Clinical Governance

Safety is our foundation, not an afterthought.

Our clinical governance framework ensures that every interaction meets the highest standards of patient safety, with comprehensive oversight at every level.

Our Framework

Multi-layered clinical oversight

Medelic operates under a comprehensive clinical governance framework designed specifically for AI-assisted healthcare. Our approach combines continuous automated monitoring with expert human oversight.

Every clinical pathway in our system has been developed in collaboration with practising GPs, validated against NICE guidelines, and reviewed by our Clinical Advisory Board before deployment.

We maintain detailed audit trails of all clinical decisions, enabling retrospective review and continuous improvement of our safety protocols.

Red Flag Detection

100% identification rate for clinical red flags, with immediate escalation protocols and automatic alerts to duty clinicians.

NICE Alignment

All triage pathways built on current NICE clinical knowledge summaries and updated within 48 hours of guideline changes.

Human-in-the-Loop

Every clinical recommendation is reviewed by a qualified clinician. AI assists but never replaces professional judgement.

Oversight

Clinical Advisory Board

Our Clinical Advisory Board comprises senior clinicians, patient safety experts, and healthcare leaders who provide independent oversight of our clinical governance practices.

Prof. Michael Hughes

Chair

Former Chief Medical Officer, NHS England

Dr Amanda Foster

Member

GP Partner, Primary Care Safety Lead

Prof. Richard Keane

Member

Professor of Medical Informatics, UCL

Sarah Thompson

Member

Patient Representative, Healthwatch

Protocols

Safety mechanisms

Real-time Monitoring

Continuous automated monitoring of all system outputs with anomaly detection algorithms trained on millions of clinical interactions.

  • Response quality scoring
  • Drift detection alerts
  • Real-time performance dashboards

Escalation Pathways

Clear, tested escalation protocols ensure urgent cases are immediately routed to appropriate clinical resources.

  • 999 escalation within seconds
  • Direct clinician handoff
  • Automatic safeguarding alerts

Audit & Review

Comprehensive audit capabilities enable retrospective review and continuous improvement of clinical safety.

  • Full interaction transcripts
  • Decision reasoning logs
  • Monthly safety reviews

Compliance

Regulatory standards

MHRA Registered

Medelic is registered with the MHRA as a Class I medical device under UK MDR 2002, with appropriate quality management systems in place.

ISO 13485 Certified

Our quality management system is certified to ISO 13485:2016, the international standard for medical device quality management.

DCB0129 Compliant

Full compliance with DCB0129 Clinical Risk Management standard, including comprehensive hazard logs and clinical safety case documentation.

DTAC Compliant

Meets all requirements of the Digital Technology Assessment Criteria, the NHS baseline standard for digital health technologies.

CQC Standards

Our clinical processes are designed to support GP practices in meeting their CQC requirements for safe, effective, and well-led services.

NHS Data Security

Full compliance with NHS Data Security and Protection Toolkit (DSPT) requirements, independently verified annually.

Incident Management

When things don't go to plan

We maintain robust incident management procedures aligned with NHS Serious Incident Framework requirements. Any adverse events are investigated thoroughly with findings shared transparently with affected practices.

Our clinical safety team conducts root cause analysis on all incidents, with learnings incorporated into system improvements and shared with our Clinical Advisory Board.

We report to the MHRA as required and maintain open communication with relevant regulatory bodies throughout any investigation process.

Incident Response Timeline

1h

Initial Assessment

Incident triaged and clinical safety team notified

24h

Practice Notification

Affected practice informed with preliminary findings

72h

Root Cause Analysis

Full investigation completed with contributing factors identified

7d

Remediation Complete

System improvements deployed and verified

Want to learn more about our safety approach?

We're happy to walk you through our clinical governance framework in detail. Book a briefing with our clinical team.