BackAlpha — clinician oversight required

Clinical Safety

COS GP is an AI consultation copilot for clinicians. Safety depends on the clinician remaining in the loop on every decision.

Not for emergencies.

Patients with a suspected emergency should call 999 in the UK, or 111 for urgent advice. COS GP does not provide emergency triage and must not be used to delay clinical assessment.

What COS GP does

  • Supports structured consultation flow (Calgary-Cambridge, Neighbour, Pendleton).
  • Tracks ICE, agenda, red-flag exploration and consultation state.
  • Generates draft histories, differentials, plans and safety-netting for clinician review.
  • Surfaces clinical uncertainty and gaps rather than hiding them.

What COS GP does not do

  • Does not autonomously diagnose, prescribe, or refer.
  • Does not action plans without clinician sign-off.
  • Does not replace clinical judgement or face-to-face assessment.
  • Does not act as an emergency service or triage tool.

Red flag and escalation handling

When the AI detects a possible red flag it flags it clinically in the cockpit with rationale ("why this matters"), keeps the consultation state at higher risk, and recommends clinician review before any management plan is actioned.

Audit and oversight

All AI outputs and clinician sign-off decisions are captured in an audit log scoped to the workspace. Architecture anticipates future organisation-level oversight and incident review.

Questions about clinical safety during alpha should be directed to your workspace admin.