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Oversight of advanced AI systems capable of making autonomous decisions should “mirror” the assessment of healthcare professionals, a government commission has proposed.

The National Commission into the Regulation of AI in Healthcare has proposed that agentic AI systems, which can autonomously plan and execute tasks with limited human supervision, should be required to demonstrate capability over time before being allowed to undertake more complex work. 

The minutes to the commission’s latest meeting, seen by HSJ,  stated: “Commissioners advised that approaches to deploying AI systems should mirror that of human professional style progression.” This would involve AI agents needing “to demonstrate capability over time before being exposed to higher risk activities”.

The commissioners were responding to a discussion paper on agentic AI systems, “which explored regulatory approaches to oversee AI systems that are capable of autonomously planning and taking actions with limited human supervision”.

The paper proposed “a tiered regulatory framework, which uses levels of agent autonomy as a basis to determine what regulation and risk controls are required”.

The commissioners “welcomed the proposal for a tiered regulatory framework”, but suggested, “further work should be undertaken to identify other potential factors relevant to determine the appropriate level of regulation”. 

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Source: HSJ, 22 June 2026

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