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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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.”
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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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.”
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.”
Partners of a company linked to Baroness Michelle Mone have said they are open to a possible settlement with the government after the company was found to have breached a £122m PPE contract.
The Department of Health and Social Care (DHSC) had accused PPE Medpro of providing 25 million “faulty”, non-sterile gowns during the COVID pandemic.
PPE Medpro, a consortium led by Lady Mone‘s husband Doug Barrowman, filed to enter administration earlier this month.
In a statement on Friday, Mr Barrowman said: “The consortium partners of PPE Medpro are prepared to enter into a dialogue with the administrators of the company to discuss a possible settlement with the government.”
PPE Medpro has spent £4.3m defending its position.
It said offers to settle on a no-fault basis had been made, including the remake of 25 million gowns, or a £23m cash equivalent, which were rejected.
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Sky’s Paul Kelso analyses scandal surrounding Baroness Mone
The consortium was awarded government contracts by the former Conservative administration to supply personal protective equipment (PPE) during the pandemic after Lady Mone recommended it to ministers.
It insists that it provided all 25 million gowns and disputes that the gowns were not sterile.
It is understood the partners want to resolve the issue, and administrators have been urged to approach the government to reach an agreement.
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In the High Court ruling, Mrs Justice Cockerill said the gowns “were not, contractually speaking, sterile, or properly validated as being sterile”. This meant they could not be used in the NHS.
Barristers for PPE Medro claimed it had been “singled out for unfair treatment” and accused the government of “buyer’s remorse”.
Image: Michelle Mone recommended the firm, led by husband Doug Barrowman, to minsters. Pic: PA
It claimed the gowns had become defective because of the conditions they were kept in after being delivered. It also said the court made its ruling on a technicality.
Lady Mone branded the judgement a win for the “establishment”, while Mr Barrowman said it was a “travesty of justice”.
Baroness Mone, who created the lingerie brand Ultimo, was made a Conservative peer in 2015.
Liz Hurley has encouraged women to check themselves for breast cancer – and warned some are not because they “are scared that it’s self-indulgent to spend time on themselves”.
The British actress and model, who has been a global ambassador for the Estee Lauder Companies’ Breast Cancer Campaign for 30 years, told Sky News’ Jacquie Beltrao the demands of everyday life mean women “always put ourselves last”.
“We’re doing stuff for kids, for husbands, for mothers, for in-laws. There’s so much that we have to do that we tend to come last,” she said.
Hurley, whose grandmother died of breast cancer, said she finds it helps by thinking of breast checks as a way to “keep ourselves healthy in order to continue to take care of everybody else”.
That way, it “doesn’t seem self-indulgent or taking time away from something else, it seems really important”.
Checking one’s breasts “takes two minutes”, she added, or “about the same length of time as brushing your teeth”.
Image: Hurley speaking to Sky’s Jacquie Beltrao
More than a third of women in the UK do not take up the first mammogram appointment they are offered, and a recent study of 500,000 women from Sweden found a similar non-attendance rate there.
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More than 11,000 people die from breast cancer every year in the UK, or 31 each day, Cancer Research UK said.
That makes it the second most common form of cancer death, accounting for 7% of all cancer deaths, the charity said.
Asked whether some of the messaging had “fallen on deaf ears”, Hurley said attending screenings, which are free on the NHS, is “definitely advised”, and she suggested all women should familiarise themselves with their breasts.
In the past, the illness was seen as “a disease for older ladies. And we didn’t understand that younger women also get diagnosed. That’s been a lot in the news lately”, Hurley said.
“There appear to be more women, younger women being diagnosed. And that could well be one of the reasons is that people are more breast aware, more self-aware.”
She told Ms Beltrao, who is a breast cancer survivor, people “have seen you on television talking about breast cancer”.
As a result of more awareness, she said, women have “begun to understand that it can never be too early to start checking your own breasts and to familiarise yourself [with them].
“When you’re younger and you’re not yet having regular mammograms, you do really have to be aware of your own breasts to be able to see if there’s a change, feel if there is a change and go to your doctor.”
The King’s coat of arms will be on the front of all new British passports from December, the Home Office has announced.
The inside pages have also been updated to include images of natural landscapes from all four UK nations, including Ben Nevis, the Lake District, Three Cliffs Bay, and the Giant’s Causeway.
The Home Office said the new passport is the first wholly new design in five years, and it will be the “most secure passport ever produced”.
It will include the latest anti-forgery technology, including new holographic and translucent features.
The updated features will improve verification and make passports significantly more resistant to forgery or tampering, the Home Office said.
Image: The bio page of the new UK passport. Pic: PA
Migration and citizenship minister Mike Tapp said: “The introduction of His Majesty’s arms, iconic landscapes, and enhanced security features marks a new era in the history of the British passport.
“It also demonstrates our commitment to outstanding public service – celebrating British heritage while ensuring our passports remain among the most secure and trusted in the world for years to come.”
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The Home Office has confirmed that passports bearing Queen Elizabeth II‘s coat of arms will remain valid until their printed expiry date.