Healthcare AI Futures Lab NHS · Clinical AI · Governance

Decisions that shape safe AI in healthcare.

Nine playable scenarios. Four decision rounds each. Every choice ripples across patient safety, clinical trust, equity, innovation, and accountability. There are no perfect answers - only defensible ones.

Lived a moment like this yourself?
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For NHS Clinical & Digital Leaders
Before you play

One quick step before your scenario begins.

We ask everyone to sign up once, on this device, before playing - it takes a moment and tells us who is using the Lab. You can also opt in below to hear when we add new scenarios or run live workshops. That part is entirely optional.

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Who we are

The Healthcare AI Futures Lab is built and run by TrustPoint Digital Health Ltd (Companies House no. 17257186), the data controller for the information you submit here. Contact us at hello@trustpointdigitalhealth.com for anything relating to your data.

What we collect

  • Your name and work email address (required, so we can grant you access and, if you opt in, send updates)
  • Your organisation and role, if you choose to share them
  • A record of the consent choices you make below, with a timestamp

Why we collect it, and our lawful basis

Access to the simulation: we process your name and email on the basis of your consent (UK GDPR Art. 6(1)(a)) - given when you tick the required box below - so we can understand who is using the Lab and follow up on your engagement with it. You can withdraw this consent at any time by emailing us, though we may no longer be able to give you further access to the simulation on this device.

Updates about new scenarios and workshops: only if you tick the separate, optional box below, on the basis of your consent. This is entirely independent of the box above - leaving it unticked has no effect on your ability to play.

Who else sees it

We use Formspree, Inc., a third-party form-processing service, to receive and store your submission securely on our behalf; they act as our data processor and do not use your data for their own purposes. Because Formspree is based in the United States, your data may be transferred outside the UK/EEA - Formspree's own terms (formspree.io/legal) set out the safeguards that apply to that transfer. We do not sell your data or share it with anyone else.

How long we keep it

We keep sign-up and consent records for as long as you're actively using the Lab or receiving updates from us, and for up to 24 months after your last interaction, after which we delete or anonymise them - unless we're required by law to keep them longer. If you opted into updates, we keep that consent until you unsubscribe or ask us to stop, whichever comes first.

Your rights

Under UK GDPR you have the right to:

  • Access the data we hold about you
  • Have inaccurate data corrected
  • Have your data deleted ("right to be forgotten")
  • Restrict or object to how we use it
  • Receive your data in a portable format
  • Withdraw consent at any time, without affecting anything done before you withdrew it

To exercise any of these, email hello@trustpointdigitalhealth.com. If you're not satisfied with our response, you can complain to the UK Information Commissioner's Office at ico.org.uk or on 0303 123 1113.

On this device

Once you submit this form, we store a small note in your browser's local storage so we don't ask you again on this device. It isn't a tracking cookie, holds no personal data, and never leaves your device - clearing your browser data will remove it.

Contribute an idea

Got an idea for a future scenario?

The Lab grows through contributions from people across healthcare, including clinical, digital, operational, administrative, and support teams, who have experienced moments when a scenario should be brought to life. Tell us the theme, storyline, or decision point you think we should build next. Every contribution is reviewed against the Contributor Agreement below before anything is used.

* Please do not include any person-identifiable information, real patients, colleagues, or identifiable cases.
Read the Contributor Agreement

About the Platform

The Healthcare AI Futures Lab is an open-access, browser-based simulation platform that lets health and care professionals rehearse decision-making moments where clinical AI and human judgement intersect. It is free to access and use, and already in active use by NHS clinical and digital leaders and higher education programmes.

What you are contributing

A Contribution is any scenario, storyline, clinical vignette, decision path, reflection prompt, or edit to existing scenarios that you submit to the platform, whether authored solo or with the Platform Lead.

No person-identifiable information

Contributions must be drawn from real health and care themes, not real people. By submitting, you confirm that:

  • No patient, service user, family member, colleague, organisation, or third party is identifiable, directly or by inference, from your Contribution.
  • Any names, dates, locations, service settings, and clinical details are fictionalised or composited.
  • You have not relied on information that would breach confidentiality, the Data Protection Act 2018, UK GDPR, the Caldicott Principles, or your professional code of conduct to create the Contribution.
  • Where a Contribution is composited from real cases, the composite is sufficient that no real individual could be recognised.

Licence you grant

You retain authorship of your Contribution. You grant the Platform Lead a non-exclusive, worldwide, royalty-free, perpetual licence to host, display, edit for consistency, adapt for accessibility, and use the Contribution on the Healthcare AI Futures Lab and in derivative educational or facilitated formats (including facilitated programmes such as The Override). You retain the right to use your own Contribution elsewhere.

Attribution

You choose, above, between: Named acknowledgement - your name, role, and optionally organisation appear in the scenario credits and any published contributor list - or Anonymous - your Contribution is used without any identifying reference to you, and your identity is held only by the Platform Lead for record-keeping. You may change this preference at any time by written notice to the Platform Lead.

Free platform, paid tailoring

The Healthcare AI Futures Lab is and will remain free to access and use. Where scenarios inform paid facilitated programmes (for example, The Override, delivered by TrustPoint Digital Health with Digital Narrative Care), what is charged for is facilitation, tailoring, debrief, and organisational learning capture, not the scenarios themselves. Contributors are not entitled to a share of facilitation fees but are recognised, where they have opted in, as scenario contributors.

Your warranties

By submitting, you confirm that the Contribution is your original work, or you have permission from all co-authors to submit it; that submitting it does not breach any contract, professional duty, or employer intellectual property policy that applies to you (if you are contributing in the course of NHS or other employment, you are responsible for obtaining any permissions your employer requires); and that the Contribution does not infringe any third-party right.

Withdrawal

You may ask for your Contribution to be withdrawn from the platform at any time. The Platform Lead will remove it within a reasonable period (typically 30 days), except where it has been substantially integrated into a composite scenario that can no longer be meaningfully separated, in which case attribution to you will be removed.

Liability

The Platform Lead accepts no liability for the professional use participants make of scenarios. Contributions are for educational rehearsal and are not clinical guidance.

Governing law

This agreement is governed by the laws of England and Wales. It is between Sarah Amani (Platform Lead, Healthcare AI Futures Lab) and the Contributor named in this form.

Facilitated Workshops

The Override: clinical judgement in the age of AI.

A joint offer from TrustPoint Digital Health and Digital Narrative Care, built around the moments where AI changes clinical judgement, documentation, escalation and care - using scenarios drawn from the Healthcare AI Futures Lab.

The Proposition

Healthcare workers are being asked to make consequential decisions alongside AI tools before they have had the opportunity to rehearse what that feels like - not technically, but humanly. The pressure is on, the governance is not yet settled, and the moment a clinician overrides an AI tool, or defers to it against their instinct, they are operating in territory that no training programme has properly prepared them for.

The Override brings together TrustPoint's clinical safety, NHS governance and AI assurance expertise with Digital Narrative Care's high-fidelity simulation design, narrative governance and facilitation layer - one coherent programme, not two disciplines placed side by side.

What We Offer

A half-day or full-day facilitated session for clinical cohorts in higher education and post-registration CPD, structured around four movements:

1
Opening the space
An arts-informed warm-up using narrative, visual prompt, or scenario immersion to establish psychological safety and honest engagement.
2
The scenario
Participants engage with a simulation drawn from real NHS contexts, playing the role of the clinician at a moment where AI and human judgement are in tension.
3
Reflection and meaning-making
Structured individual and group reflection using the Digital Narrative Care framework - examining what was felt, what was suppressed, and what would be documented.
4
Clinical safety anchoring
Drawing out the governance and regulatory stakes: what DCB0129 and DCB0160 mean at the patient, clinician and organisational level, and what professional accountability requires individually.

The Learning Architecture

Three conditions for effective governance of AI in clinical practice - because a person can be technically "in the loop" without being in a position to contest what the loop is doing:

Capability
Do practitioners understand enough about the AI-mediated situation to recognise what is happening?
Confidence
Do they feel able to act on that judgement under pressure?
Contestability
Can they challenge, slow down, override, document, escalate or correct an AI-shaped output when the surrounding workflow is pushing them toward acceptance?

What Makes This Different

Not a tech briefing
We prepare people for the moment any clinical AI tool pressures them to defer to an output over their own clinical reasoning, not how to use a specific product.
Not a compliance exercise
The governance stakes are real and named, but participants engage with them through meaning and experience, not a slide deck of frameworks.
Clinically credible
Scenarios are drawn from real NHS clinical and governance moments, authored by a practitioner who writes cases to mitigate digital health product risk.
Arts-informed by design
The arts element is not decoration, it is the method - it creates conditions for honest reflection that didactic instruction does not.

The Facilitators

RMN · CNIO · Clinical AI Safety
  • Registered Mental Health Nurse, NMC: 01B1028E
  • Former CNIO and CCIO
  • Accredited Clinical Safety Officer (DCB0129 / DCB0160)
  • Topol Digital Fellow · Winston Churchill Fellow
  • Mary Seacole Leadership Programme alumna
  • 20+ clinical safety cases across AI and digital systems
  • Developer, Healthcare AI Futures Lab
  • Founder, TrustPoint Digital Health Ltd
Simulation · Narrative Governance · Facilitation
  • Founder, Digital Narrative Care (DNC)
  • Former Head of Performing Arts, higher education
  • 20+ years in healthcare education, simulation-based learning, and performing arts leadership
  • Author, DNC Framework - Record, Meaning and Temporal Integrity
  • Developer, Provenance Stack, Schön Circle, Habermas Wrapper instruments
  • Published, "When AI Starts Writing the Record" (Policy Brief, April 2026)

Settings and Format

Sessions are adaptable to all clinical settings - A&E, mental health, community, primary care and perioperative - and to all clinical professional groups. The scenario base draws on the Healthcare AI Futures Lab; bespoke scenarios can also be developed jointly with commissioning organisations around local workflows and live governance questions.

  • Pre-registration nursing, AHP and medical programmes with NHS-facing simulation modules
  • Post-registration CPD for nurses, AHPs and junior doctors in NHS trusts and ICBs
  • Digital and clinical leadership development, including CNIO and CCIO pathways
  • Trust-level AI readiness ahead of AVT and EPR-embedded AI deployments

Delivered as half-day (3 hours) or full-day (6 hours) sessions for cohorts of up to 25, normally facilitated jointly. Fees are agreed per engagement, reflecting the university, health or care context. Bespoke scenario development is also available.

Book The Override

Want to bring The Override to your Trust, ICB, university programme, or team? Get in touch with Sarah and Stephen to discuss dates, cohort size, and scope.

Contact us to discuss →
Your Role

Scenario title

Situation Brief

Your Role
Round 1
Q1
Round 1 / 4
Patient Safety
0
Clinical Trust
0
Innovation
0
Financial
0
Situation
Your Decision
Select an option above
Outcome

Decision processed

Safety
-
Trust
-
Innovation
-
Financial
-
Simulation Complete

Debrief

Review your decisions, their consequences, and the learning objectives they surfaced.

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Your Decision Log

Learning Points