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    Evidence generation plan

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    6 Implementation considerations

    Companies should work with providers and central NHS England teams to begin the research. Planning for a prespecified period for the set-up of the technologies is advised. The following considerations around implementing the research process have been identified through working with system partners: 

    • the companies should provide training for staff on using the AI-derived software

    • services should be carefully selected to, when appropriate, maximise data collection for subgroups of interest

    • to assess the potential for automation bias after deployment, companies may want to track the rate of diagnostic disagreement over time.

    Potential barriers to implementation include: 

    • the availability of research funds for data collection, analysis and reporting 

    • the availability of NHS funding to cover the costs of implementing the technologies in clinical practice 

    • lack of expertise and staff to collect data 

    • burden on healthcare professionals, including the need to have training ahead of implementation, data collection and follow up

    • differences in practice between NHS settings and the level of skills and experience that healthcare professionals have when reviewing X-rays.

    ISBN: [to be added at publication]