X-on Health and Tortus AI are proud to confirm that Surgery Intellect, our voice-enabled AI assistant for primary care, meets full compliance with NHS England’s AVT requirements as outlined in the Priority Notification on 9 June 2025.
Backed by robust governance, clinical safety assurance and leading-edge AI technology, Surgery Intellect has set the benchmark for safe, effective and scalable AVT deployment in NHS primary care settings.
Key areas of NHS AVT compliance
| Area | Outcome |
| DTAC | Full compliance across all five pillars (clinical safety, data protection, technical security, interoperability and usability) by both Tortus AI and X-on Health. |
| DSPT | “Standards exceeded” status for both organisations. |
| Cybersecurity | Cyber Essentials Plus certified with regular CREST-approved pen testing and zero vulnerabilities reported. |
| Clinical Safety Officers | Named CSOs at both Tortus and X-on Health, all holding current DCB0160 certification. |
| Encryption & Data Protection | AES-256 encryption, TLS 1.2+ in transit, MFA, SSO, RBAC, GDPR compliant infrastructure with 24-hour auto-deletion of session data. |
| NHS System Integration | Native integration with Epic; supported EMIS and SystmOne integration through X-on Health. Fully FHIR R4 & HL7 v2 compliant with write-back capabilities. |
| Medical Device Status | Tortus technology is MHRA Class I certified; Class IIa application submitted and under review. |
| Prompt Injection Protection | Secure-by-design architecture eliminates prompt injection risk through predefined workflows and hard-coded input controls. |
NHS AVT validation and real-world evidence
Surgery Intellect isn’t just compliant, it’s proven.
Tortus AI has conducted one of the most extensive real-world clinical studies of AVT in the NHS to date. Early data from a 17,00 patient study shows:
- 16.9% increase in direct patient care time
- 99% clinical note acceptance rate across 4,890 consultations
- 97% of clinicians reported improved ability to focus on patients (compared to 67% at baseline)
- 82% rated the experience better than clinics without AVT
These outcomes reinforce the real-world value of Surgery Intellect in reducing admin burden, improving clinical accuracy and enhancing patient experience.
Designed for primary care, with assurance at every level
Surgery Intellect is built from the ground up for general practice, with patient safety and data protection at its core. Whether used for face-to-face consultations or integrated into telephony workflows via Surgery Connect, it will give GPs more time to focus on what matters most: patient care.
You can read our full NHS AVT compliance confirmation here.
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