The Clinical Spine (APIE)
Four stages of care
Each stage asks where AI could genuinely help, and where it could cause harm.
- Stage 1
Assess
Gathering information safely: AI scribes, history-taking and data protection where it matters most.
- Stage 2
Plan
Person-centred care plans that belong to the person, not to the average patient in the training data.
- Stage 3
Implement
Accessible information and rehearsed conversations, without losing presence at the bedside.
- Stage 4
Evaluate
Checking the care and checking the AI: accuracy, omissions, post-market safety and fairness.
Critical Appraisal
Three nursing lenses
Ask these three questions before you act on anything AI has produced.
Lens 1 · Values · McCormack & McCance
Person-centred practice
Does this keep the person, and their values, at the centre?
Lens 2 · Judgement · Carper, Chinn & Kramer
Ways of knowing
Is it right in every sense: accurate, ethical, fitting and fair?
Lens 3 · Progression · Patricia Benner
Novice to expert
Am I experienced enough to judge it, or who should check it with me?
Platform Guide & Free Training
Five everyday AI platforms — compared for nursing
Check your account protection first, pick the right platform for the task, and learn with vetted free courses.
- NHS & university work default
Microsoft 365 Copilot
Enterprise data protection on your @nhs.net or university account. Built into Word, Outlook, Teams and PowerPoint.
- Voice role-play & study
ChatGPT (OpenAI)
Low-latency Voice Mode for OSCE communication practice with synthetic personas. Never enter workplace or patient data on personal accounts.
- Nuanced writing & coding
Claude (Anthropic)
Strong at following complex instructions, person-centred plain English, and building small Nurse Citizen Developer tools.
- Grounded PDF & guideline study
Gemini & NotebookLM
Upload public guidelines, papers or lecture notes into NotebookLM to study with inline passage citations and audio overviews.
- Cited literature & web search
Perplexity
Finds published guidelines and papers with direct links — always open and verify the primary UK source.
Ethics, Regulation, Curricula & Practice
Across the toolkit
Regulation & Law
Governance, safety & the EU AI Act
NHS DCB0129/0160, MHRA medical devices, UK DUAA 2025, and EU AI Act Article 4 literacy and high-risk rules.
Ethics & Net Zero
Ethics, sustainability & judgement
WHO, ICN and ANA nursing ethics, avoiding the "moral crumple zone", cognitive offloading and Greener NHS Net Zero.
Education & SSSA
Curricula, assessment & supervision
Council of Deans (2026) Principles, the Two-Lane assessment model (OSCEs vs verified coursework) and placement supervision.
Six Nursing Fields
Fields of nursing
How AI risks and opportunities differ across adult, children, community, learning disability, maternity and mental health.
Workplace AI Hub
Microsoft Copilot for nurses
Which Copilot you have, red lines, Teams meetings, agents and 49 searchable nursing prompts.
Multimodal AI
Beyond text
Ambient voice scribes, clinical images, video and Easy Read accessible formats across the nursing process.
Team Change
Changing practice together
Practice development methods (Values Clarification, Claims Concerns & Issues) for introducing AI.
Citizen Development
Build with AI & 100 free courses
From the NCD prompt pattern to building safe tools, backed by 100 vetted free courses.
Equity & Anti-Racism
Equity and AI
The evidence on pulse oximetry, speech recognition and algorithmic bias, and how nurses act on it.
Latest Release
What's new: November 2026
NMC Code review, MHRA National Commission, EU AI Act updates, platform comparisons and new interactive tools.
