AI tool evaluation for primary care should be systematic, not ad hoc.
Governance checklist: DTAC compliance (minimum standard), MHRA registration (higher bar — iatroX, Tortus), data residency (UK), DPIA completed, patient notification approach.
Clinical utility: What problem does it solve? Documentation (scribes), knowledge gaps (clinical Q&A), revision (adaptive learning), CPD (documentation tools)?
Team coverage: Does it serve multiple professions? A tool serving GPs, pharmacists, ANPs, and PAs is more cost-effective than four profession-specific tools.
Cost: Free tools (iatroX, Heidi free tier) have zero procurement cost and zero risk. Deploy them first, prove value, then consider paid additions.
Integration: EHR compatibility (EMIS/SystmOne), workflow fit, mobile access.
NHSE AVT registry: For AI scribes, check the 19 approved suppliers.
Change management: Adoption requires training, workflow integration, monitoring, and feedback loops.
iatroX is UKCA-marked and MHRA-registered — free for the whole team, zero procurement cost, serving multiple professions from one platform.