The AI scribe for nephrologists

The renal record, clinic to dialysis

The biochemistry you interpreted, the reasoning behind every change and the consent you took, Note Dr writes the full renal record, ready to approve.

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Trusted from private rooms to teaching hospitals

Bupa Until HCA Healthcare UK Nuffield Health Circle Health Group NHS
See it in action

From CKD clinic to approved letter

Note Dr listens as the consultation happens. While you take the history, read the bloods aloud and reason through the plan, it writes the record and the GP letter in the background, so your attention stays on the patient and off the keyboard.

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Built for scrutiny

Defensible from
clinic to dialysis

  • Biochemistry and the reasoning recorded

    The eGFR trend, the potassium and the albuminuria you acted on, and why you changed the medication, captured as you read the bloods aloud, not reconstructed after an adverse result.

  • Consent for the renal plan

    The risks you explained, the sick-day rules you gave and what the patient agreed to, recorded the moment you take consent, the elements audits show are dropped most.

  • The clinic letter, on time

    A complete letter to the GP with the diagnosis, the medication changes and the follow-up, drafted at the encounter so the seven-day deadline is met without a backlog.

Document the CKD progression plan

Plan, progressive CKD G3b A3

Biochemistry interpretedeGFR 38 to 32, ACR 58, potassium 5.1
Medication change reasonedACE inhibitor up-titrated, SGLT2 inhibitor started
Consent & sick-day rulesRisks explained, hold rules given, agreed

As precise as your renal review

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the clinic assessment, the biochemistry and the reasoning behind every change, consent, the dialysis and transplant record and the MDT decision, where conventional renal records measured against published standards routinely fall short.

  • Time back in your day
  • Burnout & wellbeing

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).

A note for
every renal contact

    Patient memory

    The last clinic's bloods,
    before they sit down

    Ask what the biochemistry showed last time, the medication you changed or what the patient consented to, answered in seconds from their own record.

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

    Ask Note Dr, Tegwen Hollins
    What did we change for Tegwen last clinic, and what did she consent to?
    NNote Drfrom this patient's record
    At the clinic on 23 June, her eGFR had fallen from 38 to 32 with an ACR up at 58, so you up-titrated the ACE inhibitor and started an SGLT2 inhibitor, with bicarbonate for the acidosis. You gave sick-day rules, referred to the low-clearance clinic, and consent was recorded for the medication changes.
    Drawn from 3 documents across 2 visits
    Clinical references

    The standard,
    in the renal clinic

    When a presentation calls for it, Note Dr surfaces the published guidance nephrologists work to, from the KDIGO CKD and the UK Kidney Association guidelines to GMC Good Medical Practice and the AoMRC record standards, with the source shown. It never tells you how to treat your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptTegwen HollinsToday · 17:06
    04:12TegwenMy ankles are more swollen and I'm more tired. Is my kidney function getting worse?
    04:35NephrologistYour eGFR is down to 32 and the protein leak is up. Let's strengthen the kidney protection and recheck the potassium.
    NNote Dr

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

    Remind me of the GMC Good Medical Practice record-keeping standards
    What does KDIGO recommend for this stage of CKD and albuminuria?
    Show me the AoMRC headings for a clinic letter and discharge summary
    What is the NHS Standard Contract deadline for the clinic letter?
    Find the UK Kidney Association guidance on managing hyperkalaemia
    GuidelinesJournalsReferences

    The renal caseload,
    fully recorded

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

    ★★★★★

    My reasoning is on the page

    Dr Lochlann D, consultant nephrologist

    I read the bloods aloud in clinic and reason through the change. Now the eGFR trend, the potassium and why I altered the medication are all recorded, not summarised in one line afterwards. I edit and approve before the patient leaves.

    ★★★★★

    The clinic letter, same day

    Dr Femi A, transplant nephrologist

    The GP letter used to be the backlog I dreaded. Note Dr drafts it as I finish the consultation, with the diagnosis, the medication changes and the actions I need. The seven-day deadline stopped being a problem overnight.

    ★★★★★

    Dialysis records that match

    Dr Marit S, consultant nephrologist

    Across the dialysis unit the records used to vary by whoever wrote them. Now the prescription, the access, the fluid balance and the bloods are captured the same way every session, so the unit record finally reads as one story.

    ★★★★★

    Consent, on every plan

    Dr Hadiza S, renal physician

    Recording the sick-day rules and the consent for a medication change was the box that slipped when clinic overran. Now what I explained and what the patient agreed to is in every note, which is exactly where my exposure was.

    ★★★★★

    Calmest record review yet

    Dr Eveline H, clinical director of renal medicine

    Contemporaneous records across clinic, dialysis and the MDT, with the reasoning, consent and biochemistry on every contact. Our last record-keeping audit was the smoothest we have run, the notes already told the whole story.

    Rated 4.7 out of 5 by nephrologists 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 renal service, CKD clinics, dialysis reviews and transplant work-ups, every record now reads to the same standard, with the biochemistry, reasoning, consent and the clinic letter that used to lag when I was busy. My notes finally match the decisions I actually make.

    Dr Priyanka RConsultant nephrologist

    Nephrologist FAQs

    Will an AI scribe record eGFR and potassium results accurately?

    Note Dr captures the biochemistry you read aloud, the eGFR trend, the potassium and the ACR, straight into the draft note as you interpret it. Transcription happens on your device, so values come from what you actually said, not from memory afterwards. You check every figure and approve the note before it enters the record, so the biochemistry that stands is the one you verified.

    Can I use an AI scribe in an NHS renal clinic?

    Yes — Note Dr is designed for UK clinicians, with transcription on your device and every note reviewed and approved by you before it enters the record. There is no EHR integration to arrange, so it works alongside your renal unit's existing systems: you paste or export the approved note and clinic letter. As with any new tool, confirm your trust's information-governance requirements locally.

    Can an AI scribe track CKD progression between clinic visits?

    Note Dr keeps each patient's approved notes together, so you can ask what the last clinic showed, how the eGFR and ACR have moved, which medications you changed and what the patient consented to, and get the answer from their own record in seconds. You walk into the review already knowing the trajectory, and because you approved every source note, the history you rely on is the one you wrote.

    Does an AI scribe understand renal terminology?

    Note Dr drafts the note from the consultation itself, so renal language — albuminuria, dry weight, ultrafiltration, fistula surveillance, immunosuppression, sick-day rules — appears as you said it rather than being squeezed into a generic template. The draft follows your structure for each contact — CKD clinic, haemodialysis or transplant — and you review and approve every note.

    Can Note Dr draft my clinic letter to the GP?

    Yes. As you finish the consultation, Note Dr drafts a complete clinic letter to the GP with the diagnosis, the biochemistry, the medication changes and the actions you need, in the AoMRC structure. It is ready at the visit, so the seven-day deadline is met without a backlog. You review and approve before it sends.

    Can it capture dialysis and transplant records?

    Yes. Note Dr drafts the haemodialysis review, the prescription, access, fluid balance and inter-dialytic bloods, and the transplant work-up with candidacy, options and the listing decision. Each contact is recorded to the same structure across the renal unit. The clinical decisions stay entirely with you, and you approve every note before saving.

    How does Note Dr record consent for a renal plan?

    As you explain the risks, give the sick-day rules and the patient agrees, Note Dr captures the consent discussion in the note: what you explained, the medication change or procedure proposed and that the patient consented. It is recorded the moment you take consent, so the record reflects the conversation that actually happened.

    Records that keep up with the renal clinic

    Complete, watertight records for every contact, from the CKD clinic to the dialysis unit, reviewed and approved by you. The biochemistry, the reasoning, the consent and the clinic letter, finally handled.

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