Trusted from private rooms to teaching hospitals
From the admission clerking and drug history to the ward-round plan and discharge summary, Note Dr writes the full, watertight record, ready to approve.
Get Note Dr free→Trusted from private rooms to teaching hospitals
Note Dr listens as the clerking happens. While you take the history, examine, reason aloud and set the plan, it writes the record in the background, so your hands stay on the patient and your eyes stay off the screen.
A complete clerking, drugs and diagnosis
The full drug history, the reconciliation and the recorded working diagnosis, the fields audits show are dropped, captured as you take them, not reconstructed from the drug chart later.
The ward-round plan and VTE on the page
The decision, the reasoning behind it and the VTE assessment, recorded the moment the round moves on, so the plan exists in the notes and not only in your head.
A discharge summary that stands up to scrutiny
Diagnosis, medication changes and follow-up on the AoMRC headings, drafted at the bedside so the 24-hour letter to the GP is complete, not a rushed afterthought.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the drug history, the recorded diagnosis, the ward-round plan, the VTE assessment and the discharge summary, where conventional medical records measured against published standards routinely fall short.
Standards and audits referenced: GMC Good Medical Practice (2024), the RCP Generic Medical Record Keeping Standards (Carpenter et al, 2007) and the AoMRC record standards (2013) under the NHS Standard Contract, with ward-round and discharge audits (Armstrong and Carpenter, Cureus, 2022; Mehta et al, BMC Health Services Research, 2017).
Ask what the clerking found, the diagnosis you recorded or the medication you changed, answered in seconds from the patient's own record.
Walk onto the round already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance acute physicians work to, from GMC Good Medical Practice and the RCP and AoMRC record-keeping standards to NICE guidance on chronic heart failure and the NHS discharge-summary deadlines, with the source shown. It never tells you how to treat your patient; that judgement stays with you.
Want me to surface any guidance for this? You could ask:
Why acute physicians trust Note Dr with a record that stands up to scrutiny.
★★★★★
My clerkings are finally complete
The drug history and the recorded diagnosis were always the first casualties of a busy take. Now the full reconciliation and the working diagnosis are in every clerking, captured as I take them. I check and approve in under a minute.
★★★★★
The ward-round plan is written down
On a long round the plan used to live in my head and barely reach the notes. Note Dr writes the assessment, the plan and the VTE review at each bed, so the jobs and the reasoning are documented before we move on.
★★★★★
Discharge summaries, done by lunchtime
The 24-hour discharge letter was a daily backlog. Now it drafts at the bedside on the AoMRC headings, with the diagnosis, the medication changes and the follow-up. The GP gets a complete letter, not a rushed one days late.
★★★★★
Handover that the night team can trust
Our handovers were patchy and from memory. Note Dr drafts a structured situation, background, jobs and escalation note for each patient, so whoever takes over has the full picture and nothing important is left unsaid.
★★★★★
Calmest case-note audit we've run
Contemporaneous clerkings, ward-round plans and discharge summaries across the whole firm, with the drug history and VTE on every entry. Our last RCP record-keeping audit was the smoothest we have had, the notes already told the story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full take, clerkings, ward rounds and discharge summaries, every record now reads to the same standard, with the drug history, the recorded diagnosis, the VTE assessment and the plan that used to vanish on a busy shift. My notes finally match the medicine I actually do.
Dr Lysander HConsultant in acute internal medicine
NHS guidance treats ambient scribing for direct care as running on implied consent, provided patients are told and can object. On a ward round that means a brief mention at each bed before the entry is captured, and stopping for any patient who declines. Note Dr transcribes on-device and drafts the entry for you to review and approve, and your trust's information-governance policy still applies.
Ambient AI scribes are in use across NHS settings for direct care, subject to each trust's information-governance approval. Note Dr is built for that scrutiny: transcription runs on-device, the draft is grounded in what was said, and nothing enters the record until the clinician reviews and approves it. It documents the consultation; diagnosis and treatment decisions stay with you.
Yes — Note Dr drafts the discharge summary on the AoMRC headings, building it from the clerking and ward-round entries it captured through the admission: diagnosis, the admission narrative, medication changes and follow-up actions for the GP. Because the letter is grounded in the record rather than end-of-stay recall, less is missed. You review, edit and approve it before it is sent.
Yes. As you take the drug history, reconcile it and reason toward a working diagnosis aloud, Note Dr records the medication, allergies and the recorded diagnosis in your clerking. Spoken aloud at the front door, they exist nowhere else until the clerking is typed, so they slip when a take is written up hours later. You review and approve before it reaches the record.
Yes. Note Dr documents each patient as the round reaches them, drafting a separate entry with the overnight review, the examination findings, the senior decision and the jobs, before the team moves to the next bed. Nothing is reconstructed from memory at the end of the round. Each entry is reviewed and approved by the physician who made the decisions.
Yes. Note Dr drafts a structured handover, the situation, background, outstanding jobs and escalation plan, from the day's entries. The night and on-call teams get a consistent picture for every patient on the list. Each handover is reviewed and approved by you, so the record stays accurate and yours.
Yes. Note Dr sits beside whatever hospital software you already run. You paste or export the finished clerking, ward-round entry or discharge summary straight into your EPR or letter system, with no integration project. It is a scribe, not a replacement for your electronic patient record.