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Friday, 14 August 2026

Leeds and York Partnership deliberately piloted AVT in its two hardest services

HTN, 2026-08-12

The trust is running two ambient voice pilots, with Heidi and Anatham, to October 2026, with evaluation starting in November. It picked the sites on expected difficulty rather than expected success: one service because its patient population "was considered more likely to have concerns regarding the use of AI-supported technology, particularly around confidentiality and trust", the other because workforce pressure was expected to block adoption. Its application to the national Frontline Productivity Fund was found out of scope, and NHS England colleagues are exploring alternative routes.

Takeaway

Adverse selection is the point — a pilot in your most willing service tells you nothing about the rollout, so pick one sceptical population and one under-pressure team, and plan to publish what broke.

htn.co.uk

UK health and care

University Hospital Southampton has deployed 185 Copilot licences and is taking AVT into the emergency department

HTN, 2026-08-13

The trust's intelligent automation update reports 185 Copilot licences deployed so far, a SharePoint automation hub built to share practice and support adoption, and guidance in development on permitted AI uses to "encourage adoption and safeguard against inappropriate use". The AVT trial has expanded into ED with further onboarding, a business case is written and rollout is scheduled for Q3. National funding bids of around £1m have gone in across AVT and outpatient administration automation. Market engagement on outpatient admin automation is complete, with procurement estimated at three to six months, and RPA work has started in maternity and outpatient partial booking.

Takeaway

185 licences is the real unit of a Copilot deployment against a 505,000-seat national headline — and the enablement asset here is a SharePoint hub plus a written permitted-use guide, not a training course.

htn.co.uk

Humber Teaching sets an AI scribe target of 90% of clinical notes for a 4–6% admin time saving

HTN, 2026-08-14

The trust's 2026/27 digital plan commits to piloting and rolling out an AI scribe starting in mental health and community services, targeting 90% of clinical notes automatically transcribed and a four to six per cent reduction in administrative time in pilot areas. The wider plan also names cognitive AI for chatbots and virtual assistants, deep learning for outcome prediction and risk stratification, and AI-driven security monitoring. No suppliers are named.

Takeaway

This is the most useful number published this week — a trust putting a 4–6% admin time reduction in writing against near-total transcription coverage, which is far below the time-saved figures suppliers quote. Baseline against this, not against the vendor deck.

htn.co.uk

St George's, Epsom and St Helier puts an AI Centre of Excellence at 2027 and names 200+ fragmented systems as the blocker

HTN, 2026-08-13

The newly integrated group's digital and data strategy to 2030 makes "AI and automation to improve productivity" one of six priorities, with Copilot and other generative AI for drafting and summarising, AVT for clinical documentation, AI tools introduced during 2026 for administrative work, an AI Centre of Excellence launching in 2027, and advanced AI and automation used widely by 2030. The strategy is unusually direct about the starting position: over 200 fragmented systems with limited interoperability, ageing infrastructure, underused data and a history of underinvestment.

Takeaway

Note the sequencing — foundations in 2026, Centre of Excellence in 2027. If you are standing up a CoE before the data estate is addressable, you are building the governance layer for a capability that cannot yet ground itself.

htn.co.uk

Adoption practice

An acceptable-use policy for AI writing that fits in one rule

Simon Willison, 2026-08-11, on a post by Sophie Alpert

Willison highlights Sophie Alpert's internal policy on engineers using LLMs to write documents, and singles out one rule as crucial: "You must stand behind every idea and every sentence in your docs." The argument underneath it is that there are no lossless transformations of natural-language text — every rewrite by something that lacks your mental model of what you meant loses information. The practical consequence is that "the AI wrote that, ignore it" is not an available defence in review.

Takeaway

This is a one-line AI writing policy you can put in front of a board or a clinical governance group tomorrow, and it is more enforceable than the usual paragraph about human oversight. It applies directly to AI-drafted business cases, SOPs and incident reports.

simonwillison.net

OpenAI reports 57% of its business customers running agents on multi-stage workflows, 16% across teams

OpenAI, 2026-08-12

OpenAI's economics research team combined aggregated usage data from its one million business customers with a survey of 9,000 workers across almost 100 enterprises. It reports that 57% of firms deploy agents for multi-stage workflows and 16% have reached processes spanning multiple teams, and that firms in the top 10% of usage generate 8.3× the output tokens per active user of typical firms, use plugins around twice as often and skills roughly six times as often. This is the vendor's own data on its own customers, and the usage-based definition of a leading firm is circular.

Takeaway

Ignore the leaderboard framing and take the one transferable measure: cross-team agent workflows are the step almost nobody has made. If your agents all sit inside a single directorate, you are at the same stage as 84% of this sample, not behind.

openai.com

The tools we use

Microsoft 365 Copilot

Anthropic model selection reaches GA in Word on the web

Microsoft 365 Copilot release notes, 2026-08-11

The release notes dated 11 August list Anthropic model selection in Word as generally available on the web, under roadmap item 558440. This completes the set flagged in this brief on 10 August, when Excel and PowerPoint were live and Word was listed as "summer 2026" — the admin documentation at learn.microsoft.com still carries that pending wording, so the docs and the release notes now disagree. The consequence has not changed: when Anthropic models are used in Copilot in Word, Excel or PowerPoint, Microsoft states data processing occurs outside the EU Data Boundary. The setting is on by default for EU, EFTA and UK tenants created after 25 March 2026, and it cannot be changed independently once the global subprocessor setting is scoped to All users or to specific groups.

Takeaway

Word is where the clinical and corporate drafting actually happens, so this is the moment the out-of-boundary path stops being theoretical. Re-check the subprocessor blade under Copilot > Settings > View all with the AI Administrator role, and confirm your DPIA reflects Word.

learn.microsoft.com

Claude

Inference hooks put an allow/deny gate in front of every Claude Enterprise prompt

Anthropic, 2026-08-05

Beta, Claude Enterprise only. Every governed prompt is sent to an HTTPS security server the organisation or its vendor runs, which returns an allow or deny verdict before inference; a denied request never reaches the model. One organisation-level configuration covers chat, Claude Code, Cowork and tool calls made through MCP connectors, skills and plugins. Anthropic names Netskope, Palo Alto Networks, Proofpoint and Zscaler as integration targets, or an in-house server, and offers shadow mode, role-based exclusions and percentage rollouts. Two limits matter: verdicts are binary, with no rewrite or redaction, and only the prompt-side event exists at launch — response-side enforcement is planned. API access via the Claude Platform, Bedrock and Vertex are out of scope.

Takeaway

This is the first credible answer to "how do we stop a patient identifier reaching the model" that does not depend on user training. If you already run inline DLP on email and web, ask your security team what pointing it at this would cost — and note it cannot inspect what comes back.

claude.com

Compliance API coverage extends to Cowork and Claude Code

Anthropic, 2026-08-11

Beta, Claude Enterprise only. The same Compliance API interface used for Claude chats now returns consolidated server-hosted session records for Cowork (desktop, web, mobile) and Claude Code (CLI and desktop), with prompts, responses, tool calls including web and MCP, and skills and artefacts coming back "together in a single session record", plus verified user ID, organisation ID, session ID and timestamps. Excluded from the beta: Claude Code on the web, Claude Code via the Claude Platform, and sessions on Amazon Bedrock, Google Cloud Vertex AI or Microsoft Foundry.

Takeaway

Agent and coding sessions are the surface your audit story currently has no answer for. If you have Claude Code anywhere near an NHS digital team, check whether the deployment route you chose is one of the excluded ones before you promise IG a transcript.

claude.com

Emerging tools

Google DeepMind ships sign-language-to-text into a consumer product, ASL only

Google DeepMind, 2026-08-12

DeepMind announced SL2T, a model trained on over 100,000 hours of data across 50+ sign languages that uses computer vision to translate signing directly to text. It is rolling out now at no additional cost — not a research preview — but only in Gboard and Live Transcribe, only on Pixel 11, and only American Sign Language to English. More languages and devices are described as coming.

Takeaway

Watch, don't act, and get the facts straight before someone asks: British Sign Language is not supported and the only device is a Pixel 11, so this changes nothing about your interpreter provision or Accessible Information Standard position today. It is the first sign that it might.

deepmind.google

Voices

Florian Herrengt, software engineer and writer

personal blog, 2026-08-11

Herrengt argues that AI has made code production far faster while review and comprehension have stayed slow, so poor decisions now compound faster than anyone can correct them. His line is that "implementation is cheap. You are paid to make good decisions." Simon Willison collected the passage where a team, on its fourth attempt to fix a bug, discovers nobody knows where the data comes from — and the answer is "let me ask Claude".

Takeaway

The same failure mode applies to AI-drafted policies, business cases and safety documentation, not just code. If your team cannot explain a document without re-asking the model, you have bought throughput and sold understanding.

blog.florianherrengt.com

Simon Willison, independent researcher and writer on LLMs

simonwillison.net, 2026-08-11

Willison endorses Sophie Alpert's rule that authors "must stand behind every idea and every sentence" in AI-assisted writing, framing it around his own position that there are no lossless transformations of natural-language text: any rewrite by a system without your mental model drops information you meant to convey.

Takeaway

Useful counterweight when someone proposes Copilot as a summarisation shortcut for clinical or governance documents — the loss is not a bug to be prompted away, and the accountable author is still the human.

simonwillison.net

Coffee break

DTAC

The **Digital Technology Assessment Criteria** is NHS England's standard front door for assessing a digital health product before you buy it. A supplier completes the DTAC and you, the buying organisation, review it. It covers five areas: clinical safety (has the supplier met DCB0129 and named a Clinical Safety Officer), data protection (DPO, DPIA, DSPT status), technical security (penetration testing, patching), interoperability, and usability and accessibility.

What it does **not** do is the work most people assume. DTAC is a self-declaration by the supplier, reviewed by you — NHS England is explicit that it "applies alongside, but does not replace, other required approvals", and it is not a certification. Passing DTAC does not discharge your DCB0160 duty, does not constitute a DPIA, and says nothing about whether the tool works clinically. It is the minimum baseline for a conversation, and inclusion in national lists such as the NHS England ambient voice technology supplier registry requires it alongside MHRA registration where the product is a device. Note the version: DTAC v2.0 landed in February 2026 with roughly 25% fewer questions, and the previous version became obsolete on 6 April 2026.

Also worth reading

  • Health Innovation West of England and One Care, the GP federation for Bristol, North Somerset and South Gloucestershire, have opened their Primary Care Ready accelerator — five in-person days in Bristol across 12–15 October and 5 November. Applicants must already work with at least one NHS organisation. Applications close midnight, Sunday 23 August. https://www.healthinnowest.net/news/applications-now-open-for-primary-care-ready-accelerator-programme/
  • An admin on the Microsoft 365 Copilot community reports being unable to generate Copilot audit events 284 and 373, with record types 328, 383 and 384 also unavailable, despite unified audit log ingestion and Purview Audit enabled. Unconfirmed, but worth testing in your own tenant before you tell anyone Copilot activity is auditable end to end. https://techcommunity.microsoft.com/t5/microsoft-365-copilot/unable-to-generate-m365-copilot-audit-events-284-and-373-record/m-p/4546671#M6819
  • A second admin thread asks how to let users consume published agents while blocking agent creation in Copilot Studio and Agent Builder — disabling Copilot Studio at licence level was not sufficient. The same question will arrive in your service desk. https://techcommunity.microsoft.com/t5/microsoft-365-copilot/disabling-agent-creation-for-end-users-with-copilot-for/m-p/4546389#M6817
  • The NHS England AVT self-certified supplier registry now lists 25 suppliers, up from the 19 reported in January. Applications reopened on 3 February and remain open, so the list is a moving target for anyone writing a shortlist into a business case. https://digital.nhs.uk/services/ambient-scribing/ambient-voice-technology-self-certified-supplier-registry
  • Berkshire Healthcare has opened a procurement valued up to £400k for a fully managed digital MSK service with 24/7 digital triage and remote treatment, positioned as a complete alternative to traditional community physio pathways. https://htn.co.uk/2026/08/12/berkshire-healthcare-launches-400k-digital-msk-service-procurement/
  • Anthropic opened a public beta of self-hosted environments for Claude Code on 6 August for Team and Enterprise plans, off by default and incompatible with zero data retention. Note the limit before anyone claims it keeps data on-premise: prompts, responses, tool results and transcripts still go to Anthropic for inference. https://claude.com/blog/run-claude-code-sessions-on-your-own-compute