AI instantly speeded up my NHS medical treatment – but MPs say government has a long way to go to achieve universal provision

Scanner at the Paul Strickland Scanner Centre charity at Mount Vernon Hospital

I am currently being monitored by the NHS after having day surgery last year to remove a melanoma on my lower back. As part of the cancer recovery treatment I am being checked every three months at Mount Vernon hospital with both a CT and MRI scans to make sure there is no recurrence and having my skin checked by a dermatologist at Hemel Hempstead hospital.

Two weeks ago I had both scans at the Paul Strickland Scanner Centre, run by an independent charity, at the hospital. Imagine my surprise and nervousness when the CT scanner said to me as I was about to go home to stay behind because doctors were taking a look at my CT scan.

Then Luke, a junior doctor at Mount Vernon, turned up to tell me the scan had discovered blood clots in my lung. What was really amazing to me it had been discovered because the scanners at the charity use AI to check CT scanner. The AI showed up something was wrong which led the radiographer to examine the scan more closely to reveal multiple blood clots.

As a result I got instant medical treatment instead of waiting for the standard 14 days for the results of the scan to come back. The doctors and nurses gave me a through check on the spot – blood pressure, an ecg, a blood sample and checks on my breathing before prescribing blood thinners to start treatment that night.

Undetected blood clot produced no serious symptoms

If it was not for AI for the last two weeks I would have had a untreated blood clot on my lung without me knowing anything about it. It was virtually symptomless apart from a dull pain in my upper back when I was driving which I had put down to old age rather than anything else.

What I didn’t know is that Paul Strickland Scanner Centre, a charity which relies on donations, is at the cutting edge of linking AI with radiology. Its first introduction of new AI linked scanners was in 2022 -way ahead of other centres.

At the time Mr Will McGuire, the Deputy Superintendent for MRI at Paul Strickland Scanner Centre, said:“It’s the first time we have used deep learning, often referred to as artificial intelligence, as part of the image acquisition. The scanner software has been trained on thousands of scans. When the radiographer runs the scan, the scanner takes less data from the patient and the ‘Deep Resolve’ software then basically fills in the gaps based on its knowledge. The software packages we will get will both reduce ‘noise’ on scan images and provide radiologists with a better definition image.”

New uses for ” Deep Resolve ” software which could benefit kidney, prostate and breast cancer patients are also being pioneered this year. For the first time MRI scans could analyse bone structure as well as soft tissue speeding up treatment and reducing the need for both CT and MRI scans. The charity is planning to demonstrate this new technique at the European Congress of Radiology this year.

The initiatives by the charity show how dramatic the use of AI could transform services inside the NHS to benefit patients and provide services. I gather from Hillingdon NHS Trust where the hospital is based – though it is run by the East and North Hertfordshire NHS Trust – that there is also a trial using AI among hospitals in North West London to provide instant information after chest X rays which would speed up treatment.

The latest information on the state of public provision of AI came from a report by the Commons Public Accounts Committee after a National Audit Office report reveal very uneven provision.

The report concluded that the government is facing significant challenges to introduce AI across Whitehall and the NHS – with out of date computer systems and a big shortage of skilled staff.

It says :”For AI to be used well, it needs high quality data on which to learn …too often Government data are of poor quality, and often locked away in out-of-date, or ‘legacy’, IT systems, which are partially defined as “an end-of-life product, out of support from the supplier, [and] impossible to update…” An estimated 28% of central government systems met this definition in 2024. Approximately a third of Government’s 72 highest-risk legacy systems still lack remediation funding. The report warns that there are no quick fixes here, and calls for funding for the remediation of this kind of technology to be prioritised.”

“Another barrier to the safe and effective adoption of AI by Government are longstanding and persistent digital skills shortages. Around half of roles advertised in civil service digital and data campaigns went unfilled in 2024, and 70% of Government departments report difficulty recruiting and retaining staff with AI skills. The PAC has long raised concerns about digital skills gaps in Government, and is sceptical that the Department for Science, Innovation and Technology’s (DSIT) planned digital reforms will address the problem.”

Government’s ” sclerotic digital architecture”

Sir Geoffrey Clifton-Brown MP, Chair of the Committee, said:“The Government has said it wants to mainline AI into the veins of the nation, but our report raises questions over whether the public sector is ready for such a procedure. The ambition to harness the potential of one of the most significant technological developments of modern times is of course to be welcomed. Unfortunately, those familiar with our Committee’s past scrutiny of the Government’s frankly sclerotic digital architecture will know that any promises of sudden transformation are for the birds.

“A transformation of thinking in Government at senior levels is required, and the best way for this to happen is for digital professionals to be brought round the top table in management and governing boards of every Department and their agencies. I have serious concerns that DSIT does not have the authority over the rest of Government to bring about the scale and pace of change that’s needed. We hope the recommendations in our report aid the Government in succeeding in bringing public sector systems into the 21st century for their users, where other efforts have failed.”

Perhaps MPs on the committee and NHS government ministers should go and visit the Paul Strickland Scanner Centre at Mount Vernon Hospital in Northwood and see how they have pioneered linking AI to radiology. It is anything but sclerotic and ministers might learn how to avoid some of the pitfalls of the great transformation they are promising. Many patients, including me, would be very grateful if they did.

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MP calls on Sellafield chief executive to apologise to whistleblower after spending £750,000 to silence her

Euan Hutton, chief executive of Sellafield, found himself being called to apologise in public to whistleblower Alison McDermott by her local MP, Anna Dixon at a highly charged hearing of the Commons Public Accounts Committee last week.

Anna Dixon MP

The chief executive was clearly embarrassed to face questions about spending such a lot of public money to silence the whistleblower after she produced a report about the toxic culture of bullying and harassment at the UK’s biggest nuclear waste plant.

Alison McDermott, a well respected management and diversity consultant, had faced a series of tribunals and costs hearings.which cost Sellafield over £750,000 by employing top flight lawyers.The main hearing was before judge Philip Lancaster, a judge now facing complaints from 10 women, including Alison, for his patronising and misogynist approach to female litigants who appear before him.

Anna Dixon,Labour MP for Shipley, raised the issue at the beginning of the hearing which was to examine Sellafield’s record so far in running down the waste facility over the next 100 years.

She pointed out that Alison had been head hunted through Capita to work for Sellafield and was then employed directly because of her excellent work. After she produced a report revealing a toxic culture of bullying and harassment at Sellafield this all changed and she was removed from Sellafield.

She told him :” I understand that at that time you did not invoke your whistleblowing policy or take a statement, as required by your own policy. Instead, you spent some £750,000 on legal fees. Perhaps you would confirm that. You refused mediation for three years, and pursued Alison for costs twice and lost on both occasions. As you will know, the remit of this Committee is concerned with the proper ethical use of public funds. As the new CEO, Mr Hutton, I would ask you whether you think this was a good use of public money.”

….” I have seen the treatment of other whistleblowers, which is similar to the treatment of my constituent, that has serious detriment to health, mental health and indeed professional reputation. Alison, as you probably recognise, is sitting here in the public gallery. I recognise that you are not willing to say very much. I am disappointed in that, because most of this is historic and in the public domain. I wonder whether you might apologise to her for the way that she has been treated by Sellafield.”

Mr Hutton replied implying that the situation in Sellafield then was ancient history.

Euan Hutton, chief executive Sellafield Pic credit: gov.uk

“Over the last seven or eight years now, we have made really big strides forward in addressing some of the issues that there were at that time.
You might say that I would say that but, in the most recent staff survey, which concluded, I think, a fortnight ago—I only say “I think” because I cannot remember whether it was a fortnight ago—we have seen significant improvement.”

Anna Dixon concluded: “I am going to come back later and challenge whether these problems have really completely gone away. I do not think that I heard an apology, but I hope you will at least agree to meet with me and my constituent, Alison. “

Since the hearing Alison McDermott has written an open letter to Mr Hutton, David Peattie, group chief executive of the Nuclear Decommissioning Authority and Paul Vallance, a non executive director of the NDA saying:

“The PAC’s examination has now raised serious questions about your leadership and your organisations’ management, culture, and safety practices.

I’ve made no secret of the toll this has taken on me. But each time I was faced with the choice between comfortable silence and speaking the truth, I chose the latter— without hesitation. That decision is one I will always carry with quiet pride. I can look myself in the mirror, sleep peacefully, and carry a clear conscience—something that is priceless.

I can’t help but wonder: how do you reconcile your actions?

What kind of man do you see when you look in the mirror? “

The PAC has now to produce a report following the hearing. I somehow think it will not be a glowing endorsement of practices at the UK’s biggest waste facility.

Alison McDermott
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Cheated Again! MPs blast Department for Work and Pensions for not acting fast enough to reimburse £1.46 billion to pensioners

The DWP is attacked today by MPs on the powerful Commons Public Accounts Committee for not having a credible plan to reimburse hundred of thousands of pensioners who have been shortchanged billions of pounds in pension payments.

The scheme is the only programme where the DWP admits it has made gigantic mistakes by underpaying pensioners and is committed to return the money owed to them. It is obvious at the moment that ministers and civil servants have no intention of reimbursing people who have been denied a guaranteed minimum pension when they were contracted out by their employer.

Nor do they appear to be remotely interested in compensating the 1950s women who lost six years of their pensions despite it being clear that the Parliamentary Ombudsman, Robert Behrens, has found maladministration in not telling the women properly about it, let alone even considering whether women were unfairly discriminated by the decision. The fact that not a single minister has talked to anybody about 50swomen since 2016 speaks volumes.

What is clear from a report by the MPs ( which also tackles benefit fraud) is that they are distinctly unimpressed by the DWP’s handling of this despite assurances from Peter Schofield, the permanent secretary, at the department during a committee hearing earlier this year.

Peter Schofield Pic credit: gov.uk

The Department’s efforts to correct the systemic underpayment of State Pension are too slow to meaningfully put things right. The Department now estimates that 237,000 pensioners have been underpaid a total of £1.46 billion in their State Pension.
“Despite these underpayments going back as far as 1985, the Department’s overall exercise to correct this issue is delayed from the end of 2023 to the end of 2024. The Department cannot be certain that its plan to deliver the exercise on schedule is achievable, as it is dependent on assumptions around recruitment, retraining, and automation.

“We are not convinced that the Department has done enough to ensure its communications to potentially affected pensioners are sufficiently clear. We are concerned that this may leave many pensioners lacking reassurance that they will receive meaningful and timely redress.

We remain unconvinced about the DWP – MPs.

“The Department does not yet know the full extent of the underpayment relating to Home Responsibilities Protection, and it is dependent on HMRC to evaluate the impact of these underpayments on pensioners. The Department cannot be certain that it has identified all the underpayments implied by the results of its annual measurement exercise. Overall, we remain unconvinced that the Department’s control systems are adequate to detect further underpayments before they build up into major issues in future.”
Sounds familiar. Anyone trying to ring the department already knows what lousy communicators the ministry is- that is, if you can get through to them..

And it looks like there is worse to come. The report said:

“The NAO [National Audit Office] reported that the Department cannot rule out that there may be further groups of pensioners, as yet unidentified, that have been affected by a historic underpayment.
It concluded that this was in large part because the Department had not set out plans to revise its control processes for State Pension cases to ensure that underpayments are detected and recorded at the point of payment.”

Yet again through delays and failure to get a grip pensioners are being cheated of their rightful dues and many may die before they receive them. Is there no part of the DWP that can function correctly?

Please donate to Westminster Confidential so I can continue my forensic reporting.

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” Darth Vader” mandarin’s unstellar performance on crime mustn’t pay

home affairs committee christmas-cards

Mark Sedwill as Darth Vader centre right next to Theresa May

CROSS POSTED ON BYLINE.COM

Earlier this month I railed about the extraordinary findings of a report by the National Audit Office which showed Whitehall’s abject failure to confiscate the stolen assets of  criminals.

Theresa May’s claims that crime musn’t pay were torn into tatters by a report which showed  what a woeful record the present government has in confiscating them.

You would think that her top Home Office civil servant – permanent secretary Mark Sedwill – would do everything to make amends for this poor performance.

But think again. When he came to account for missing almost every target set by Parliament a few years before his complacent response so angered MPs on Parliament’s Public Accounts Committee that he was sent packing by the chair Labour Mp, Meg Hillier.

I have written about this in Tribune magazine.

Now Mark Sedwill has a stellar nickname – thanks to a jokey reference in a  recent Christmas card put out by the Commons Home affairs Committee, which monitors the home office.

He is proud to be depicted as” Darth Vader ” the evil figure in the Star Wars movie – to Theresa May’s Princess Leia as part of cast of characters on their Christmas card ( see picture above.)

As he told Civil Service World  ” It’s always better to be one of the stars, even if you’re the dark lord, than to be disregarded. I think he’s the coolest character in the pantheon – so I’m not that bothered.”.

His performance before the committee was anything but stellar. And the criminals would be delighted that the man representing the Dark Side was happy to pretend he had recovered their loot.

He obfuscated, denied reality and pretended that he had never agreed with the report’s findings in the first place. He even started quoting government propaganda that  ministers were delighted with his efforts – which left at least £203m worth of assets uncollected.

So angry was one Tory MP, Stephen Phillips, a QC and member for Sleaford and North Hykeham, that he accused him of turning the hearing into ” a farce”and said his performance was ” an exercise in Sir Humphreyism.”.

And the committee abruptly halted the hearing – an almost unprecedented event- when Meg Hillier told him:” I do not think we have any option but to adjourn this. This is something I never wanted to do in this Committee. As Mr Phillips said, we want to get answers. This is a hugely important area and I am really disappointed that we are going to have to take this form of action. I do not think we are going to get very much further today.”

He has a chance to redeem himself next Tuesday when he will have to come up with some real answers at a resumed hearing.  We have to hope  this time the  MPs will turn into Jedi knights to get some explanations.

You can watch the hearing here..