Hi Paul,
Please see if resetting Windows Security helps.
Open PowerShell admin and run these commands:
get-appxpackage -allusers *SecHealthUI* | Reset-AppxPackage
Open Windows Security and try to add an exclusion. If the error still occurs, run these commands.
get-appxpackage -allusers *SecHealthUI*
get-mppreference
get-mpcomputerstatus
cmd.exe
dir C:\Windows\System32\SecurityHealth\*.appx /s
Copy the output to a text file and upload it..