Safety & Governance
Last updated: 29 April 2026
Intended Use
MedullaX is designed to support qualified healthcare professionals with anonymised documentation drafting, referral wording, patient communication drafts, guideline navigation, and CPD reflection.
MedullaX is a drafting and education tool for clinicians. All outputs must be reviewed, verified, and edited by a qualified healthcare professional before use in clinical practice.
Excluded Use — What MedullaX Must NOT Be Used For
MedullaX must NOT be used to:
- Diagnose patients or generate differential diagnoses
- Interpret investigation results (blood tests, imaging, ECGs, etc.)
- Recommend treatment or management plans
- Triage emergencies or determine clinical urgency
- Replace senior clinical advice or escalation
- Replace local clinical pathways or protocols
- Make autonomous clinical decisions
- Process patient-identifiable information
No Patient-Identifiable Data
You must remove all patient-identifiable information before using MedullaX.
Do not enter:
- Patient names
- NHS numbers or hospital numbers
- Dates of birth
- Full addresses or postcodes
- Phone numbers or email addresses
- Exact appointment dates (use "recently" or "3 weeks ago" instead)
- Any other information that could identify a specific individual
Use anonymised, generalised descriptions only (e.g., "Adult patient, mid-40s, 3-week cough, non-smoker, relevant history includes asthma...").
Clinician Responsibility
You, the qualified healthcare professional, are responsible for:
- Anonymising all clinical information before input
- Reviewing and verifying all MedullaX outputs
- Checking outputs against local policy and current guidance
- Editing and adapting outputs to the specific clinical context
- Ensuring accuracy before using any output in clinical documentation
- Maintaining professional standards and clinical judgement
Output Limitations
MedullaX outputs are drafts for clinician review, not final clinical documentation.
Outputs may:
- Contain errors, omissions, or outdated information
- Not reflect the latest guidelines or local protocols
- Not account for the full clinical context
- Require significant editing before use
- Include suggestions that are not appropriate for the specific patient
Never copy MedullaX output directly into clinical records without careful review and editing.
Incident Reporting
If you identify an unsafe, inaccurate, or concerning output from MedullaX, please report it to:
safety@medicflow.uk
Please include:
- Tool used (RefAI, Wrap-up, Clarity, or Rounds)
- Approximate date and time
- Anonymised description of the issue
- What was inaccurate, unsafe, or concerning
- Whether the output appeared to invent information
Do not include patient-identifiable information in your report.
Clinical Safety Roadmap
MedullaX is designed with clinical safety principles in mind. Our ongoing safety commitments include:
- Regular review and updating of system prompts and safety controls
- Monitoring user feedback and incident reports
- Iterative improvement of output quality and safety warnings
- Consultation with clinicians on tool behaviour and risk mitigation
- Transparent communication of tool limitations
Note: MedullaX is not currently MHRA-approved as a medical device, NHS-approved, DTAC-compliant, or DCB0129-compliant. Use at your own professional discretion.
Version Control & Updates
We maintain version control of system prompts and tool behaviour. Significant changes to tool functionality or safety controls will be communicated to users.
Contact for Safety Concerns
For urgent safety concerns or questions about clinical governance:
Email: safety@medicflow.uk
General support: support@medicflow.uk