The neurological examination, the localisation you reasoned and the investigation you chose, Note Dr writes the full, audit-ready record, ready to approve.
Get Note Dr free→Trusted from private rooms to teaching hospitals
Note Dr listens as the consultation happens. While you take the history, examine and reason toward a localisation aloud, it writes the record in the background, so your hands stay free and your eyes stay off the keyboard.
The neurological examination, in full
Cranial nerves, tone, power, reflexes, sensation, coordination and gait, the findings that localise the lesion, captured as you call them out, not abbreviated to NAD after a busy clinic.
Investigation reasoning, captured
Why you requested the MRI, EEG or lumbar puncture, or chose not to, recorded as you reason it aloud, the line you can point to if a diagnosis is later questioned.
Medication and the safety-net
The drug you started, the counselling you gave and the red-flag advice and follow-up you set, the contemporaneous trail that shows the patient was warned and brought back.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the history, the neurological examination, your localisation and reasoning, the investigations and their rationale, the medication and the follow-up, where conventional neurology 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 found on examination last time, the differential you reached or the investigations you arranged, answered in seconds from the patient's own record.
Walk into the review already knowing the story, without trawling the notes.
When a presentation calls for it, Note Dr surfaces the published guidance neurologists work to, from GMC Good Medical Practice and the RCP record-keeping standards to NICE epilepsy, headache and suspected stroke guidance and the relevant ABN guidelines, 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 neurologists trust Note Dr with a record that stands up to scrutiny.
★★★★★
The examination is finally on record
I used to compress a full neurological examination into a couple of abbreviations when clinic ran late. Now the cranial nerves, the power, the reflexes and the gait are all there, in the same structure every time. I edit and approve in under a minute.
★★★★★
My investigation reasoning is captured
Why I imaged, or chose not to, is exactly where a neurology record gets challenged. Note Dr captures the question I was asking and the alternatives I weighed as I reason aloud. If a diagnosis is ever queried, the rationale is already on the page.
★★★★★
Clinic letters out on time
The letter is the record for the GP and the patient. Note Dr drafts it with the diagnosis, the medication changes and the follow-up clear, so it goes out within the seven days the contract expects, not three weeks later from a backlog.
★★★★★
Safety-netting on every note
Thunderclap headache, a new deficit, a further seizure: the red-flag advice used to live in my head. Now what I warned the patient about and the follow-up I set is documented every time, which is precisely where my exposure was.
★★★★★
Calmest record review we've run
Contemporaneous records across the whole team, with the examination, the investigation reasoning and the plan on every contact. Our last record-keeping audit against the RCP standards was the smoothest we have had, the notes already told the whole story.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
Across a full clinic, new referrals, follow-ups and ward reviews, every record now reads to the same standard, with the neurological examination, the localisation, the investigation reasoning and the follow-up that used to get abbreviated when I was busy. My notes finally match the work I actually do.
Dr Imelda FClinical director of neurology
Yes. As you call out cranial nerves, tone, power, reflexes, sensation, coordination and gait, Note Dr records the examination by system, including the normal findings that localise a lesion. The examination is captured contemporaneously and in full, not abbreviated to NAD after a busy clinic.
Yes. Note Dr listens for the whole consultation, however long a new-patient neurology appointment runs. The full history, the examination as you call it out, the localisation you reason aloud and the plan are all drafted into one structured record, with nothing lost between the start of the history and the final safety-net. You review and approve the note before it enters the record.
Yes. Note Dr distinguishes who is speaking, so a witness account of a seizure or a relative's description of cognitive change is drafted into the history as collateral, separate from the patient's own account. That matters in first-seizure and memory clinics, where the collateral history often carries the diagnosis. You review the draft and approve what enters the record.
Yes. When you advise a patient not to drive after a seizure or a diagnosis that affects driving, Note Dr records the advice as you give it, so the record shows what was said and when. DVLA driving advice after a first seizure is among the most scrutinised lines in a neurology record, and it is captured contemporaneously rather than reconstructed later. You review and approve every note.
Yes. When you state a score aloud, an NIHSS on the acute stroke take, an EDSS in the multiple sclerosis clinic or a UPDRS in the movement-disorder clinic, Note Dr writes it into the draft alongside the examination findings that produced it. The score sits in context rather than in a separate box, and you review and approve the note before it enters the record.
Yes. From the consultation Note Dr drafts the clinic letter with the reason for referral, history, neurological examination, your impression and the plan, structured to the AoMRC headings. It is ready to send to the GP within the seven days the NHS Standard Contract expects. You review and approve before it goes out.
As you decide on an MRI, EEG or lumbar puncture and reason it aloud, Note Dr records the indication, the question you are asking and the alternatives you weighed. This investigation reasoning is the line that defends the record if a diagnosis is later questioned. The clinical decision stays entirely with you.