A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab

Abstract Internationally, health systems are investing in Artificial Intelligence (AI) to improve safety, quality, and efficiency, yet many efforts remain localised and do not progress beyond early development stages. In 2019, National Health Service (NHS) England and the Department of Health and So...

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Main Authors: Kathrin Cresswell, Robin Williams, Sheena Dungey, Stuart Anderson, Miguel O. Bernabeu, Hajar Mozaffar, Xiao Yang, Varun Sai, Sara Bea, Sally Eason
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-025-01805-w
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author Kathrin Cresswell
Robin Williams
Sheena Dungey
Stuart Anderson
Miguel O. Bernabeu
Hajar Mozaffar
Xiao Yang
Varun Sai
Sara Bea
Sally Eason
author_facet Kathrin Cresswell
Robin Williams
Sheena Dungey
Stuart Anderson
Miguel O. Bernabeu
Hajar Mozaffar
Xiao Yang
Varun Sai
Sara Bea
Sally Eason
author_sort Kathrin Cresswell
collection DOAJ
description Abstract Internationally, health systems are investing in Artificial Intelligence (AI) to improve safety, quality, and efficiency, yet many efforts remain localised and do not progress beyond early development stages. In 2019, National Health Service (NHS) England and the Department of Health and Social Care launched the AI Lab to accelerate safe AI adoption. We conducted a mixed-methods evaluation of the AI Lab, analysing 1021 documents and 85 stakeholder interviews. The AI Lab made important contributions to national AI policy, regulation, and capability building, and positioned the United Kingdom as a global leader in AI deployment for health. Despite progress, implementation and scaling were hindered by shifting objectives, limited capacity, and systemic misalignment with service needs. Some AI technologies demonstrated high return on investment and improved clinical processes. Lessons from the AI Lab highlight critical socio-organisational factors, gaps in scaling support, and the need for sustained coordination to realise the long-term benefits of AI in health and social care systems.
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issn 2398-6352
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publishDate 2025-07-01
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series npj Digital Medicine
spelling doaj-art-9b04556a6c204c4b832db25b4ec7bd312025-08-20T04:03:11ZengNature Portfolionpj Digital Medicine2398-63522025-07-018111910.1038/s41746-025-01805-wA mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence LabKathrin Cresswell0Robin Williams1Sheena Dungey2Stuart Anderson3Miguel O. Bernabeu4Hajar Mozaffar5Xiao Yang6Varun Sai7Sara Bea8Sally Eason9Usher Institute, University of EdinburghInstitute for the Study of Science, Technology and Innovation, University of EdinburghNHS Arden GEM Commissioning Support UnitSchool of Informatics, University of EdinburghUsher Institute, University of EdinburghBusiness School, University of EdinburghInstitute for the Study of Science, Technology and Innovation, University of EdinburghUsher Institute, University of EdinburghUsher Institute, University of EdinburghNHS Arden GEM Commissioning Support UnitAbstract Internationally, health systems are investing in Artificial Intelligence (AI) to improve safety, quality, and efficiency, yet many efforts remain localised and do not progress beyond early development stages. In 2019, National Health Service (NHS) England and the Department of Health and Social Care launched the AI Lab to accelerate safe AI adoption. We conducted a mixed-methods evaluation of the AI Lab, analysing 1021 documents and 85 stakeholder interviews. The AI Lab made important contributions to national AI policy, regulation, and capability building, and positioned the United Kingdom as a global leader in AI deployment for health. Despite progress, implementation and scaling were hindered by shifting objectives, limited capacity, and systemic misalignment with service needs. Some AI technologies demonstrated high return on investment and improved clinical processes. Lessons from the AI Lab highlight critical socio-organisational factors, gaps in scaling support, and the need for sustained coordination to realise the long-term benefits of AI in health and social care systems.https://doi.org/10.1038/s41746-025-01805-w
spellingShingle Kathrin Cresswell
Robin Williams
Sheena Dungey
Stuart Anderson
Miguel O. Bernabeu
Hajar Mozaffar
Xiao Yang
Varun Sai
Sara Bea
Sally Eason
A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab
npj Digital Medicine
title A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab
title_full A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab
title_fullStr A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab
title_full_unstemmed A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab
title_short A mixed methods formative evaluation of the United Kingdom National Health Service Artificial Intelligence Lab
title_sort mixed methods formative evaluation of the united kingdom national health service artificial intelligence lab
url https://doi.org/10.1038/s41746-025-01805-w
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