đ˘ As of October 2026, Smart Conversation Topics is being piloted. If you would like to pilot Smart Conversation Topics, please sign up here.
What are Smart Conversation Topics?
Smart Conversation Topics (SCTâs) use AI to give each medical request from Patient Triage a short, one-line summary. You'll see it in your inbox before you open the conversation, so you can quickly decide which requests to review first.
Where to find Smart Conversation Topics in your Inbox
A short summary line appears just below the patientâs name in the conversation list.
Note: If you have narrowed your inbox width, some Smart Conversation Topics may appear cut off. Widen your inbox to see the full topic.
A prominent AI icon sits next to the summary. Clicking it opens a pop-up explaining that AI generated the summary and reminding you to check that the topic is appropriate.
Occasionally, we can't create a Smart Conversation Topic for a medical request. When this happens, you'll see 'Medical Request' as the topic instead. You can edit it to add your own topic.
Editing a Smart Conversation Topic
Any member of your workspace can edit a topic.
To edit:
1. Find the conversation in your inbox.
2. Click the pencil icon next to the topic.
3. Type your updated topic in the text field that appears (up to 120 characters).
4. Click the tick â to save, or the â to cancel.
đ˘Editing a topic only changes the label in your inbox - it does not affect the original patient submission or any clinical record.
How the AI works
When a patient sends a medical request through Patient Triage, the AI reads it and creates a one-line summary. If your workspace uses Smart Triage Questions, the AI includes the patient's answers to those too.
It captures:
The main symptom(s)
Relevant conditions or medications mentioned by the patient
What the patient is specifically asking for (e.g. "requesting blood tests" or "medication review")
How long the patient has had the presenting symptom(s)
Whether the symptom(s) are getting better or worse
The AI isn't intended to diagnose or suggest next steps. It only summarises what the patient has told you.
Providing feedback on Smart Conversation Topics
In the inbox, use the thumbs-up or thumbs-down icon for each topic to let Accurx know whether it was helpful. Use the âReport an issueâ link if you spot a clinical safety concern. This feedback helps improve the feature over time.
Things to keep in mind
Topics is not a diagnostic tool
Topics is not an urgency flagging or diagnostic tool. Smart Conversation Topics should not suggest an urgency level, a diagnosis or a management plan. The AI is only intended to provide short summaries of what the patient has written, which clinicians can use to prioritise the order in which they review the full patient requests. Clinicians should always open the full conversation and read the complete submission before making any clinical decision.
Frequently asked questions
Will every Patient Triage request get a Smart Conversation Topic?
Smart Conversation Topics are only created for medical requests. We aim to create one for every medical request, but occasionally it may not show. If that happens, you'll see 'Medical Request' as the topic instead, and you can edit it to add your own.
What should I do if a topic doesn't fully reflect the patient's request?
Smart Conversation Topics are there to help you scan your inbox and decide what to look at first - they don't replace reading the patient's request. If a topic could be clearer for your team, you can edit it at any time. You can also use the thumbs-up or thumbs-down icons to tell us how useful it was, or the Report an issue link if you have a clinical safety concern.
Does the patient know their request is being summarised?
Patients are not shown the summary; it is only visible to the practice in the inbox. The use of AI is disclosed in the Accurx Patient Terms of Use.
Can I edit a topic?
Yes. Any workspace member can edit a topic by clicking the pencil icon next to it in the conversation list. Type the updated topic (up to 120 characters) and click the tick to save. Editing a topic does not affect the original patient submission.
Should I still read the full request?
Always read the full request. A Smart Conversation Topic only summarises what the patient has written, so you can see at a glance what each conversation is about. It won't suggest a diagnosis or next steps.
The full request is just one click away, and your clinical decisions should always be based on everything the patient has told you.
Is patient data used to train the AI?
No. Patient data submitted through Accurx is not used to train the underlying AI model.
Are GPs liable if the AI gets something wrong?
As with any clinical software, GPs remain responsible for their decisions. Our AI features are designed to support clinical decision-making, not replace it. There is always a clinician in the loop. For practical guidance on using AI safely in primary care, the MDU publishes helpful guidance at themdu.com.
If you have any questions or feedback, please contact our support team using the message bubble in the bottom right-hand corner of this page. đ