Ambient Voice Technology has huge potential to reduce admin and improve care across the NHS. But hidden beneath the surface are critical AI-specific risks: prompt injections, semantic drift, and hidden coordination—where unintended instructions or evolving AI behaviour can manipulate a system, potentially leading to unsafe outputs or data security breaches.

At CLEARnotes, we made a deliberate choice to avoid these risks entirely. Our system does not rely on prompt injections and is designed to prevent AI drift or hidden behaviour. Instead, it has been co-designed with NHS clinicians, built to align with national guidance, and deployed in a way that is safe, auditable, and trusted.

This clinically-led, compliance-first approach is the foundation of everything we do:

• Class 1 medical device registration: ensuring regulatory oversight and compliance from day one.
• Aligned to national guidance: NHS Ambient Voice Technology standards, DSP Toolkit, UK GDPR, Cyber Essentials Plus, and DCB0129.
• Clinically co-developed: built in partnership with frontline NHS teams to ensure safety, usability, and trust.
  Proven impact: sites are already reporting up to 25% productivity gains, directly linked to reduced admin and smoother workflows.
• Continuous oversight: every note, summary, and transcription is traceable, reviewed, and auditable, ensuring no critical information is omitted and outputs remain consistent over time.

For us, compliance isn’t a box-ticking exercise — it’s what unlocks adoption and sustainability. When clinicians know that a tool is safe, auditable, and aligned with NHS policy, they use it with confidence. That’s when AI moves from being a pilot project to being part of the fabric of care.

The result? Deployments that are sustainable, scalable, and trusted. Not just another tool parachuted in, but a solution co-designed with the NHS to enhance capacity, reduce burden, and improve patient care.

Innovation in healthcare should never come at the expense of safety. By combining clinical leadership with compliance-first design, CLEARnotes shows there is a different path forward — one where AI delivers on its promise, not just in theory, but in practice, while preventing risks unique to modern adaptive systems.

As the NHS updates its AI safety frameworks and issues guidance to prevent unsafe, unregistered AI tools, CLEARnotes stands ready: clinically accountable, Class 1 medical device registered, future-proofed, and aligned to evolving standards.

If you’d like to learn more about how CLEARnotes is helping NHS teams deploy safe, sustainable Ambient Voice Technology, please get in touch by emailing — projectsupport@33n.co.uk.