NHS operations · Patient safety · Practical AI

Healthcare experience.Systems thinking.A curiosity for AI.

From frontline nursing to NHS system operations, and now building things with AI. I show the working, dead ends included.

See my workConnect on LinkedIn
  1. 2003Emergency & trauma nursing
  2. 2014Advanced practice & urgent care leadership
  3. 2021System quality & patient safety (ICB)
  4. 2025System operations, SCC / EPRR
  5. 2026Building with AI
Care is only as safe as the system it's delivered in. 23 years working on both.
  • 23 years in healthcareED and urgent care to ICB system operations
  • Registered nurseNMC-registered nurse and independent prescriber
  • Systems thinkingQuality, patient safety and whole-system flow
  • Builds, not just briefsSQLite, MCP, local LLMs, Home Assistant

Selected projects

Real problems. Working solutions.

All projects →
An illustrative laptop on a desk showing a Copilot welcome screen with Write, Learn and Create suggestions, beside a notebook, a mug and a plant.

Copilot in the ICB

Problem: System-wide operational calls in the System Coordination Centre, with the notes written up by hand afterwards.

What I did: Built a 125-line Copilot prompt over about fourteen rounds of refinement, and a shared prompt library for the team.

Result: The prompt became a second reader that checked the human notes, not a replacement for them. That turned out to be the useful version.

  • Microsoft 365 Copilot
  • Prompt design
  • Adoption
Read the project →
An illustrative infographic titled "AI Memory, Built for Reality". Stacked versions of a customer record sit on a timeline on the left, a glowing brain labelled AI Memory is in the middle, and a proposed update with Approve and Reject buttons is on the right.

mem-local

Problem: AI assistants forget everything between chats, and the memory they do offer is a black box I can't inspect or correct.

What I did: Built a local store with linked facts, keyword and semantic search, and history that's superseded rather than overwritten, served over MCP from a home server.

Result: In beta and in daily use across my own Claude projects. Nothing gets written without my approval.

  • SQLite
  • sqlite-vec
  • FTS5
  • MCP
Read the project →
Pip, the game's helper character, standing back from the kerb with a thought bubble, while a parked van blocks the view of the road.

Road safety programme

Problem: No UK product I found teaches walking and cycling skills together to young children, rewards stopping and looking rather than speed, and helps parents with the real walk.

What I did: Designed it like a clinical safety case, with a hazard log, a source on every rule and build checks that fail on anything unsafe, and built it with Claude in a static web app.

Result: The first module plays end to end on an iPad and a PC, and a playtest with my own children comes next.

  • Game design
  • Highway Code
  • Bikeability
Read the project →
In progressAre NHS scandals becoming more frequent?Separating real change from better detection, reporting culture and the recurring ways care fails.Follow along →
Photograph of David Robinson

The nurse who ended up building the tools

I spent 23 years in healthcare, most of it in the NHS: ED and major trauma, ten years as a nurse practitioner in urgent care, then quality and system operations at an Integrated Care Board. Along the way I became the go-to person for any and all IT problems, and the one who’d rather build the tool than complain about the process.

I got hooked on AI during the NHS pilot of Microsoft 365 Copilot, mostly by trying to get it to do bits of my job. I left the NHS in June 2026 and I’ve been building things with AI since. This site is where I write it up as it happened, including the decisions that didn’t work out, because the reasoning is usually the useful part.

Read the full story →

What I'm looking for

Healthcare AI, data, informatics and strategic operations roles.

Private sector, within reach of Nottingham. Especially where clinical safety and real operational knowledge matter as much as the technology.

Connect on LinkedIn[email protected]