ensure all women have equal access to safety and support, regardless of immigration status.
Banaz Mahmod’s sister Bekhal, who testified against her relatives to help secure their conviction, said nearly two decades after the murder, efforts to protect women had not progressed.
Image: Banaz Mahmod was killed on the orders of her father
Speaking from an undisclosed location in the witness protection scheme, she said the murder “happened in 2006, and we’re almost in 2026 – that’s 20 years later. Not much has changed and it’s very, very disappointing.
“What happened to Banaz has happened, but what we could do is prevent it from happening to other people. I don’t understand why much more hasn’t been done to better the situation for others.”
A man charged with the murder of two women within five months of each other, and the rape of a third, has appeared in court.
Appearing at the Old Bailey via videolink on Wednesday, Simon Levy only spoke to confirm his name and was not asked to enter a plea to any of the charges.
Levy, 40, of Beaufoy Road, Tottenham, was charged in September with the murder of 39-year-old Sheryl Wilkins in Tottenham, north London, on 24 August.
While in custody, he was also charged with the murder of Carmenza Valencia-Trujillo, from Colombia, who died on the Aylesbury Estate, southeast London, in March.
Image: Levy is alleged to have murdered Carmenza Valencia-Trujillo in March. Pic: Met Police
Prosecutor Tom Little KC told the court that Ms Valencia-Trujillo was found in a block of flats that is “very largely disused” with few residents or passers-by except security guards.
He said: “The body of the deceased was found in the early evening of 17 March 2025 in a block of flats very largely disused, so it does not contain many residents nor many people passing by apart from the odd security officer who patrol the area for safety.”
It is alleged that he travelled to the area the day before and that he killed her during the course of a sexual encounter.
Image: Levy was also charged with the murder of Sheryl Wilkins. Pic: Met Police
Levy was also accused of grievous bodily harm with intent, non-fatal strangulation and two counts of rape against a third woman, who cannot be named for legal reasons, in Haringey, north London, on 21 January, police said.
The Met Police said on Monday that all three cases are now being treated as part of a single, joined investigation and a trial date has been set for June 2026 at the Old Bailey.