Summary
Dominic Shadbolt, founder of PatientSignal and an multiple sclerosis (MS) patient of 35 years, has published a number of blogs on his Substack on AI in healthcare.
Content
AI in the NHS needs an operating model, not a verdict
The NHS is talking about AI in the wrong register. Too much of the discussion still swings between two lazy positions.
Cheap at the front door, expensive downstream?
The real economics of AI in the NHS, and why lower unit cost does not necessarily mean lower system cost.
Doctors are not resisting AI, they are resisting bad implementation
Why clinicians are broadly open to AI, but wary of liability, weak integration, patchy training, and supplier-led hype.
Patients will accept AI, but only on adult terms
Trust, visibility, consent, usefulness, and why patients do not want to be quietly handed over to a machine.
One NHS, or fifty local experiments?
What should be decided nationally, what should be adapted locally, and how to stop AI procurement becoming a postcode lottery.
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