Clinical AI Safety

About

A resource built by a clinician, for the CSOs doing the work.

Clinical AI Safety is independent, NHS-focused, and written from frontline experience of the gap between certified theory and real clinical deployment.

The author

Dr Doju Cheriachan

MBBS, GMC registered · Internal Medicine Trainee, Sheffield Teaching Hospitals NHS Foundation Trust · CSO certified

PubMed-indexed author. LLM evaluator. Clinical AI collaborator.

The decision to build this resource came from a pattern I kept seeing on both sides of NHS AI deployment: certified Clinical Safety Officers who understand DCB0129 and DCB0160 in principle, and suppliers producing Safety Case documentation that technically meets the standard but does not actually describe how the system behaves in a real clinical workflow.

The gap between those two things is where patients get hurt. And it is a gap that existing training, by design, does not fill — the certification is necessarily generic, and the application is necessarily local.

Clinical AI Safety is an attempt to fill that gap honestly. Not as a replacement for CSO certification, and not as a substitute for a Trust's own clinical safety processes, but as the practical companion most CSOs say they wanted when they were first asked to sign off an AI deployment.

What to expect

Clinician-led. Framework-anchored. Scenario-driven.

30 modules

A structured curriculum across hazard identification, safety case authorship and review, post-deployment monitoring, AI-specific failure modes, and incident response.

10 simulators

Interactive scenarios. Hazard log authorship, safety case evaluation, DPIA review, PSIRF response exercises. Feedback modelled on how a senior CSO would challenge your reasoning.

12 frameworks

Every module is explicitly anchored to the relevant standards — DCB0129, DCB0160, DTAC, PSIRF, ISO 14971, BS AAMI 34971, MHRA AIaMD, UK GDPR, NICE ESF, EU AI Act, AMLAS, ECSF.

AI CSO Assistant

An agentic assistant, under active development, designed to help CSOs draft hazard entries, review supplier documentation, and stress-test a safety case against AI-specific failure modes.

Disclaimer. Independent educational resource — not affiliated with NHS England or any regulatory body. For educational use only.