The AI scribe for neurologists

The neurology record, clinic to diagnosis

The neurological examination, the localisation you reasoned and the investigation you chose, Note Dr writes the full, audit-ready record, ready to approve.

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From the clinic to an approved record

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.

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Built for scrutiny

The localisation and the
reasoning, on record

  • 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.

Document the migraine-with-aura plan

New patient, recurrent aura

Examination recordedCranial nerves and limbs normal, no deficit
Investigation reasonedMRI with MRA, family history of aneurysm
Safety-net givenThunderclap headache and new deficit advice

As thorough as your neuro exam

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.

  • 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 neurology contact

    Patient memory

    The last clinic findings,
    before they sit down

    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.

    Ask Note Dr, Wenna Caldicott
    What was the impression for Wenna, and what did we arrange?
    NNote Drfrom this patient's record
    At the clinic on 9 June, the examination was normal with no focal deficit, and you diagnosed migraine with aura, considering TIA and a structural cause less likely. You requested an MRI brain with MRA given the maternal aneurysm, started a preventer, and safety-netted for thunderclap headache and any new deficit.
    Drawn from 3 documents across 2 visits
    Clinical references

    The standard,
    in the neurology clinic

    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.

    app.notedr.com
    Appointment TranscriptWenna CaldicottToday · 17:06
    02:14WennaThe numbness spreads up my arm over a few minutes, then I get the headache. My mother had an aneurysm.
    02:48NeurologistExamination is normal between attacks. The march then headache points to aura, but I'll image you given the family history.
    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 NICE recommend after a first unprovoked seizure?
    Show me the NICE guidance on headache diagnosis and management
    When is imaging indicated in suspected TIA versus migraine aura?
    Find the ABN guidance relevant to this presentation
    GuidelinesJournalsReferences

    The clinic's record,
    diagnosis-ready

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

    ★★★★★

    The examination is finally on record

    Dr Aurelio B, neurology registrar

    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

    Dr Ingrid V, consultant neurologist

    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

    Dr Marisol T, stroke and general neurology consultant

    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

    Dr Lennart M, neurology clinical lead

    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

    Dr Eamonn Q, consultant neurologist

    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.

    Rated 4.7 out of 5 by neurologists 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 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

    Neurologist FAQs

    Does it document the full neurological examination?

    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.

    Does an AI scribe work for long neurology consultations?

    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.

    Can an AI scribe capture a collateral history?

    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.

    Can an AI scribe record driving advice after a seizure?

    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.

    Can an AI scribe record NIHSS, EDSS or UPDRS scores?

    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.

    Can Note Dr draft a neurology clinic letter?

    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.

    How does Note Dr capture my reasoning for imaging, EEG or a lumbar puncture?

    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.

    Records that keep up with the neuro clinic

    Complete, thorough records for every neurology contact, from new referral to ward review, reviewed and approved by you. The examination, the investigation reasoning, the medication and the follow-up, finally handled.

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