Aldermoor Health Federation 19 practices · Northwell ICB
Interactive demo
AI Governance Platform · Primary Care

Know every AI system running across your organisation. Reduce clinical risk before it becomes patient harm.

vikela is the AI governance platform for GP federations, PCNs and ICBs. Discover shadow AI, assign accountability, and generate the regulatory evidence — in one system.

1
Discover

Surface every AI tool in clinical use across the organisation, including the ones nobody put on a register.

2
Assign accountability

Every product gets a named Clinical Safety Officer, a Senior Responsible Owner, and a committee that signs it off.

3
Generate the evidence

DCB0160, DCB0129, hazard logs and committee packs assemble themselves from the work the CSO is already doing.

Assurance posture · Aldermoor Health Federation
61%
Compliant products 16 of 27 AI systems
hold a current safety case
Clinical
75%
Technical
58%
Governance
42%
Oversight
25%

Live data · DCB0160 four-pillar framework · Last reviewed 14 Jun 2025 · 2 products require urgent CSO assignment

AW
Good morning, Dr Whitfield. Two products need a decision today.
Live · synced 2 mins ago Mon 29 Jun 2026 · 08:14 Federation-level view
Executive Dashboard · Federation level

Am I safer than last month? Yes — but three products still need attention.

Improving · +14 pts QoQ
AI products in use
27
across 19 practices
Shadow AI (no register entry)
8
discovered last scan
No named CSO
9
DCB0160 breach exposure
Expired safety case
6
revalidation overdue
Committee packs due
2
FCSG · 30 Jun
Assurance score
61%
vs 47% last quarter
Discovery engine

Find every AI tool you didn't know was running

vikela scans your clinical systems, SSO logs and digital procurement records to surface AI tools in clinical use — including the ones your CSO has never been told about. The most common audit finding in primary care is the AI nobody admitted to.

Scanning PracticeCore & ClinHub...
Reading SSO & OAuth logs...
Cross-referencing procurement...
Detecting safety case gaps...
27
AI tools detected
8
never declared on a register
9
lack a named CSO
6
missing safety case

Risk heatmap — PCN by hazard severity

Count of products with open hazards at each severity, per primary care network. Hover a cell for detail.

14 JUN 2026
Digital Health Technology
Locality
Triage
Scribe
Auto-file
Med review
Coding
Stratify
Berryfields
2
1
·
3
1
2
Mead Vale
1
3
·
2
1
1
Linmoor
2
1
·
1
2
2
Hartwell & West
·
2
3
1
1
2
None Low Moderate High Critical Multiple critical

AI governance maturity

Where the federation sits against the five-stage maturity model.

STAGE 3 of 5
58% Maturity
Reactive Aware Managed Optimising Continuous

Anchored to the National Digital Care Authority Digital Clinical Safety maturity framework.

Lifecycle funnel

Where AI is in the assurance pipeline.

Discovered
27
Registered
19
Assessing
12
Sign-off
8
Monitoring
5

Assurance score · 12 months

Federation-wide assurance trend.

+14 PTS
Assurance score (%)
Month (last 12 months)
Assurance score Shadow AI count

Shadow AI count is shown for trend direction only — not plotted to the same scale as assurance score.

Committee workload

Packs due across governance forums.

FCSG — 30 Jun 2 packs
PCN Boards — 14 Jul 1 pack
ICB Digital Safety — 28 Jul 2 packs
Quality & Safety — 12 Aug 1 pack

6 packs · assembling automatically from CSO findings

Clinical Product Register

Aldermoor Health — every clinical IT product in use across the federation, ranked by assurance state. Select a product to open its lifecycle record.

Viewing as
-
Shadow AI - live but never assessed
↑ discovered last scan
-
Reviews overdue or due
across the federation
-
Products on the register
across 19 practices
-
Assured & in date
on track to 2027
#Product · supplierOwnerAssuranceConfidenceLast review

Ranked by assurance state — shadow AI and overdue reviews first, then reviews due, in-assessment, then assured. This is what the federation's clinical director sees on a Monday morning.

START ASSESSMENT / REVIEW

CSO workspace - DCB0160 lifecycle management

Run assessments and hazard workshops, map the patient journey, and author the safety artefacts - all versioned against the system record.

CSO
A. Whitfield - Consultant Clinical Safety Officer Digital Clinical Safety Team · Aldermoor Health Federation · external cover, engaged per review cycle
Assessment not started
Lifecycle: Incident · CSCR update due · Primary Care · Medication Safety
CSO ASSESSMENT - RESULTSFLOW AUTO-FILING 0 / 37 · 0%

Assurance review

ResultsFlow Auto-Filing · HAZ scope ALD12-RSF01

A phased four-pillar review sits inside the DCB0160 loop. Findings flow straight to the hazard log, the register and the draft governance pack — the CSO rates them, no one re-types them.

Flagship capability · AI Critical Friend

The AI sitting beside the Clinical Safety Officer — not in their seat.

vikela's critical friend challenges your reasoning, surfaces blind spots and draws on patterns from previous assessments. It never scores hazards, populates the log or signs off on residual risk. Accountability stays with the CSO — intentionally, and by design.

AI suggests · CSO decides · system records
Live challenge · pillar 3

"You've rated supplier-set thresholds as major. In two earlier assessments, opaque supplier thresholds were later re-rated critical after a result was auto-filed. Have you tested a borderline case end to end?"

Fairness equity across groups
Transparency explainable to clinicians
Trustworthiness safe, validated, monitored
Accountability human oversight & ownership

Pillar 3 · Trustworthiness · question 2 of 9

F-RSF-014Trustworthiness
Does the auto-filing rule guarantee that an out-of-range or unexpected result is never filed without clinician review?
Auto-filing of pathology results is a recognised primary-care safety hazard. Evidence required: the filing logic, the abnormal-flag thresholds, and the override/safety-net path. Absence of evidence is itself a finding.
CSO critical friend Design intent · not in v1

"You've rated supplier-set thresholds as Major. In two earlier federation assessments, opaque supplier thresholds were later re-rated Critical after an abnormal result was auto-filed. Have you tested a borderline case end-to-end?"

AI suggests · CSO decides · system records

Governance packs

Packs assemble themselves from the work the CSO is already doing. Every section is generated from a live record — no copying into templates, no version confusion. Sent by secure link: view-only, audit-logged.

ResultsFlow Auto-Filing — FCSG pack

CSCR-ALD12-2026-007 · v0.9 draft · due 30 Jun · 1 critical, 1 major
Drafting
5 / 8
Executive summarygenerated from product record · updated 10 Jun 12:14
Generated
Hazard log14 hazards · 1 critical, 3 major, 7 minor, 3 closed
Generated
Clinical findingsF-RSF-014 critical added from review · 10 Jun 11:47
Generated
Recommendations3 actions linked to controls, owners assigned
Generated
30-day post-market surveillance2 of 3 thresholds defined · awaiting supplier-locked threshold
Partial
Approval historyawaiting CSO finalisation & SRO sign-off
Pending
Conditions of approvalnot yet drafted
Pending
Version control & audit ledgergenerated at finalisation
Pending
Last updated 10 Jun 12:14 · assembled automatically from CSO findings

VoxScribe AVT — FCSG pack

CSCR-ALD12-2026-004 · v0.6 draft · revalidation in progress
Drafting
4 / 8
Executive summarygenerated 09 Jun 16:02
Generated
Hazard log9 hazards · oversight-integrity hazard re-rated major
Generated
Clinical findingsedit rate falling alongside review time — automation-bias flag pending workshop
In progress
Recommendationsawaits workshop output 14 Jun
Pending
Workshop scheduled 14 Jun · pack regenerates on attendance

CodeAssist SNOMED — PCN Board pack

CSCR-ALD12-2026-003 · v1.0 · sent 02 Jun 2026
Sent · audit-logged
8 / 8
All 8 sections generated · v1.0 finaliseddelivered to PCN Board chair · secure link viewed 4× · remediation condition tracked in-system
Complete
Delivered to committee · no chasing, no email attachments

TriView Online Triage — ICB Digital Safety pack

CSCR-ALD12-2026-002 · v1.2 · sent 21 May 2026
Sent · audit-logged
8 / 8
All sections generated · digital-exclusion equity condition trackedsigned off with monitoring condition · next review 21 Nov 2026
Complete
Equity condition tracked against the product record
Pack version history — append-only ledger
v0.9 · 10 Jun · A. Whitfield (CSO) · F-RSF-014 critical finding added from review · Draft
v0.8 · 04 Jun · A. Whitfield (CSO) · 30-day monitoring snapshot refreshed · Superseded
v1.0 · 02 Jun · A. Whitfield (CSO) · CodeAssist remediation condition finalised · Sent

Where AI Enters the Patient Journey

A person-centred general-practice pathway. Each AI touchpoint is plotted where it intervenes and linked to its hazard ID — so the multidisciplinary team can walk the journey and attach hazards before the workshop, not after an incident.

Reasonable adjustments Digital inclusion & equity Carer involvement (with consent) Continuity of care Safety-netting at every step

Standards & Guidance

The national framework vikela is built on — and the primary-care-specific guidance every federation should have to hand.

Done