Trusted from private rooms to teaching hospitals
The comprehensive assessment, the capacity and ReSPECT decisions, the medicines you stopped: Note Dr writes the full, watertight record, ready to approve.
Get Note Dr free→Trusted from private rooms to teaching hospitals
Note Dr listens to the ward round as it happens. While you take the collateral history, examine, weigh up capacity and reason aloud, it writes the record in the background, so your attention stays on the patient and not the keyboard.
Capacity and best-interests reasoning
The decision assessed, how the patient understood, retained and weighed it, and who was consulted, captured as you work through it aloud, not reconstructed after a complaint.
ReSPECT and DNACPR on record
The discussion you held, the priorities the patient and family expressed and the recommendation reached, recorded the moment the conversation happens, with who was present documented.
The deprescribing decision and its rationale
What you stopped, started and why, against STOPP/START, the medication-review trail you can point to if a fall or adverse event is ever questioned.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the comprehensive assessment, your reasoning, the capacity and ReSPECT decisions, the medication review and the discharge plan, where conventional geriatric medicine 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 you assessed at clerking, the ReSPECT recommendation you reached or what medication you stopped, 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 geriatricians work to, from the BGS frailty and falls guidance and the STOPP/START deprescribing criteria to NICE falls and delirium advice, the Mental Capacity Act and the AoMRC record standards, 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 geriatricians trust Note Dr with a record that stands up to scrutiny.
★★★★★
My capacity assessments are documented
Capacity is the entry I cannot afford to get thin. Note Dr captures the decision, how the patient understood and weighed it and who I consulted, in the same structure every time. I read it through and approve on the round.
★★★★★
ReSPECT, finally on the page
The ReSPECT conversation used to live in my head until I wrote up at five o'clock. Now the priorities the family expressed, the recommendation and who was present are recorded as we talk. If it is ever questioned, the record already tells the story.
★★★★★
Deprescribing with a clear trail
Every medicine I stop now carries the STOPP/START reasoning behind it. When a fall is reviewed later, the rationale for what I changed is right there in the note, not something I have to reconstruct from memory weeks on.
★★★★★
Discharge summaries the GP can use
The diagnoses, the medication changes with reasons and the ReSPECT status are in the summary, ready within the day. Our GPs tell us they finally get the full picture, and I am not staying late to type it.
★★★★★
Calmest case-note review we have run
Contemporaneous records across the whole ward team, with capacity, ReSPECT and medication changes on every patient. Our last case-note audit was the smoothest we have run, the notes already told the whole story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full take, clerkings, ward rounds and discharges, every record now reads to the same standard, with the comprehensive assessment, the capacity and ReSPECT decisions and the medication changes that used to vanish on a busy day. My notes finally match the care I actually give.
Dr Carys LConsultant geriatrician
Yes. As you work through the medical, functional, cognitive and social domains and reason toward a problem list, Note Dr records the comprehensive assessment contemporaneously, including the frailty score and collateral history. The multidomain assessment is captured as it happens, supporting the GMC standard for contemporaneous records, not written up at the end of the take.
Yes, when consent is handled with the same care as the rest of the consultation. Explain the scribe in plain terms, involve family or carers where it helps, and if the patient cannot consent, make a best-interests decision under the Mental Capacity Act in line with your trust's guidance. Note Dr transcribes on your device and drafts the note; nothing is saved until you review and approve it.
Yes — Note Dr is built for the way a care-of-the-elderly round actually runs, drafting a separate entry for each patient as you move between beds. The day's review, your reasoning, the medicines stopped and the estimated discharge date are captured while you talk, rather than reconstructed at a computer afterwards. Each entry waits for your review and approval before it joins the record.
Yes. As you record the lying and standing blood pressure, the frailty score and review medicines against STOPP/START, Note Dr captures the falls assessment and what you stopped, started and why. The deprescribing rationale you would need if a fall is later questioned is on record. You review and approve before saving.
Yes — Note Dr separates the speakers in the room, so a relative's collateral history is captured and attributed alongside the patient's own account. The memory decline a daughter describes, the falls a carer witnessed and your examination findings each land in the right place in the draft, with collateral recorded as collateral. You review and approve the note before it is saved.
Yes — state the score aloud and it lands in the draft: the Clinical Frailty Scale, a 4AT for delirium, the Abbreviated Mental Test, alongside the collateral that gives each one meaning. Note Dr places them in the right section of the note with your interpretation, so the frailty picture reads as an assessment rather than a list of scores. You review and approve every entry.
It drafts a structured discharge summary with diagnoses, medication changes and reasons, ReSPECT status and follow-up, aligned to the AoMRC headings the NHS Standard Contract requires within 24 hours. You review and approve before it is issued, so what reaches the GP is yours, ready for the patient's continuing care.