Amazon Alexa-NHS partnership splits expert opinion

  • Published
Woman sneezingImage source, Getty Images

Worried about a lump? Got a nasty cough that won't budge? Many people Google queries about such symptoms daily - but now they can get NHS advice instantly by asking Amazon's Alexa.

The voice-activated assistant is now automatically searching NHS web pages to find answers to medical questions.

And the government hopes it will reduce the demand on human doctors.

But the move has split opinion among artificial intelligence (AI) experts and data ethicists.

"The sensitive data holdings of a national healthcare provider like the NHS are a form of 'critical social infrastructure'," said Berlin-based tech expert Mathana Stender., external

"Yet they've been handed to a foreign company that's both a defence contractor and targeted advertiser,"

NHS GP David Wrigley asked, among other things, whether the questions asked via Alexa would be encrypted and who would store any data relating to patient queries.

This Twitter post cannot be displayed in your browser. Please enable Javascript or try a different browser.View original content on Twitter
The BBC is not responsible for the content of external sites.
Skip twitter post by Dr David Wrigley

Allow Twitter content?

This article contains content provided by Twitter. We ask for your permission before anything is loaded, as they may be using cookies and other technologies. You may want to read Twitter’s cookie policy, external and privacy policy, external before accepting. To view this content choose ‘accept and continue’.

The BBC is not responsible for the content of external sites.
End of twitter post by Dr David Wrigley

Amazon has said all data would be kept confidential.

The NHS has increasingly partnered with private companies to offer access to its services.

Notably, Babylon Health, Push Doctor and Now GP all allow video appointments with GPs to be made remotely.

Babylon Health, for example, says only patients and staff involved in service provision have access to patient medical records.

It adds that all data is encrypted and held in English data centres.

Amazon said multiple layers of authentication would protect the data from UK customers and that all information would be encrypted.

Some commentators felt that the service did not present obvious risks to users' privacy.

This Twitter post cannot be displayed in your browser. Please enable Javascript or try a different browser.View original content on Twitter
The BBC is not responsible for the content of external sites.
Skip twitter post 2 by William Tunstall-Pedoe

Allow Twitter content?

This article contains content provided by Twitter. We ask for your permission before anything is loaded, as they may be using cookies and other technologies. You may want to read Twitter’s cookie policy, external and privacy policy, external before accepting. To view this content choose ‘accept and continue’.

The BBC is not responsible for the content of external sites.
End of twitter post 2 by William Tunstall-Pedoe

Areeq Chowdhury, at the Future Advocacy think tank, pointed out that Alexa already responded to health queries from users.

"Now the advice (which will be better and more accurate) will come from the NHS website," he tweeted, external.

New Scientist's deputy news editor Jacob Aron said the "fuss" over the partnership, external was "ridiculous".

"It's just a Google search you talk to, and at least people will get NHS [information]."

There was another issue at stake, however. Some pointed out that Amazon is known to have major ambitions in the healthcare industry.

During 2018 the firm took a number of steps in this direction - including pairing up with Omron Healthcare, external to allow a blood pressure monitor to be controlled via Alexa.

Image source, Getty Images
Image caption,

Amazon is developing technology it says can help doctors

It also announced software that could automatically analyse electronic health records for information, external that could be useful to doctors.

The tool will use AI to pick out important details from medical documents - including "hospital admission notes and a patient's medical history".

Some have asked whether the NHS-Alexa partnership will allow Amazon to gather yet more data on how patients raise medical concerns.

"Is Amazon training its algorithm... on NHS patients' queries?" asked data privacy campaigner Phil Booth, external.

Amazon said that it would not sell products or make product recommendations based on the data collected as part of the NHS partnership.

The firm also confirmed that it would not build a health profile of users who asked Alexa health-related questions.