Artificial intelligence (AI) implementation within the National Health Service (NHS): The South West London AI Working Group experience
Open accessAbstract
In the rapidly evolving field of artificial intelligence (AI) for radiology, with a plethora of vendor options and use-cases and evidence claims to sift through, the pressing question is how to effectively implement the right tool for enhanced patient care? This article presents a structured approach to AI deployment, drawing from a comprehensive case study in South West London. We underscore the necessity of forming a dedicated AI team with a clear vision and assertive leadership to navigate such complexities. Central to our discussion is the significance of crafting an AI implementation plan, with an overarching aim to augment patient care, promote operational efficiency, and lay down standardized protocols for seamless AI adoption. By presenting a blueprint for AI implementation within the National Health Service (NHS), we intend to demystify the process for radiology departments across the UK, enabling them to make informed decisions and empowering their staff to embrace and leverage AI responsibly ensuring that patient welfare remains at the heart of innovation. Thus, having a framework to follow when implementing an AI solution that addresses a vision for scalable adoption, core team members with diversity of skillset, staff engagement and education, plan for vendor selection, and change management is crucial for success.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Much of the review literature addressed governance architectures, robustness concepts, implementation barriers, monitoring frameworks, MLOps, or deployment-proximal evaluation, rather than mature evidence generated during sustained routine deployment.
“Much of the review literature instead addressed governance architectures, robustness concepts, implementation barriers, monitoring frameworks, MLOps, or deployment-proximal evaluation, rather than mature evidence generated during sustained routine deployment [18,19,20,29,35,37,47,49].”
From Beyond Model Development in Healthcare AI: Post-Development Robustness, Post-Deployment Monitoring, and Lifecycle Governance—A Scoping Review of Reviews (2026) · cites this paper as [47]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
The citation lists haven’t been fetched yet
References 15 · Cited by 17
Research works printed but not linked: 13
- van Leeuwen KG, Schalekamp S, Rutten M, et al. Artificial intelligence in radiology: 100 commercially available products and their scientific ev- idence. Eur Radiol 2021;31:3797e804.
- Ahmed MI, Spooner B, Isherwood J, et al. A systematic review of the barriers to the implementation of artificial intelligence in healthcare. Cureus 2023;15:e46454.
- Harrison R, Fischer S, Walpola RL, et al. Where do models for change management, improvement and implementation meet? A systematic review of the applications of change management models in healthcare. J Healthc Leadersh 2021;13:85e108.
- Graves L, Dalgarno N, Hoorn RV, et al. Creating change: kotter's change management model in action. Can Med Educ J 2023;14:136e9.
- Stogiannos N, Malik R, Kumar A, et al. Black box no more: a scoping review of AI governance frameworks to guide procurement and adoption of AI in medical imaging and radiotherapy in the UK. Br J Radiol 2023;96:20221157.
- Omoumi P, Ducarouge A, Tournier A, et al. To buy or not to buy- evaluating commercial AI solutions in radiology (the ECLAIR guide- lines). Eur Radiol 2021;31:3786e96.
- Kohli M, Prevedello LM, Filice RW, et al. Implementing machine learning in radiology practice and research. AJR Am J Roentgenol 2017;208:754e60.
- Silkens M, Ross J, Hall M, et al. The time is now: making the case for a UK registry of deployment of radiology artificial intelligence applications. Clin Radiol 2023;78:107e14.
- Jones CM, Danaher L, Milne MR, et al. Assessment of the effect of a comprehensive chest radiograph deep learning model on radiologist reports and patient outcomes: a real-world observational study. BMJ Open 2021;11:e052902.
- Seah JCY, Tang CHM, Buchlak QD, et al. Effect of a comprehensive deep- learning model on the accuracy of chest x-ray interpretation by radi- ologists: a retrospective, multireader multicase study. The Lancet Digital Health 2021;3:e496e506.
- Hillis J, Bizzo B, Mercaldo S, et al. Evaluation of an artificial intelligence model for detection of pneumothorax and tension pneumothorax on chest radiograph. medRxiv 2022.
- Brady AP. Error and discrepancy in radiology: inevitable or avoidable? Insights Into Imaging 2017;8:171e82.
- Fowler M, Highsmith J. The agile manifesto. J Software Dev 2001;9:28e35.
- Authors
- Shelmerdine, S. C., Togher, D., Rickaby, S., & Dean, G.
- Affiliations
- Great Ormond Street Hospital (GB)
- St Helier Hospital (GB)
- Corresponding author
- Shelmerdine, S.C.
- Venue
- Clinical Radiology
- Publisher
- Elsevier BV
- Published
- 2024-09
- Volume
- 79
- Issue
- 9
- Pages
- 665-672
- ISSN
- 0009-9260 (ISSN-L)
- OpenAlex
- W4399245836
- Cited by
- 17
- References
- 15
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 2
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Radiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (NIHR-301322)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Physical Sciences › Computer Science › Artificial Intelligence › Artificial Intelligence Applications
- Keywords
- AI implementation, artificial intelligence in radiology, National Health Service, supplier selection, change management, employee engagement, AI adoption framework, patient care, South West London
- MeSH terms
- Artificial Intelligence, Humans, London, Radiology, State Medicine
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review