SOFIAA & THE BOGEYMAN – A game for Clinicians and Support Staff

We strongly believe that understanding the people behind the data is a core part of safe, responsible risk management. When you work with real communities, you gain the context that makes data meaningful. When you buy data from vendors without that lived understanding, you inherit blind spots – and blind spots create dangerous misrepresentations.

At SOFIAA, we choose to know the people behind the numbers, because that’s how you build technology that is safe, culturally intelligent and truly worthy of trust. And this is why the SOFIAA Health team is based in Kings Cross, at the heart of the community we serve – Kings Cross, Camden and Somers Town. This game brings our lived experience to clinicians.

Purpose

To help clinicians and support staff understand NHS Digital Clinical Safety principles by experiencing risk, spotting hazard and solving problems together – using real anonymised data from the AI-powered TellSofiaa questionnaire.

How the Game Works

Step 1 — Before the Game: Set up the Sandbox and Complete the TellSofiaa Questionnaire

The SOFIAA team will set you up with your own Sandbox and issue your participants with their unique reference number.

All participants then complete the TellSofiaa questionnaire as if they were a patient/client. This ensures everyone understands:

• what data we collect
• why we collect it
• how sensitive it is
• how easily it can be misunderstood

This step builds empathy and awareness.

Step 2 — Enter the Sandbox

Participants are placed into a safe, simulated environment – the SOFIAA Sandbox – where they role-play as clinicians reviewing anonymised, aggregated data on the TellSofiaa analytical dashboard.

They will see:

• symptom patterns
• demographic clusters
• risk indicators
• potential red flags
• missing or inconsistent data

This mirrors real-world digital clinical decision-making.

Step 3 — Role-Play as Clinicians

Participants act as clinicians making decisions based on the dashboard. They must:

• interpret the data
• identify potential risks
• decide what actions to take
• discuss uncertainties
• justify their reasoning

This builds understanding of model explainability, clinical risk and data interpretation.

Step 4 — Introduce the Bogey Cards

At key moments, the facilitator introduces Bogey Cards — scenario cards that represent things that could go wrong.

Examples:

• “The dashboard is missing data.”
• “A client’s symptoms suggest a safeguarding risk.”
• “A data field is mislabelled.”
• “The system is down.”
• “A clinician misinterprets a graph.”

The team must collectively decide:

• What is the risk?
• Who could be harmed?
• What should we do?
• How do we prevent this in real life?

This builds collective responsibility, situational awareness and digital clinical safety reflexes.

Step 5 — Debrief

The facilitator leads a structured reflection:

• What did we learn?
• What surprised us?
• What risks were hardest to spot?
• How can we improve our real-world processes?
• What does this teach us about NHS Digital Clinical Safety?

Further information

SOFIAA Health is a Oxford University Innovation Stage 2 Incubation start-up.

This game is built by jacQ.io and Om from Perception Lab. It is facilitated by Dr Yvonne Chang, SOFIAA Health’s Chief Medical Officer. If you are interested in setting up this game in your organisation, please contact hello@SOFIAA.com

For more information on SOFIAA Health’s AI-powered questionnaire, please click here to download the pack.