Trusted from independent practice to national hospital groups
The Montgomery consent, the operation note to the RCS standard and the cancer MDT outcome, Note Dr writes the urology record, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the appointment as it happens. While you explain the diagnosis and talk through the material risks and alternatives, it writes the record in the background, so a patient facing surgery for a bladder tumour gets you, not the top of your head over a keyboard.
Montgomery consent on record
The material risks and the reasonable alternatives you actually discussed, captured in the patient's own context as you talk them through, the points audits show go undocumented in half of cases.
The operation note, to standard
Findings, complications, any extra procedure and why, tissue removed, implant serial numbers, closure, blood loss and prophylaxis, drafted as you dictate so the narrative fields are not the ones that go missing.
Complications and candour
An intra-operative perforation or a post-operative complication recorded the moment it is recognised, alongside what you did and what you told the patient, supporting your duty of candour.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in surgery, the operation-note elements, the Montgomery consent discussion and the complications and candour, where published audits show conventional surgical records routinely drop the narrative and medicolegal detail.
Standards and audits referenced: RCS England Good Surgical Practice (2025), Montgomery v Lanarkshire Health Board (2015), GMC Good Medical Practice (2024), with operation-note and consent audits (Singh et al, 2012; Tonge et al, 2021).
Ask what was found at cystoscopy, exactly what risks the patient consented to, or what the MDT decided, answered in seconds from their own record.
Walk into theatre or clinic already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published guidance behind your decisions, the RCS Good Surgical Practice operation-note standard, GMC Good Medical Practice on records and candour, the Montgomery consent principles, the WHO Surgical Safety Checklist and NICE and BAUS guidance on bladder cancer, with the source cited. 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 urological surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
My operation notes are complete
The fields that always slipped, complications, blood loss, the prophylaxis, the why behind an extra step, are now in every operation note as I dictate. It reads to the RCS standard without me chasing my own memory at the end of a list.
★★★★★
Montgomery consent, every time
The material risks and the alternatives I actually discuss are captured in the patient's own words, in clinic, as I say them. For consent cases that is exactly where my exposure was, and now the discussion is there in black and white.
★★★★★
Complications recorded honestly
When something happens in theatre, the complication, what I did and what I told the patient afterwards are all on record at the time. The candour conversation is documented properly, which is exactly what I want behind me.
★★★★★
The cancer MDT outcome, on file
The histology, the MDT decision and the follow-up plan are captured against the operation note, so the whole pathway from resection to surveillance is in one continuous, watertight record. Our cancer documentation has never been tighter.
★★★★★
Patients facing surgery get me
Someone hearing the word tumour does not want me typing. Now I can explain, reassure and consent properly, and the clinic note still writes itself. It has changed how the consent clinic feels for both of us.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this thorough: the Montgomery consent, the operation note to every RCS element, the complications, the MDT outcome and the discharge, the lot. For the first time I would hand a court the full file on any case I have done and trust it to speak for itself.
Miss Lowri TConsultant urological surgeon
Note Dr drafts your urology clinic letter as the consultation happens — a one-stop haematuria clinic, a LUTS or prostate review, an active surveillance discussion or a post-operative follow-up. It captures the history, examination, the investigations such as flow rate or PSA trend, and the plan, then produces a structured letter for the patient and GP that you review and approve.
Note Dr works alongside whatever system you already use and needs no EHR or EMR integration. You copy or export the operation note, clinic letter or discharge summary into your hospital record, private clinic software or dictation system. So it fits an NHS urology clinic, private consulting room or day-case unit without an IT project, and you decide what reaches the record.
Note Dr transcribes your consultation on your own device, so the audio is turned into text locally rather than sent to an external server. You tell the patient you are using a digital scribe, as you would introduce any assistant in the room, and every drafted note, consent record or operation note is reviewed and approved by you before anything is saved to the record.
Yes. It drafts the full operation note as you dictate, covering the RCS Good Surgical Practice elements: findings, complications, any extra procedure and why, tissue removed, implant serial numbers, estimated blood loss, closure, prophylaxis and post-operative instructions. You review and approve before it reaches the record.
As you explain the procedure, Note Dr captures the material risks and the reasonable alternatives you discuss, in the patient's own context, the points Montgomery requires. The contemporaneous record of the key consent discussion is drafted as you talk, ready for you to check and approve.
Yes. A complication such as a bladder perforation or clot retention is recorded the moment you recognise it, alongside what you did and what you told the patient. That contemporaneous note supports your duty of candour. You review and approve every entry before it is saved.
Yes. Note Dr records the histology result, the multidisciplinary team decision and the surveillance or treatment plan against the operation note, so the pathway from resection to follow-up sits in one continuous record. It captures the outcome you confirm; the clinical decision stays with the MDT and you.