← Interactive field guide · David Seymour — Open Work

Managing delegated AI work: complete reference

Version 3 · Proposed framework for practitioner testing · Reference edition updated 20 October 2026.

This page contains the guide’s explanatory material, all fictional cases, evidence prompts and record fields without requiring JavaScript. It does not contain the separately supplied companion paper or anyone’s working record.

01 · Start with the work

A mandate with conditions

The unit of review is a delegation in a workflow: a task, population, configuration, owner and period of use. Apply it to agents, copilots and consequential automation. A label does not determine the need for oversight.

Authority is specific

Distinguish reading, recommending, drafting, submitting, changing and delegating. Record when each is permitted and when a person must approve. Capability does not confer permission.

Stable identity, configuration, individual execution, credential and delegated authority are separate records. Rotating a credential does not create a new agent.

Consequences are contextual

A booking can be restored after a time-sensitive opportunity has passed. A draft can influence a decision before it is corrected. Assess harm, timing, scale and recovery, including effects mediated through people.

Approval requires a reviewer with context, time, competence and authority. Credential revocation is one containment control, not proof that all activity has stopped.

Commission: Agree the purpose and the comparison.

Describe the service problem, people affected, task boundaries, alternatives and current baseline. Involve those who will receive the service as well as those operating it.

Output: a mandate and an evaluation plan.

Evaluate: Test competence and the operating conditions.

Use representative and difficult cases, misleading inputs, failures and recovery exercises. Record case selection, outcomes, limitations and the human work required.

Output: evidence with scope, date, version and unresolved concerns.

Authorise: Approve a specific scope through a responsible person.

State allowed actions, approval conditions, data boundaries, duration, stop rules and the accountable role and holder. A pilot requires its own authorisation.

Output: a human decision with limits, not a badge generated by this guide.

Operate: Observe the end-to-end service.

Verify completed actions. Track outcomes, exceptions, review capacity, patient effort and unexpected interactions. Keep a meaningful route to a person.

Output: attributable activity and service evidence.

Review: Revisit the basis for reliance.

Compare benefit and burden, examine subgroup differences and inspect incidents. Reassess after material changes to models, tools, policies, data, memory or workflows.

Output: an explicit judgement about continued use.

Renew or retire: Continue only on stated conditions.

Renew or narrow the delegation, or withdraw authority and resolve pending work. Preserve appropriate records and ensure a dependable human or alternative service.

Output: an updated mandate or a completed retirement and handover.

02 · Grounds for reliance

The Trusted AdvIsor

A lens on the people, institution and working practices behind AI. Confidence should be proportionate to evidence for a defined use.

The original Trust Equation: Trustworthiness = (Credibility + Reliability + Intimacy) / Self-orientation.

From Maister, Green and Galford, The Trusted Advisor (2000). Their associated materials emphasise the human basis of intimacy and self-orientation. Original framework.

No trust score. This OPL adaptation uses the dimensions as questions. It does not measure a model’s intentions or allow strengths to cancel serious failures. No endorsement by the original authors is implied.

Credibility — What warrants the claim?

Look for: Demonstrated competence and sources that support the actual statement.

Test the task and population. Verify material facts and calculations. Separate observations, inferences and assumptions.

Do not substitute: Fluency, confidence, citations that do not support the claim, or agreement among models.

Evidence prompt: what would make this conclusion false?

Reliability — What demonstrates that the commitment was met?

Look for: Verified outcomes and a dependable process under stated conditions.

Check the resulting state, not just a promise. Track failures and acceptable variation across runs. Reassess after material changes.

Do not substitute: Availability, repeated wording, or a log entry saying an action was attempted.

Evidence prompt: where is the completion check and what happens when it fails?

Intimacy — Is the sense of safety justified?

Look for: Context fidelity, appropriate disclosure and demonstrable data handling.

Explain what is collected, where it goes, who can see it and how long it remains. Respect constraints and provide access to a person.

Do not substitute: A warm tone, simulated empathy or an assumption that nobody else can access the conversation.

Evidence prompt: would the person endorse the actual data flow?

Self-orientation — Whose interests shape the work?

Look for: Visible objectives, incentives and consequences across stakeholders.

Examine supplier and organisational incentives. Record conflicts and hidden burdens. Allow a conclusion that less AI or a different process is better.

Do not substitute: Assuming absence of an ego means absence of conflicting incentives.

Evidence prompt: who gains and who supplies uncounted effort or bears risk?

All worked cases

Fictional design exercises, not deployment recommendations or evidence from real services. Hidden consequences are included here for inspection.

Appointment changes

Purpose
Reduce avoidable administration while preserving timely access for routine appointment changes.
Scope
Agreed routine service only; exclude urgent pathways and unresolved clinical constraints.
People affected
Patients, patient access staff and clinical teams.
Comparison
Current appointment-change process for comparable cases.
Allowed work
Read permitted booking details; propose a change. Automatic changes require separately approved conditions.
Exclusions
No changes to urgent pathways, unresolved clinical constraints or out-of-scope patients.
Approval
A suitably informed reviewer approves changes outside the narrow authorised conditions.
Hidden consequence
A booking can be restored after a patient has missed a time-sensitive opportunity or lost transport arrangements. Technical reversibility does not restore all consequences.
Measures
Repeat contacts, delayed or missed visits, patient effort and total staff time, alongside task handling time.
Investigate before use
Test clinical timing constraints, confusing requests, notification failure and recovery. A shadow exercise can precede a separately authorised pilot.
Concern to resolve
A timing or eligibility constraint is breached, or the human fallback cannot keep up.

Prior-authorisation drafting

Purpose
Prepare source-supported draft letters with less total review and correction burden.
Scope
An agreed letter type and population; authorised records only.
People affected
Patients, clinical reviewers and administrative staff.
Comparison
Current drafting and review process for comparable cases.
Allowed work
Read approved material; draft with source references and explicit gaps.
Exclusions
No invented facts, unsupported clinical statements, submission or authorisation decisions.
Approval
An authorised human verifies material facts and omissions before submission.
Hidden consequence
A polished draft may anchor the reviewer or omit a critical fact. A system with no send permission can still influence access to treatment.
Measures
Supported factual content, material omissions, review time, correction and subsequent rework; account for changes in case mix and payer policy.
Investigate before use
Use difficult records and missing information. Compare claims to original evidence; multi-model agreement is not sufficient.
Concern to resolve
A material unsupported claim or omission passes review, or the review burden removes the expected benefit.

Two agents one service

Purpose
Coordinate appointment and patient-support work without repeated changes or contradictory communications.
Scope
A bounded shared service with one authoritative appointment state.
People affected
Patients, scheduling staff and support teams.
Comparison
The existing end-to-end service, including human resolution of conflicting requests.
Allowed work
Propose changes or support actions through an agreed shared policy and accountable service owner.
Exclusions
No independent reversal loops, duplicate commitments or unbounded retries.
Approval
Conflicts go to the designated service owner or a qualified delegate.
Hidden consequence
The scheduler moves a visit for capacity; the support agent requests a reversal. Both satisfy local goals while the service enters a loop.
Measures
Duplicate work, repeated changes, contradictory messages, escalation load and time to stable resolution.
Investigate before use
Test stale information, duplicate events, competing objectives, bounded retries and the combined stop procedure.
Concern to resolve
Repeated changes or unresolved conflicting instructions occur, or aggregate review demand exceeds capacity.

Workload ledger

Net staff hours = cases × (gross staff minutes released − review − rework − coordination) ÷ 60. Additional patient hours = cases × additional patient minutes ÷ 60. Running cost is reported separately in GBP, not converted to hours. A positive balance does not establish overall benefit, safety or financial return.

All defaults below are illustrative. Use one comparable case population and period; avoid double counting. Inputs must be finite and non-negative, at most 1 billion; case count must be a positive whole number. Input basis is illustrative, estimate or observed; observed inputs require a scope and source. Display rounds to one decimal, after calculation at full precision.

Calculator fields and illustrative defaults
FieldMeaningUnitDefault
volumeNumber of comparable casescases100
grossGross staff minutes released per caseminutes6
reviewHuman review per caseminutes2
reworkCorrection and rework per caseminutes1
coordCoordination and exceptions per caseminutes1
patientAdditional patient effort per caseminutes3
costAdditional running cost for this periodGBP0

Record format and local workflow

Full reference content (JSON) · Record structure (JSON Schema) · Blank editable record (JSON)

  1. Download a blank record, or build one in the interactive guide.
  2. Populate only information appropriate to its intended audience. Keep unknowns and evidence limits explicit.
  3. Load the JSON using “Load saved record” in the guide, inspect the completeness check, and download the reviewed working copy.

There is no submission API, cloud saving or automatic transmission by the guide. Reloading discards unsaved changes. JSON is a local interchange format, not an authorisation. Structure validation cannot verify evidence, calculations or decision-making authority. Feedback can be raised through Open Work’s contact route.

Mandate

name — Name of this delegation
Required for completeness; input.
reviewBy — Review due
Required for completeness; date.
purpose — Purpose and intended outcome
Required for completeness; textarea.
beneficiaries — People affected and intended beneficiaries
Required for completeness; textarea.
scope — Setting population and exclusions
Required for completeness; textarea.
comparator — Current process or simpler alternative
Required for completeness; textarea.
role — Accountable role
Required for completeness; input.
holder — Current human holder of that role
Required for completeness; input.
ops — Operational owner and contact route
Required for completeness; input.
experience — Service or experience owner and contact route
Required for completeness; input.
success — Benefit measures and acceptable limits
Required for completeness; textarea.
escalation — Route to a human and ownership cover
Required for completeness; textarea.

Authority

identity — Stable identity and execution attribution
Required for completeness; textarea.
config — Model tools policy and configuration versions
Required for completeness; textarea.
actions — Allowed actions and conditions
Required for completeness; textarea.
exclude — Prohibited actions
Required for completeness; textarea.
data — Data access disclosure and retention boundaries
Required for completeness; textarea.
approval — Approval points and reviewer capacity
Required for completeness; textarea.
delegation — Subtasks delegation chains and shared dependencies
Required for completeness; textarea.
stop — Stop recovery and service fallback
Required for completeness; textarea.
changes — Changes that trigger reassessment
Required for completeness; textarea.
budget — Cost rate and resource limits
Required for completeness; textarea.

Decision

decision — Decision under consideration
Optional decision record; select.
decider — Authorised decision-maker
Optional decision record; input.
decisionDate — Decision date
Optional decision record; date.
conditions — Reasons conditions residual uncertainty and next action
Optional decision record; textarea.

Evidence prompts

Evidence states: unknown = Unknown, declared = Declared, evidenced = Evidenced, tested = Tested, concern = Concern or failure, na = Not applicable. Evidenced and tested require a reference, reviewer, date and finding. Not applicable requires a reviewer, date and reason. Review dates must be valid and not in the future. These are user-reported states, not verified grades or a total score.

purpose — Purpose and comparison
Does the mandate address a real need, with a baseline and simpler alternatives?
competence — Task competence and claim support
What representative checks support material claims, and what are the known limitations?
authority — Authority identity and attribution
Are action permissions, credentials, executions and delegation chains controlled and traceable?
safety — Consequences oversight and recovery
Have consequential failure cases, reviewer capacity and stopping or recovery been examined?
data — Context and data handling
Does the actual information flow fit the purpose and the expectations and requirements of those affected?
reliability — Operational reliability and completion
Are completed outcomes verified and exceptions handled under the stated configuration?
benefit — Benefit and displaced burden
What comparison supports benefit, including patient effort, total workload and subgroup effects?
incentives — Interests and incentives
Whose objectives are rewarded, who bears risk, and how can conflicts be challenged?
portfolio — Interactions and dependencies
What happens across shared tools, queues, models, agents and human reviewers?
change — Lifecycle and reassessment
Who renews or retires the delegation, and which changes invalidate earlier evidence?

Decision values: Not recorded; Gather more evidence; Redesign or use a simpler process; Authorise a bounded pilot; Continue within stated conditions; Restrict or suspend; Retire.

06 · Use and test the framework

From analogy to evidence

This is an AI-assisted conceptual synthesis, revised through red-team review. It has not been validated through a practitioner study. Agreement among model outputs is not independent expert consensus.

Keep useful biology

Anatomy reveals dependencies; ecology reveals interactions and resource burdens. We have dropped the taxonomic tree. In biological usage, parasitism is a type of symbiosis; mutualism describes mutual benefit.

Here, beneficial coexistence concerns the people and institutions using AI. It does not assume that the AI has welfare interests. Ask whose work improves, whose burden increases and who bears risk.

Evaluate the guide itself

Compare decisions made with existing language and with this guide. Use comparable cases, counterbalance order, and include staff and people affected. Measure missed hazards, false reassurance, responsibility clarity, time and agreement on next steps.

Check whether the metaphors add value beyond the record. Preserve contrary findings. A successful small exercise supports usability, not universal validity.

What changed from v2

Delegated work replaces taxonomy. Purpose and benefit join authority and accountability. Identity is separate from credentials. Action-specific consequences replace automatic autonomy ceilings. Evidence states and unknowns replace deployment verdicts. The Trusted Advisor adds questions about warranted reliance. Earlier versions remain intact.

Sources and companion paper

The companion v3 paper is supplied separately and covers the argument, examples, limitations and operating cycle. Sources checked 19 October 2026; inclusion does not imply endorsement. The original shared chat was unavailable; supplied local papers and Trusted Advisor reflections informed the revision.

[1] Figlioli et al. · Healthcare’s AI agent management challenge — practitioner hook.

[2–3] Trusted Advisor Associates · Trust Equation and core concepts — attribution and limits of the analogy.

[4] Anthropic · Building effective agents — architecture and workflow patterns.

[5] Feng et al. · Levels of Autonomy for AI Agents — proposed interaction framework.

[6] IETF · Token revocation — containment constraints.

[7] HHS · Minimum necessary requirement — scope and exceptions.

[8] NHS · Make your service clinically safe — applicable safety processes, including DCB0129 and DCB0160.

[9] OpenStax · Relationships and microbiomes — biological terminology.

[10] NIST · AI RMF Playbook — established risk-management functions.

Citation and limitations

Suggested citation: OPL Advisory. Managing delegated AI work, field guide version 3 (19 October 2026), reference edition updated 20 October 2026. Include the relevant section URL and your access date. This proposed framework is not practitioner-validated; cases are fictional and evidence remains user-reported. Source inclusion does not imply endorsement. This reference does not grant a new reuse licence for the guide or linked sources.