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With the right development and application, AI could become a transformative force for good. What's missing in current technologies is human insight, says Anna Korhonen.

Play should be a core feature of children’s healthcare in forthcoming plans for the future of the NHS, according to a new report which argues that play “humanises” the experiences of child patients.

The report, by University of Cambridge academics for the charity Starlight, calls for play, games and playful approaches to be integrated into a ‘holistic’ model of children’s healthcare – one that acknowledges the emotional and psychological dimensions of good health, alongside its physical aspects.

Both internationally and in the UK, health systems have, in recent decades, increasingly promoted play in paediatric healthcare. There is a growing understanding that making healthcare more child-friendly can reduce stress and positively improve younger patients’ experiences.

Despite this recognition, play often remains undervalued and inconsistently integrated across healthcare contexts. For the first time, the report compiles evidence from over 120 studies to make the case for its more systematic incorporation.

In the case of the UK, the authors argue that the Government’s forthcoming 10-year health plan for the NHS offers an important opportunity to embed play within a more holistic vision for childhood health.

The report was produced by academics at the Centre for Play in Education, Development and Learning (PEDAL) at the Faculty of Education, University of Cambridge. Starlight, which commissioned the review, is a national charity advocating to reduce trauma through play in children’s healthcare.

Dr Kelsey Graber, the report’s lead author, said: “Play and child-centred activities have a unique capacity to support the emotional and mental aspects of children’s healthcare experiences, whether in hospital or during a routine treatment at the GP. It won’t directly change the course of an illness, but it can humanise the experience by reducing stress and anxiety and enhancing understanding and comfort. Hospital-based play opens up a far more complete understanding of what it means for a child to be a healthy or well.”

Adrian Voce, Head of Policy and Public Affairs at Starlight, said: “With the government promising to create the healthiest generation of children ever as part of its new long term health plan, this compelling evidence of the benefits of play to children’s healthcare is very timely. We encourage ministers and NHS leaders to make health play teams an integral part of paediatric care.”

The report synthesised evidence from 127 studies in 29 countries. Most were published after 2020, reflecting intensified interest in children’s healthcare interventions following the COVID-19 outbreak.

Some studies focused on medically-relevant play. For example, hospital staff sometimes use role-play, or games and toys like Playmobil Hospital to familiarise children with medical procedures and ease anxiety. Other studies focused on non-medical play: the use of activities like social games, video games, arts and crafts, music therapy and storytelling to help make patients more comfortable. Some hospitals and surgeries even provide “distraction kits” to help children relax.

In its survey of all these studies, the report finds strong evidence that play benefits children’s psychological health and wellbeing. Play is also sometimes associated with positive physical health; one study, for example, found that children who played an online game about dentistry had lower heart rates during a subsequent dental procedure, probably because they felt more prepared.

The authors identify five main ways in which play enhances children’s healthcare based on the available body of evidence:

Reducing stress and discomfort during medical procedures. Play is sometimes associated with physiological markers of reduced distress, such as lower heart rates and blood pressure. Therapeutic play can also ease pain and anxiety.

Helping children express and manage emotions. Play can help to alleviate fear, anxiety, boredom and loneliness in healthcare settings. It also provides an outlet for emotional expression among all age groups.

Fostering dignity and agency. In an environment where children often feel powerless and a lack of personal choice, play provides a sense of control which supports mental and emotional wellbeing.

Building connection and belonging. Play can strengthen children’s relationships with other patients, family members and healthcare staff, easing their experiences in a potentially overwhelming environment. This may be particularly important for children in longer term or palliative care.

Preserving a sense of childhood. Play helps children feel like children, and not just patients, the report suggests, by providing “essential moments of happiness, respite and emotional release”.

While play is widely beneficial, the report stresses that its impact will vary from child to child. This variability highlights a need, the authors note, for informed, child-centred approaches to play in healthcare settings. Unfortunately, play expertise in these settings may often be lacking: only 13% of the studies reviewed covered the work of health play specialists, and most of the reported activities were directed and defined by adults, rather than by children themselves.

The report also highlights a major gap in research on the use of play in mental healthcare. Just three of the 127 studies focused on this area, even though 86% emphasised play’s psychological benefits. The report calls for greater professional and academic attention to the use of play in mental health support, particularly in light of escalating rates of mental health challenges among children and young people. More work is also needed, it adds, to understand the benefits of play-based activities in healthcare for infants and adolescents, both of which groups were under-represented in the research literature.

Embedding play more fully in healthcare as part of wider Government reforms, the authors suggest, could reduce healthcare-related trauma and improve long-term outcomes for children. “It is not just healthcare professionals, but also policy leaders who need to recognise the value of play,” Graber said. “That recognition is foundational to ensuring that children’s developmental, psychological, and emotional health needs are met, alongside their physical health.”

The report, Playing with children’s health? will be published on the Starlight website on 31 March: https://www.starlight.org.uk/ 

The Cambridge report argues that play should be a recognised component of children’s healthcare in the Government’s forthcoming 10-year plan for the NHS.

Hospital-based play opens up a far more complete understanding of what it means for a child to be a healthy or wellDr Kelsey GraberSturti, via Getty ImagesChildren’s hospital ward

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AI applications have tremendous potential for improving productivity – saving time and money and improving quality of service. Here's what's required to make this work in the public sector, says Diane Coyle.

Historian Helen McCarthy helps us make sense of our recent past. She infuses her subjects – from working mothers to modern retirees – with urgency and personality. 

The Bennett School of Public Policy opens this autumn, and is already leading work on two of the most pressing policy problems of our time: implementing AI and revitalising post-industrial regions. 

Cambridge University's Dr Judith Bunbury is Deputy Mission Director of the archaeological project in the Theban Mountain area that found the lost tomb of Thutmose II.

The UK government should resist allowing AI companies to scrape all copyrighted works unless the holder has actively “opted out”, as it puts an unfair burden on up-and-coming creative talents who lack the skills and resources to meet legal requirements.

This is according to a new report from University of Cambridge experts in economics, policy and machine learning, who also argue the UK government should clearly state that only a human author can hold copyright – even when AI has been heavily involved.

A collaboration between three Cambridge initiatives – the Minderoo Centre for Technology and Democracy, the Bennett Institute for Public Policy, and ai@cam – the report argues that unregulated use of generative AI will not guarantee economic growth, and risks damaging the UK’s thriving creative sector. 

If the UK adopts the proposed ‘rights reservation’ for AI data mining, rather than maintaining the legal foundation that automatically safeguards copyright, it will compromise the livelihoods of many in the sector, particularly those just starting out, say researchers.

They argue that it risks allowing artistic content produced in the UK to be scraped for endless reuse by offshore companies.

“Going the way of an opt-out model is telling Britain’s artists, musicians, and writers that tech industry profitability is more valuable than their creations,” said Prof Gina Neff, Executive Director at the Minderoo Centre for Technology and Democracy.

“Ambitions to strengthen the creative sector, bolster the British economy and spark innovation using GenAI in the UK can be achieved – but we will only get results that benefit all of us if we put people’s needs before tech companies.”

'Ingested' by technologies

Creative industries contribute around £124.6 billion or 5.7% to the UK’s economy, and have a deep connection to the tech industry. For example, the UK video games industry is the largest in Europe, and contributed £5.12 billion to the UK economy in 2019.

While AI could lead to a new generation of creative companies and products, the researchers say that little is currently known about how AI is being adopted within these industries, and where the skills gaps lie.

“The Government ought to commission research that engages directly with creatives, understanding where and how AI is benefiting and harming them, and use it to inform policies for supporting the sector’s workforce,” said Neil Lawrence, DeepMind Professor of Machine Learning and Chair of ai@cam.

“Uncertainty about copyright infringement is hindering the development of Generative AI for public benefit in the UK. For AI to be trusted and widely deployed, it should not make creative work more difficult.”

In the UK, copyright is vested in the creator automatically if it meets the legal criteria. Some AI companies have tried to exploit “fair dealing” – a loophole based around use for research or reporting – but this is undermined by the commercial nature of most AI.

Now, some AI companies are brokering licensing agreements with publishers, and the report argues this is a potential way to ensure creative industries are compensated.

While rights of performers, from singers to actors, currently cover reproductions of live performances, AI uses composites harvested from across a performer’s oeuvre, so rights relating to specific performances are unlikely to apply, say researchers.

Further clauses in older contracts mean performers are having their work “ingested” by technologies that didn’t exist when they signed on the dotted line.

The researchers call on the government to fully adopt the Beijing Treaty on Audio Visual Performance, which the UK signed over a decade ago but is yet to implement, as it gives performers economic rights over all reproduction, distribution and rental.

"The current lack of clarity about the licensing and regulation of training data use is a lose-lose situation. Creative professionals aren't fairly compensated for their work being used to train AI models, while AI companies are hesitant to fully invest in the UK due to unclear legal frameworks,” said Prof Diane Coyle, the Bennett Professor of Public Policy.

“We propose mandatory transparency requirements for AI training data and standardised licensing agreements that properly value creative works. Without these guardrails, we risk undermining our valuable creative sector in the pursuit of uncertain benefits from AI."

'Spirit of copyright law'

The Cambridge experts also look at questions of copyright for AI-generated work, and the extent to which “prompting” AI can constitute ownership. They conclude that AI cannot itself hold copyright, and the UK government should develop guidelines on compensation for artists whose work and name feature in prompts instructing AI.

When it comes to the proposed ‘opt-out’ solution, the experts it is not “in the spirit of copyright law” and is difficult to enforce. Even if creators do opt out, it is not clear how that data will be identified, labelled, and compensated, or even erased.

It may be seen as giving “carte blanche” to foreign-owned and managed AI companies to benefit from British copyrighted works without a clear mechanism for creators to receive fair compensation.

“Asking copyright reform to solve structural problems with AI is not the solution,” said Dr Ann Kristin Glenster, Senior Policy Advisor at the Minderoo Centre for Technology and lead author of the report.

“Our research shows that the business case has yet to be made for an opt-out regime that will promote growth and innovation of the UK creative industries.

“Devising policies that enable the UK creative industries to benefit from AI should be the Government’s priority if it wants to see growth of both its creative and tech industries,” Glenster said.

The UK government’s proposed ‘rights reservation’ model for AI data mining tells British artists, musicians, and writers that “tech industry profitability is more valuable than their creations” say leading academics.

We will only get results that benefit all of us if we put people’s needs before tech companiesGina NeffKal Visuals - Unsplash

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Meet the winner of the Cambridge Awards 2024 for Research Impact and Engagement and learn more about their projects.

Hitting the current national 2030 quotas for solar and wind energy could reduce the volatility of electricity markets by an average of 20% across 29 European countries, according to a new study from the University of Cambridge.  

The intensity of spikes in power prices are predicted to fall in every country by the end of the decade if commitments to green energy are met, as natural gas dependency is cut.   

The UK and Ireland would be the biggest beneficiaries, with 44% and 43% reductions in the severity of electricity price spikes by 2030, compared with last year.

Germany could experience a 31% decline in electricity price volatility, with the Netherlands and Belgium seeing price spikes ease by 38% and 33% respectively.

The simulations conducted for the new study show that scaling up renewable energy minimises the market impact of fluctuations in natural gas price – increasing stability even when considering the reliance of renewable technologies on weather.

Some EU leaders and energy ministers have called for renewables targets on grounds of energy security as well as decarbonisation, particularly since Putin’s war on Ukraine stemmed the flow of Russian gas.

The study, published in the journal Nature Energy, calculates in detail how such aims would affect the volatility of wholesale electricity prices in energy markets across Europe.

“The volatility of energy prices is a major cause of damage to national economies,” said Laura Diaz Anadon, the University of Cambridge’s Professor of Climate Change Policy.

“Consumers are still reeling from sharp increases in electricity prices brought about by natural gas shortages following Russia’s invasion of Ukraine,” said Anadon. “We show that hitting renewables targets reduce the likelihood of such price spikes in the future.”

Daniel Navia, a researcher with the University’s Centre for Environment, Energy and Natural Resource Governance (CEENRG), said: “Meeting renewable energy targets is not only good for carbon neutrality, but we can see it is a boost to economic resilience”

“We had probably underestimated how costly energy price shocks are to our societies, and the last crisis has been a stark reminder.”

The Cambridge researchers used the University’s high performance computing facilities to model a wide range of factors – from fluctuations in weather patterns and energy demands to fuel capacity – to map the current and future grids of all 27 EU nations plus the UK and Switzerland.

They assessed electricity markets in 2030 based on the commitments to renewables as stated in each nation’s national energy and climate plan.

“The UK in particular is projected to see major benefits to its energy market stability from renewables,” said Anadon.

“The UK has struggled with its exposure to gas prices due to a lack of energy storage and limited connections to the European grid. This has led to more hours where electricity prices are set by natural gas.”

The research also suggests that wholesale prices of electricity could fall by over a quarter on average across all countries in the study by decade’s end if they stick to current national renewables targets.

Again, populations in the UK and Ireland stand to gain significantly, with electricity prices predicted to fall by around 45% by 2030, compared with the current situation.

Several of the Nordic nations could see over 60% reductions in electricity costs by 2030, while in Germany the price is predicted to fall by 34%, with Belgium seeing a similar drop of 31%. The study suggests the Netherlands could see the price of electricity fall by 41%.

While the study’s authors caution that trends in electricity prices depend on factors that are “impossible to predict”, they say their results are in line with recent outputs by institutions such as the International Energy Agency.

In fact, Navia and Anadon say their modelling may even underestimate the potential for electricity price stability across Europe, as the projections were calculated using data from 1990-2021 – before the energy crisis created by Russia’s attack on Ukraine.

“It makes sense to think about renewables as a security investment, and if we lose the momentum towards green energy, we are clearly harming the climate, but we also exposing ourselves to unknowable risks down the line,” said Anadon.  

The new study also charts the effects on electricity prices if countries overshoot on renewables. If Europe exceeds its renewable energy goals by 30%, electricity prices could become 50% less sensitive to natural gas, compared to just meeting renewables targets.

However, the study suggests there are tipping points where renewables cause the price of power to fall so far that it stops providing sufficient return on investment, and the green energy industries may stall. 

Added Navia: “If we are to fully utilise solar and wind as a security tool, Europe might have to rethink how its energy markets are designed, and what incentives it can offer the private sector to maintain the societal insurance value it gets from renewable energy.”

National targets for solar and wind power will see reliance on natural gas plummet, reducing electricity price volatility across Europe, with major beneficiaries including the UK and Ireland, the Nordics, and the Netherlands.

The UK in particular is projected to see major benefits to its energy market stability from renewablesLaura Diaz AnadonAnton Petrus via Getty images High voltage electricity towers combined with economic charts

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The study will lead to new guidance encouraging both the comics industry and enthusiasts to make comics communities better places for neurodivergent fans and artists. It is being led by academics at the University’s Faculty of Education and will begin this month with an open, online survey aimed at autistic comics fans.

Research by the Comics Cultural Impact Collective (CCIC) – which will also be part of the collaboration – indicates that hundreds of young people self-identifying as neurodivergent are involved in Britain’s comics community, either as fans or creators.

The CCIC also suggests, however, that neurodivergent enthusiasts often find spaces like fan conventions, comic book stores, online communities and the comics industry less than welcoming, and frequently feel ‘siloed’. How to address that – and what it is about comics that attracts so many autistic people in the first place – have never been fully explored.

The online survey will begin to answer these questions by collecting information from autistic comics fans and creators. Professor Jenny Gibson, an expert in neurodiversity and autism and one of the project’s academic leads, described it as “kick-starting a wider conversation about comics and autism”.

“Comics seem to have massive appeal for a surprising number of autistic people, and many of them are not just fans but enormously talented cartoonists, artists and illustrators,” Gibson said.

“This is something the comics community is increasingly aware of, and there is a lot of enthusiasm for becoming better allies for autistic people. What we lack is information about how we can best do that, partly because we don’t know enough about the perspectives and experiences of autistic comics enthusiasts.”

The project is called “The Collaboration for Comics and Autism”. As well as the CCIC, Gibson and co-lead Dr Joe Sutliff Sanders will be working with the Lakes International Comic Art Festival, Dekko Comics (a specialist publisher supporting neurodivergent learners), the Association of Illustrators, the Quentin Blake Centre for Illustration and autistic cartoonists Bex Ollerton and Eliza Fricker.

Beyond this, they want to involve as many autistic artists and fans as possible by gathering their experiences of engaging with comics culture and of the opportunities and barriers they have encountered.

Various explanations have been proposed for why comics seem to have such appeal for autistic people. Dekko Comics argues on its website that many autistic young people, who may often find verbal communication challenging, respond positively to the clear and accessible sensory material in comics, which may be an important bridge between their inner and outer worlds. Research by Dr Neil Cohn suggests that over 90% of children with autism spectrum disorder and language disorders enjoy comics, compared with about 60% of neurotypical children.

Comics and art also provide many autistic people with a valuable outlet for self-expression. The Cambridge project, for example, originated from a workshop at the People’s History Museum in Manchester for autistic comics artists, which Gibson and Sanders co-led with the editor of Sensory: Life on the Spectrum, an anthology by dozens of autistic creators.

Sanders, a leading comics scholar, also highlights the richly detailed imaginative world of comics in which fans immerse themselves, often becoming aficionados in the process. This may mean comics are particularly well suited to helping autistic people satisfy psychological needs that we all share, such as the need for a sense of belonging, competence, and having control over our own lives.

“Comics have the power to spark a particular kind of obsession and passion among fans,” Sanders said. “They enable a sort of flow state; that pure joy that comes from losing yourself in something that you find interesting and engaging. They are almost ready-made for accumulating knowledge and sharing it with like-minded people who will really value what you have to say.”

“The problem is that, like so many other parts of society, fan conventions and communities – and the comics industry as a whole – can sometimes inadvertently brush aside neurodivergent people. We need to understand what we can do differently in order to make this world as inclusive and accessible as possible.”

The results of the online survey will provide the basis for a series of workshops in Cambridge later this year, during which artists, fans and people involved in the industry will begin to develop a best-practice guide for autistic inclusion.

Gibson and Sanders plan to launch it at the Lakes International Festival in September. The guide will also be distributed to a wider network including fan groups, publishers, galleries and professional bodies. It will be released as a comic book, and its impact will be tested through a follow-up survey so that it can be refined as necessary in future editions.

“Too often the question of how to support autistic people is addressed from a deficit perspective, as if the problem is that they lack neurotypical skills,” Gibson said. “This project will flip that perspective. By learning more about how autistic fans connect with comics, we will begin to understand what we can do differently to make the most of their knowledge, talents and enthusiasm.”

The initial survey for The Collaboration for Comics and Autism can be accessed here.

Autistic people in the UK are being invited to participate in a University of Cambridge-led project exploring the uniquely powerful connection between autism and comics.

Too often the question of how to support autistic people is addressed from a deficit perspectiveProf Jenny GibsonClare Mackenzie

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