The AI scribe for special care dentists

Capacity and consent, fully evidenced

Some patients cannot consent for themselves. Note Dr writes the capacity assessment and best-interests reasoning as you work, ready to approve.

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Trusted from single surgeries to national dental groups

Bupa Until HCA Healthcare UK Nuffield Health Circle Health Group NHS
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From the assessment to an approved note

Note Dr listens as the appointment unfolds, the patient, the carer and your own findings, and writes the record in the background. So a patient who needs your patience gets you, not the top of your head over a keyboard.

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Built for scrutiny

The lawful basis,
captured at the time

  • Capacity assessed, decision by decision

    Why the patient could or could not weigh this specific choice today, in the words you used, never assumed from a diagnosis.

  • Best interests, fully reasoned

    Who you consulted, the patient's own wishes and the least-restrictive option, recorded as the decision is made, not reconstructed later.

  • Consent or its lawful basis

    Accessible consent where capacity is present, or the documented best-interests basis where it is not, so every treatment has a solid footing.

Document the UR6 best-interests decision

Best-interests decision, UR6

Capacity assessedDecision-specific, lacks capacity today
Others consultedSupport worker, care home, GP
Least-restrictive optionExtraction under sedation, agreed

Lawful records, properly evidenced

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, capacity, best interests and consent, where published audits show conventional records routinely fall short.

  • Attention on the patient
  • Time back in your day

Audits referenced: Cole & McMichael (Primary Dental Care, 2009), Hayes et al (Dental Update, 2017) and, on radiograph evaluation under IR(ME)R, a hospital audit (Kiu et al, Clinical Radiology, 2010).

Documented for every
special care visit

    Patient memory

    Every capacity decision,
    instantly to hand

    Ask how capacity was assessed last time, who was consulted, or what was agreed in the patient's best interests, answered in seconds from their own record.

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

    Ask Note Dr, Gareth Pearce
    How did we assess Gareth's capacity for the extraction, and what did we agree?
    NNote Drfrom this patient's record
    At the assessment on 3 June, capacity for extracting the UR6 was assessed under the Mental Capacity Act. Gareth lacked capacity for that specific decision, so a best-interests decision to extract under sedation was made, with his support worker, care home and GP consulted and the least-restrictive option recorded.
    Drawn from 3 documents across 2 visits
    Clinical references

    The Mental Capacity Act,
    to hand

    Special care work leans on the Mental Capacity Act 2005, the SDCEP conscious-sedation standards and the Accessible Information Standard, so when a presentation calls for it, Note Dr surfaces the relevant published guidance and its source at the chairside. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptGareth PearceToday · 17:06
    04:22GarethIt hurts up here. When I have my dinner.
    04:48DrUR6 grossly carious and unrestorable, tender to percussion. Tolerating examination with breaks and a stop signal.
    NNote Dr

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

    Show me the Mental Capacity Act guidance on best-interests decisions
    What are the standards for conscious sedation in dentistry?
    Find the accessible information standard for communication needs
    What does the guidance say on clinical holding and assent?
    Show evidence on caries prevention for adults with learning disabilities
    GuidelinesJournalsReferences

    Special care teams,
    on the record

    Why special care dentists trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    My capacity assessments are bulletproof

    Dr Adaeze N

    The capacity assessment used to be the hardest part to write up properly. Now it captures the decision, what the patient understood, what they couldn't weigh and the conclusion, in my own words, while I'm still with them. I edit and approve in seconds and nothing is left vague.

    ★★★★★

    Best interests, written as I decide

    Dr Leila G

    Every best-interests decision now records who I consulted and why, the carer, the care home, the GP, at the moment I make it. When records are reviewed, the reasoning reads exactly as it should rather than being reconstructed later.

    ★★★★★

    My patients get my full patience

    Dr Bethan L

    A patient who needs breaks and a stop signal doesn't want me typing. Now I can go at their pace, use pictures and reassure them, and the assessment is still written in full. It has genuinely changed how my appointments feel.

    ★★★★★

    Sedation visits, fully documented

    Dr Marcus O

    The whole sedation visit is captured as I go: the checks, the titration, the monitoring, the procedure and any clinical holding with assent. The record is finished before recovery is over, and it's the most complete it has ever been.

    ★★★★★

    Consent I'd be happy to defend

    Dr Ffion T

    It records accessible consent where the patient has capacity, and the best-interests basis where they don't, without me thinking about it. The lawful basis for every treatment is always there in black and white.

    Rated 4.7 out of 5 by special care dentists 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

    ★★★★★

    When a patient cannot consent for themselves, the record is everything. Note Dr writes the capacity assessment and the best-interests reasoning as I work, so the lawful basis for the care is set down in full while I give the patient my attention.

    Dr Hamish TSpecial care dentist

    Special care dentist FAQs

    How do I write a Mental Capacity Act best-interests record in dentistry?

    Note Dr structures the best-interests record as you make the decision: the patient's own wishes and feelings, the people consulted such as carers, the care home and an IMCA where required, the options weighed and the least-restrictive choice. The lawful reasoning is set down in full, for you to review and approve.

    Can Note Dr document a decision-specific capacity assessment for a patient?

    Yes. As you assess capacity, Note Dr records the specific decision, whether the patient could understand, retain, weigh and communicate it with accessible support, and your conclusion that they have or lack capacity for this choice today. It never infers incapacity from a diagnosis, which the Mental Capacity Act forbids.

    How do I record consent when the patient cannot consent for themselves?

    Note Dr records the lawful basis for treatment either way. Where capacity is present, it captures accessible consent in the patient's terms. Where it is absent, it documents the best-interests decision, who was consulted and the least-restrictive option, so no treatment ever proceeds without a solid footing in the notes.

    Will it write domiciliary, sedation and general-anaesthesia visit notes?

    Yes. Note Dr drafts the records these visits demand: setting, access and portable equipment for domiciliary care, titration, monitoring and recovery for conscious sedation, and pre-assessment, fasting and recovery for treatment under general anaesthesia, each structured the way your service documents.

    Is Note Dr built for special care dentistry or just a general dental scribe?

    Note Dr is built for special care dentistry, not a general chairside scribe. It drafts the capacity assessment, best-interests reasoning, reasonable adjustments and the Accessible Information record, and the notes domiciliary, conscious sedation and general-anaesthesia visits demand, in the language your service uses. You review and approve every note before it enters the record.

    Can an AI scribe tell the patient and their carer apart when both are talking?

    Yes. Note Dr attributes the conversation between you, the patient and the carer or support worker, so the carer's history as the person who knows the patient stays separate from the patient's own words and assent. In special care work the accompanying person is often the main historian, so the record shows who said what — and you review every attribution before you approve the note.

    Does Note Dr record clinical holding and assent?

    Yes. Where clinical holding is used, Note Dr drafts the least-restrictive rationale, who assisted, the patient's assent throughout and that the holding was proportionate to the treatment, documented separately from the procedure itself. Protective stabilisation is a decision that needs its own record in special care dentistry, and you review and approve the wording before it enters the notes.

    Watertight records, even without consent

    Complete, lawful records for every special care appointment, capacity, best interests and accessible consent included, reviewed and approved by you. Your patient gets your full attention while the record writes itself.

    Get Note Dr free

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