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Hi Roger, Thanks very much for your response. We are totally in agreement that any training set won't be diverse enough to consider the local population. But I think your point about testing whether operational gains exist being the starting point ...

Good luck with your project. We have worked with a breast screening tool that has encountered similar issues. Local testing is essential, and prospective evaluations are challenging to execute practically and ethically. Concerning yourself with inequality ...

I have been contacted by Susie Bayley, who is the Medical Director for The Hub+ www.thehubplus.co.uk . This is an NHS-commissioned not for profit organisation that supports training, education, wellbeing and development for Primary care staff in Derbyshire ...