Health New Zealand issues guidance on use of generative AI and large language models

The guidance sets out risks such as privacy breaches, bias, inaccurate outputs, and data sovereignty concerns linked to generative AI tools.

Health New Zealand provides guidance on the use of generative AI and large language models, including restrictions on patient data use and clinical decision-making.

Health New Zealand has published new guidance on generative AI and large language models for healthcare settings.

The guidance states that the National Artificial Intelligence and Algorithm Expert Advisory Group evaluates the use of generative AI tools and LLMs and recommends caution in their application across Health New Zealand environments. It notes that further data is needed to assess risks and benefits in the New Zealand health context.

Employees and contractors are prohibited from entering personal, confidential or sensitive patient or organisational information into unapproved LLMs or generative AI tools. The guidance also says such tools must not be used for clinical decisions or personalised patient advice.

Staff using generative AI tools in other contexts must take full responsibility for checking the information generated and acknowledge when generative AI has been used to create content. Anyone planning to use generative AI or LLMs is also asked to seek advice from the advisory group.

The guidance highlights potential risks including privacy breaches, inaccurate or misleading outputs, bias in training data, lack of transparency in model outputs, data sovereignty concerns and intellectual property risks. It also notes that generative AI systems may not adequately support te reo Māori and other minority languages spoken in Aotearoa New Zealand.

Why does it matter?

The guidance shows how health systems are beginning to set practical boundaries for generative AI before its use becomes routine in clinical and administrative settings. By prohibiting unapproved tools for patient data, clinical decisions and personalised advice, Health New Zealand is drawing a clear line between limited productivity uses and high-risk healthcare applications. In contrast, its references to Māori data sovereignty and language support widen the governance frame to include equity, cultural rights and data protection concerns that standard technology policies may not fully address.

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