Key Partners
TrustX is a national, open, community-driven initiative and a trusted AI technology badge for
Healthcare developed by the Responsible AI Institute, Health Innovation Kent Surrey Sussex, the
University of Cambridge Trustworthy AI Lab (TRACE), and The King’s Fund.
TrustX gives clinicians, leaders, and the public confidence that AI systems have been rigorously and continuously evaluated for safety and real-world reliability. It establishes a shared foundation that is expected to influence national verification,
procurement, and governance expectations across the NHS.
Health Innovation Kent Surrey Sussex
NHS Adoption & Innovation Lead
One of England’s Health Innovation Networks, connecting NHS partners to create conditions for safe, scalable agentic AI solutions.
Cambridge Trustworthy AI Lab (TRACE)
Academic Research Partner
Providing AI ethics expertise, trust model design, benchmarking, evaluation methodology and peer-reviewed validation.
Responsible AI Institute
Agentic AI Assurance & Badge Partner
Provider of the independent Healthcare Trust Badge and curator of the 1,100 plus control framework mapped to 17 global AI standards.
The King's Fund
Health Policy & Adoption Partner
Providing health-system policy insight, NHS adoption expertise, and guidance to ensure TrustX aligns with national priorities and real-world practice.
Alignment with NHS "Fit for the Future" Plan
Hospital to Community
Moving care from hospitals to community settings through neighborhood health services and integrated teams
Hospital to Community
Moving care from hospitals to community settings through neighborhood health services and integrated teams
Hospital to Community
Moving care from hospitals to community settings through neighborhood health services and integrated teams
- AI Infrastructure Investment
- Regulatory reforms and infrastructure upgrades
- AI Infrastructure Investment
- Regulatory reforms and infrastructure upgrades
- AI Infrastructure Investment
- Regulatory reforms and infrastructure upgrades
- AI Infrastructure Investment
- Regulatory reforms and infrastructure upgrades
TrustX is a unified, evidence-based evaluation framework for assessing the trustworthiness of agentic AI systems in real-world healthcare workflows. It combines:
- Standards-aligned controls (NIST AI RMF, ISO/IEC 42001, EU AI Act)
- Technical evaluation from Cambridge (robustness, drift, hallucination, tool-use reliability)
- Independent verification and scoring from the Responsible AI Institute
- NHS operational requirements for procurement and oversight
TrustX produces a single TrustX Score and Trust Badge that communicates whether a system is safe, well-governed, and deployment-ready.
TrustX assesses both design-time controls and real-world behavior across five core dimensions:
- Safety
Assesses whether the system operates reliably under expected and unexpected conditions. - Compliance
Evaluate alignment with legal, regulatory, and organizational requirements, including data pro-
tection obligations, auditability, traceability, role-based access controls, and conformity with NHS
governance frameworks and global standards such as ISO/IEC 42001 and the NIST AI RMF. - Efficiency
Checks whether the system performs its intended function consistently and efficiently. - Alignment
Assesses if the AI system aligns with human intentions, clinical expectations, NHS values,
and user needs. - Sustainability
Evaluate maintainability, lifecycle management, model update processes, monitoring mechanisms,
and the system’s ability to remain safe and trustworthy as conditions change.
Each dimension includes measurable controls and evidence expectations.
Built for the realities of modern NHS workflows, the TrustX Score brings scientific rigor and practical usability into a single, unified evaluation system. It is:
Open, community-driven, and grounded in peer-reviewed research
Mapped to 17 global AI safety, healthcare, and regulatory frameworks
Transparent, actionable, and tailored to healthcare-specific risks and workflows
Designed to benchmark across vendors, models, and agent types with true comparability
Developed and validated through real NHS use cases and operational settings
By combining openness, standards alignment, and real-world validation, TrustX delivers a trusted foundation for deploying safe, reliable Agentic AI at scale.
Stay Informed on TrustX
TrustX for Commerce (coming soon)
TrustX for Commerce will introduce shared criteria for evaluating autonomous transactions, agent permissions, and fraud safeguards—supporting the safe adoption of agentic commerce and next-generation payment protocols.