Most of my career has been spent inside organisations trying to make sense of messy systems, unclear responsibilities and the gap between what policies say and what actually happens. Over time I became more interested in that gap than anything else, because it’s where the real risks hide and where the most important work tends to be ignored.
This blog is a way of documenting that interest in public. I am focusing on how clinical AI is being introduced into the NHS, what systems are already in use, and how decisions around safety, data protection and accountability are being made in practice. The public conversation often jumps straight to hype or panic. My aim is quieter: find out what is actually happening, trust the evidence, and make the picture clearer.
I use Freedom of Information requests because they give a view that public strategies and press releases don’t. They show which systems are deployed, which assessments exist, and where things are missing. This blog will follow that work as it unfolds. I’m not approaching it from a purely technical angle. I’m interested in how real organisations cope with complexity, limited capacity and new responsibilities they never fully planned for.
Before focusing on this, I spent many years working across transparency, user support, information governance and digital service operations. A lot of my job has involved untangling problems, writing guidance that people can actually follow, and trying to create clarity in systems that rarely have any.
This site is simply a place to think out loud and share what I find. If you work in NHS digital, IG, clinical safety or health policy, and want to compare notes, feel free to get in touch.