Enhancing Preparedness of Public Services to Manage AI risk in Multilingual Communication

Start date

September 2024

End date

August 2025

Overview

Recent investigations have linked various cases of patient deaths and complications within the NHS to poor multilingual communication practices, as staff struggle to find effective solutions to communicate with members of the public with limited English proficiency. Despite risks of inadequate accuracy and security associated with machine translation (MT) tools (such as Google Translate), reports and studies have shown that they are commonly used in public services. This is often done with no awareness of the risks and no clear accountability for problems that may occur because of this use of untested tools, thus penalising staff and public service users. This concern is common to the use of other language AI tools, such as ChatGPT, in other public authorities. 

This internally-funded Arts & Humanities impact project is based on a study conducted by Dr Felix do Carmo and his team in 2023-2024, in which a Freedom of Information (FoI) request was sent to all NHS trusts, police forces and councils in England. This found numerous causes for concern regarding multilingual communication practices and a lack of preparedness to manage the risks associated with the use of MT and AI tools in public services, especially given the increasingly multilingual population they work with. 

This new project will see the team providing a meaningful contribution to the improvement of multilingual communication within public services, when using language AI tools, with a particular focus on the NHS, police forces and councils. They will design a training framework for the management of the risk of miscommunication posed through AI and pilot this with the NHS. Expanding on this, they will apply the lessons learned from the NHS context to also organise similar workshops with police forces and local councils, offering tailored training.  

Team

Planned Impact

The team will produce four new reports that contain the results of the FoI study, related to 41 Police authorities and 314 councils in England. A register of identified risks and needs in the NHS and other public authorities will be created, along with training modules to support better management of MT for multilingual groups. Training outputs will include instruments for the identification of available resources, tracking of decision-making procedures and impact evaluation. Together, these outputs will become part of an overall training framework. Longer term, the team will produce reports on factors that should be considered in designing policies for use of AI and MT in public services. 

With the aim of seeing immediate changes in awareness, the project will not only highlight the risks associated with the use of MT and AI tools for communication in healthcare and other public services, but also lead to a greater acknowledgment of the role of human interpreters and translators in managing and reducing the risk of these situations. The implementation of the training programmes is expected to lead to clear changes, contributing to the development of best practices and increased reach at different levels, including local and nationwide public organisations. Evidence of these outcomes may be visible in the form of policies and better financial management of contracts and procurement processes for human resources (translators and interpreters) and technologies. 

Successful implementation of the project will improve communication processes involving linguistically diverse service users and staff in the NHS, police forces and councils. Staff in these authorities will feel protected by clear policies that will inform and guide their decisions regarding the use of translation and interpreting services with MT/AI communication tools, and clarify accountability within organisations, in case of problems occurring. Service users will benefit from improved, more accurate and safer communication support, resulting in better services (including improved patient safety in the NHS and fair access to public resources).