Decision Authority for Clinical AI
Governance that works at machine speed — without undermining clinical accountability.
When clinical AI influences care, authority must remain explicit, bounded, and provable.
The Problem Healthcare Leaders Are Facing
Clinical AI systems are increasingly involved in escalation, prioritisation, triage, and diagnostic pathways.
Most have been technically validated and ethically approved. Far fewer are operationally governed at the point decisions are executed.
When harm occurs, investigations do not focus on models or vendors. They focus on who was authorised to decide, under what constraints, and why escalation did or did not occur.
What this is not
Not a vendor endorsement. Not a model audit. Not a checklist.
What this is
Authority design and proof across the clinical decision boundary.
Where Authority Quietly Collapses
- Recommendations become de facto decisions
- Escalation thresholds drift over time
- Human override exists in policy, not in practice
- Responsibility diffuses across teams and systems
This is not a technology failure. It is an authority design failure.
What FlowSignal Does for Healthcare
FlowSignal does not replace clinical governance frameworks or medical judgement. We make them operable at machine speed.
- Map clinical decision authority across AI-influenced pathways
- Define explicit escalation and pause boundaries
- Validate that AI cannot exceed its authority
- Generate evidence suitable for regulators, inquiries, and boards
Typical use cases
- Deterioration detection & early warning
- Triage and prioritisation tools
- AI-assisted diagnostics
- Automated alerting and escalation
- Capacity and resource allocation
Healthcare Authority Validation Sprint
Fixed scope. Board-ready output.
£50,000
2–3 weeks · one critical pathway
Are our clinical AI decisions truly governed — or merely assumed to be?
- Clinical decision authority mapping
- Escalation and override validation
- Kill Switch + Blame Tests
- Exposure of latent governance risk
- Board- and regulator-ready findings
Why organisations engage FlowSignal
- Protect clinicians from downstream blame
- Demonstrate defensible governance to regulators
- Ensure AI supports care without quietly taking control
- Resolve authority questions before incidents occur
FlowSignal does not certify models. We certify decision authority.
Before Clinical AI Influences Care
Make sure authority is designed, not assumed.