Stage 1 of 4Autonomous consultation, supervised action
Autonomous consultation, supervised action
AI-led consultation under clinical governance
The distinction
Autonomous consultation. Senior-clinician approval. COS GP runs the consultation end to end; a senior clinician approves every clinical action.
Patient
Narrative in their own words
COS GP structured workflow
History, safety checks, gaps, draft summary
Clinician
Reviews, edits and signs off
What COS GP does autonomously
- Conducts the consultation end to end: focused history, red-flag exploration and urgency recognition.
- Forms a provisional working assessment and differentials, with uncertainty stated plainly.
- Discusses defensible management options and agrees a provisional next step with the patient.
- Delivers personalised safety-netting in the consultation itself.
What always requires a senior clinician
- No diagnosis is finalised without senior-clinician approval.
- No prescription, investigation or referral is issued by the system.
- No management plan is actioned or entered into the record before sign-off.
- No emergency triage and no unsupervised clinical deployment.