The AI scribe for geriatric physiotherapists

Falls and frailty, recorded in full

The falls-risk screen, the frailty picture and any capacity considerations, Note Dr writes the full, watertight record, ready to approve.

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From falls assessment to approved record

Note Dr listens to the session as it happens. While you take the history, screen falls risk, test balance and reason aloud, it writes the record in the background, so your hands stay on the patient and your eyes stay off the keyboard.

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Built for scrutiny

Defensible by
default, every fall

  • Falls reasoning on record

    The contributing factors you identified and the reasoning behind your falls-risk decision, captured as you think it through aloud, not reconstructed later.

  • Capacity and consent documented

    How you judged capacity for the decision and what the patient agreed to, recorded the moment you have the conversation, where older-adult exposure runs highest.

  • Outcome measures and goals captured

    The validated falls and balance measures you took and the SMART goals you set, the very elements audits show go missing most.

Document the falls and balance plan

Plan, recurrent falls with postural drop

Outcome measures takenTimed Up and Go 18s, Berg Balance 38/56
Capacity consideredDecision-specific, able to weigh the plan
Onward referral flaggedPostural hypotension referred to GP

Every falls risk, on record

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, falls reasoning, frailty, capacity, goals and outcome measures, where published audits show conventional physiotherapy records routinely fall short.

  • Attention on the patient
  • Time back in your day

Audits referenced: Turner et al (Physiotherapy Theory and Practice, 1999), Sumner et al (Physiotherapy, 2000), O'Donovan et al (Physiotherapy Canada, 2017) and Paim et al (Disability and Rehabilitation, 2022).

A note for
every older-adult visit

    Patient memory

    Last review's findings,
    before they reach the door

    Ask what you assessed last time, the goals you set, or what the patient and family consented to, answered in seconds from their own record.

    Walk into the review already knowing the story, without trawling the notes.

    Ask Note Dr, Margaret Sefton
    What were Margaret's balance scores and goals, and what did she consent to?
    NNote Drfrom this patient's record
    At the falls assessment on 10 June, you found a multifactorial picture with postural hypotension and raised falls risk. Baselines were Timed Up and Go 18 seconds and Berg Balance 38 out of 56. You set goals of confident toilet transfers and steady indoor mobility, judged capacity present, and consent was recorded for the balance programme.
    Drawn from 3 documents across 2 visits
    Clinical references

    Guidance,
    beside the falls clinic

    When a presentation calls for it, Note Dr surfaces the published guidance geriatric physiotherapists work to, from the CSP record-keeping and outcome-measure guidance to NICE falls in older people and frailty advice and Mental Capacity Act principles, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptMargaret SeftonToday · 17:06
    07:12MargaretI've had two falls in the kitchen this month, and now I'm frightened to walk on my own.
    07:29PhysioTimed Up and Go is 18 seconds and there's a postural BP drop. That's a multifactorial falls risk.
    NNote Dr

    Want me to surface any guidance for this? You could ask:

    Show me the CSP guidance on physiotherapy record-keeping
    What does NICE recommend for falls in older people?
    Which balance outcome measure suits this older adult?
    Remind me of the Mental Capacity Act principles for consent
    Find the evidence on strength and balance for falls prevention
    GuidelinesJournalsReferences

    Trusted across
    the falls clinic

    Why geriatric physiotherapists trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    Capacity, finally on every note

    Evelyn H, falls specialist physiotherapist

    With older adults, how I judged capacity and what the family agreed to is my biggest exposure. Note Dr captures the capacity reasoning and the consent in every note now. I edit and approve in under a minute.

    ★★★★★

    Balance scores never slip

    Rajan M, advanced practice physiotherapist

    Timed Up and Go and Berg Balance were always the first things to fall off when a home visit overran. Now the baseline measures are recorded every time, so my notes actually show the falls risk I assessed.

    ★★★★★

    Hands stay on the patient

    Sinead K, community rehabilitation physiotherapist

    On a home visit I'm not breaking off to type with a frail patient mid-transfer. I assess, I reason aloud, and the record writes itself. They get a clinician watching them, not someone watching a screen.

    ★★★★★

    Frailty reasoning, on record

    Gareth P, intermediate care physiotherapist

    The frailty picture and why I rated the falls risk used to live in my head. Now the Clinical Frailty Scale and the contributing factors are written down, so the next clinician sees exactly what I was thinking.

    ★★★★★

    Calmest audit we've had

    Lorna W, clinical lead physiotherapist

    Contemporaneous records across the falls team, with capacity, goals and outcome measures on every older-adult episode. Our last CSP-standards audit was the smoothest we've run, the notes already told the whole story.

    Rated 4.7 out of 5 by physiotherapists from 69 reviews

    What's said in the surgery
    stays in the surgery.

    Every recording and record is protected by strong, independently assessed security and encryption.

    ISO 27001 Aligned Cyber Essentials GDPR Compliant ICO Registered NHS Compliant UKCA Medical Device HIPAA Compliant

    ★★★★★

    Across a full older-adult caseload, falls assessments, ward reviews and care-home visits, every record now reads to the same standard, with the capacity reasoning, balance scores and goals that used to vanish when I was busy. My notes finally match the work I actually do.

    Bernadette SGeriatric physiotherapist

    Geriatric physiotherapist FAQs

    Can Note Dr capture a falls-risk and balance assessment?

    Yes. As you take the falls history, screen the contributing factors and call out balance findings, Note Dr records the multifactorial assessment and your reasoning in a structured note. Validated scores such as Timed Up and Go and the Berg Balance Scale are captured contemporaneously. You review and approve before saving.

    Does it document frailty and mobility findings for older adults?

    Yes. As you describe gait, transfers, exercise tolerance and rate frailty using a tool like the Clinical Frailty Scale, Note Dr records your mobility findings and the frailty picture. The reasoning behind your falls-risk decision is captured as you think it through, not reconstructed from memory afterwards.

    Will it record outcome measures like Timed Up and Go or Berg Balance?

    Yes. As you take a validated measure such as the Timed Up and Go, the Berg Balance Scale or a 30-second sit-to-stand, Note Dr records the score in your structured note, ready to repeat at review. An exact score is hard to carry in your head across a round of home visits and care-home reviews, so recording it live keeps the real figure in the note.

    How does it document consent and capacity considerations?

    As you assess decision-specific capacity and gain consent, Note Dr captures both in the note: how the patient understood, retained and weighed the discussion, and what they agreed to. It is recorded the moment the conversation happens, supporting Mental Capacity Act principles. The capacity judgement stays entirely with you.

    Can I use an AI scribe with a patient who has dementia?

    You can use Note Dr with patients living with dementia, applying the same professional judgement you bring to the rest of the consultation. Explain in plain terms that it is helping you write the note, involve family or carers where appropriate, and set it aside if anyone objects or you judge it unsuitable. You review and approve every note before it enters the record.

    Do patients need to consent to an AI scribe in the UK?

    Tell the patient at the start of the session and respect any objection — that is the approach expected in UK health and care settings for ambient scribes. Explain that Note Dr drafts the note so you can stay hands-on; if they decline, document as you normally would. Take particular care where cognition is impaired. Every note is reviewed and approved by you before it is saved.

    Can I use an AI scribe on home visits and in care homes?

    Yes — Note Dr works in the places older-adult physiotherapy actually happens: home visits, care homes and the ward. Transcription happens on your device, so you can assess transfers, balance and gait with your hands on the patient rather than a keyboard. What family members and carers add to the conversation is captured too, and you review and approve the note before it goes anywhere.

    Records that keep pace with frailty

    Complete, audit-ready records for every older adult on your list, falls assessments, reviews and discharges, reviewed and approved by you. Capacity, goals and outcome measures, finally handled.

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