Dominic Cushnan

Deputy Director of AI — NHS England

Making AI work for the health system.

I work at the intersection of policy, delivery, and clinical credibility — translating what AI can actually do into things the NHS can actually use.

Read my writingNHS Intelligence

Currently

Building the conditions for AI adoption across NHS England. Aligning MHRA, NICE, CQC, and NIHR around a coherent AI governance framework.

Thinking about

  • How institutions adopt transformative technology
  • Clinical AI governance at scale
  • The gap between AI capability and NHS readiness
Seldex — my personal AI platform

Recent writing

All essays →
2025AI Governance

Why NHS AI adoption needs systems thinking, not just solutions

The bottleneck isn't capability. It's the institutional architecture around it.

2025Policy

Aligning the regulators: lessons from building cross-body AI governance

Getting MHRA, NICE, CQC and NIHR into the same frame requires more than good arguments.

2024Delivery

On the gap between what AI can do and what health systems will use

Technical capability is the easy part. The hard part is organisational readiness.

Open intelligence

NHS AI landscape, mapped.

System maps, market analysis, and policy thinking — publicly available to accelerate good AI adoption across the health system.

Explore the intelligence →

14

ALBs tracked

200+

Policy documents

850+

Commitment threads

12

System maps