The project

Every patient's voice, working harder

Four years, 22 partners and a multicountry randomised clinical trial with 680 patients — building a trustworthy generative AI assistant for cancer and mental health care.

01 — The challenge

What today's tools miss

People living with breast cancer or clinical depression can face a wide range of physical, emotional and social challenges, yet many of these remain difficult to capture through current approaches to care. The points below highlight key burdens experienced by patients and the limitations of existing methods for understanding and responding to them.

Cancer care

Physical burden

Emotional burden

Social burden

Treatment complexity

Mental health care

Difficulties expressing symptoms

Fragmented care pathways

Unequal access to services

Current limitations

Traditional questionnaires capture only part of the patient experience

Important experiences often remain undocumented

Population-level burden is difficult to monitor

Clinicians face high workloads and fragmented information

02 — The vision

A future where every patient's voice contributes to personalised healthcare and better health system decisions.

ResPECT aims to move beyond tick-box questionnaires by giving patients the opportunity to describe what they are experiencing in their own words, through text or voice. These experiences will be translated into useful insights for patients and clinicians, while anonymised information across countries will help health systems identify unmet needs, inequalities and emerging trends.

By connecting individual experiences with clinical care and health system planning, ResPECT seeks to create a continuous flow of information from patient voice to better care and better decisions.

9

Clinical centres in the trial across eight European countries

1,500

Patient datasets planned to validate patient narratives

90+

Patient interviews and 54 professional interviews in co-design

4

Dimensions of burden captured: physical, psychological, social, financial

03 — The objective

Three technologies, merged into one assistant

The same structure as the Virtual Assistant on the home page — open a card to see its features and use cases.

AI Agent

The technological core of ResPECT

Key features

Multilingual AI

Retrieval-Augmented Generation (RAG)

Explainable AI

Federated learning

Privacy-by-design

Hallucination detection

Human oversight

Trustworthy AI

Transparency

Explainability

Safety

GDPR compliance

Medical Assistant

For patients and healthcare professionals

For patients

Share experiences through text or voice

Report symptoms naturally

Receive personalised feedback

Better communication with healthcare teams

For healthcare professionals

Structured burden summaries

Clinical insights

Guideline-linked recommendations

Easier interpretation of patient experiences

Policy Assistant

Population intelligence for health systems

Monitoring

Burden monitoring

Equity monitoring

Trend analysis

Demographic insights

Planning & policy

National healthcare planning

Resource allocation

Public health monitoring

Policy development

04 — The impact

Who benefits, and how

ResPECT aims to create lasting impact across the full healthcare ecosystem, bringing together patients and caregivers, clinicians and healthcare providers, policymakers and regulators, the scientific and technical community, and industry and innovation stakeholders.

Patients & caregivers

Fuller patient voice

More personalised support

Better communication

Clinicians & healthcare providers

Clearer patient overviews

Faster, informed decisions

Reduced workload

Policy & regulators

Comparable population insights

Better visibility of inequalities

Stronger policy evidence

Scientific & technical community

New clinical evidence

Validated AI methods

New research benchmarks

Industry & innovation

Real-world validation

Scalable healthcare solutions

Clearer adoption pathways

05 — Work packages

How the work is organised

ResPECT is organised into interconnected work packages, bringing together complementary expertise to guide the project from co-creation and AI development through clinical evaluation, policy assessment, communication and ethics. Select a work package to see its leads and scope.

WP1

Project management and coordination

Lead / co-lead: Ruprecht-Karls University Heidelberg / Hospital St. Elisabeth

Coordinates governance, reporting, quality, risk, data and innovation management across the project.

WP2

User-driven by design and co-creation including GenAI usability and acceptability

Lead / co-lead: Kaunas University of Technology / Ruprecht-Karls University Heidelberg

Engages patients, caregivers, healthcare professionals and policymakers to co-create an inclusive, trustworthy and user-friendly solution.

WP3

Generative AI agent and system architecture

Lead / co-lead: Champalimaud Foundation / Gemeinsam gegen Brustkrebs e.V.

Develops the multilingual AI agent, including clinical guidance, personalised interactions, safety features and system integration.

WP4

Virtual assistant solution — Medical Assistant and Policy Assistant

Lead / co-lead: Kraftvoll Technologies GmbH / Cambridge Judge Business School / University of Cambridge

Turns the AI technology into the Medical Assistant for patients and clinicians and the Policy Assistant for health-system monitoring.

WP5

Standardisation of LLM-generated burden scores and patient trajectories

Lead / co-lead: Ruprecht-Karls University Heidelberg / Charité Universitätsmedizin Berlin

Validates AI-generated burden scores against established measures and identifies how patient burden changes over time.

WP6

Evaluation in clinical settings via randomised controlled trial

Lead / co-lead: Hospital St. Elisabeth / Ruprecht-Karls University Heidelberg

Tests ResPECT in breast cancer and depression to assess patient benefits, clinician workload and health-system value.

WP7

Health Technology Assessment and policy implications

Lead / co-lead: University Medical Center Groningen / Ruprecht-Karls University Heidelberg

Assesses ResPECT’s economic, societal, equity and policy impacts and explores pathways for wider adoption.

WP8

Communication, dissemination and exploitation

Lead / co-lead: accelopment Schweiz AG / Ruprecht-Karls University Heidelberg

Raises awareness, shares project results and supports the uptake and future use of ResPECT outputs.

06 — Timeline

Four years: October 2026 — September 2030

Oct 2026

Project start; consortium kick-off meeting in Heidelberg in December.

2027

Co-design with patients, clinicians and policymakers; first AI Agent prototype.

2028

Medical and Policy Assistants integrated; clinical trial preparation.

2029

Multicountry randomised trial with 680 patients across eight countries.

2030

Results, health technology assessment, policy recommendations and sustainability.