The AI scribe for advanced nurse practitioners

The autonomous consultation record

Your working diagnosis, the differentials you ruled out and what you prescribed, Note Dr writes the full record for the patients you manage autonomously.

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Trusted from single-handed practices to multi-site groups

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See it in action

From autonomous assessment to approved record

Note Dr listens to the consultation as it happens. While you take the history, examine, reason toward a diagnosis aloud and safety-net, 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 assessment and the
safety-net, on record

  • Working diagnosis and the differentials weighed

    The diagnosis you reached and the alternatives you considered and ruled out, with the negative findings that excluded them, captured as you reason aloud, not reconstructed after the patient has left.

  • Safety-netting written down, not just spoken

    The specific advice you gave, the red flags to watch for and when to seek help, recorded the moment you say it, closing the gap where spoken safety-netting reaches the note in only about a third of consultations.

  • The prescribing decision, fully recorded

    The drug, the indication, the allergy check and the reasoning behind the choice, documented at the point of prescribing, so the decision you made as an independent prescriber stands on its own in the record.

Document the tonsillitis consultation plan

Plan, acute tonsillitis

Working diagnosis recordedAcute bacterial tonsillitis, FeverPAIN 4
Differentials excludedQuinsy and glandular fever, with negatives
Safety-net documentedRed flags and when to return, written down

As thorough as your triage

A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny, the working diagnosis, the differentials and negatives, the prescription and the safety-netting, where conventional primary-care records measured against published standards routinely fall short.

  • Attention on the patient
  • Time back in your day

Standards and evidence referenced: GMC Good Medical Practice (2024) and the NMC Code (2018), with safety-netting documentation studies (Edwards et al, British Journal of General Practice, 2021) and the NHS Resolution review of GP cancer-delay claims (2025).

A note for
every appointment

    Patient memory

    What you found last time,
    before they sit down

    Ask what you diagnosed, what you prescribed or the safety-netting you gave, answered in seconds from the patient's own record.

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

    Ask Note Dr, Cefin Polkinghorne
    What did I diagnose for Cefin, and what did I safety-net?
    NNote Drfrom this patient's record
    At the same-day appointment on 23 June, you assessed Cefin autonomously and recorded a working diagnosis of acute bacterial tonsillitis, FeverPAIN 4, with quinsy and glandular fever excluded on the negatives. You prescribed phenoxymethylpenicillin after checking for allergy, and safety-netted for breathing or swallowing difficulty, drooling and worsening.
    Drawn from 2 documents across 1 visit
    Clinical references

    The standard,
    in the room

    When a presentation calls for it, Note Dr surfaces the published guidance advanced nurse practitioners work to, from the NMC Code and the PRSB record-keeping standards to NICE guidance on sore throat and on suspected cancer safety-netting, with the source shown. It never tells you how to manage your patient; that judgement stays with you.

    app.notedr.com
    Appointment TranscriptCefin PolkinghorneToday · 17:06
    01:42CefinMy throat's been awful for three days, really painful to swallow, and I've been shivery.
    02:09ANPExudate on both tonsils, tender nodes, temperature 38.1, no trismus. That's a FeverPAIN of four, so I'll treat it.
    NNote Dr

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

    Remind me of the NMC Code Section 10 record-keeping standards
    What does NICE recommend for sore throat and FeverPAIN scoring?
    Show me the NICE NG12 safety-netting advice for suspected cancer
    What does the RCN say about documenting independent prescribing?
    Find the PRSB standard for structuring a consultation record
    GuidelinesJournalsReferences

    ANP records,
    sorted

    Why advanced nurse practitioners trust Note Dr with a record that stands up to scrutiny.

    ★★★★★

    My reasoning is finally on record

    Wynne C, advanced nurse practitioner

    I always worked through the differentials in my head, but the negatives that ruled them out rarely reached the note. Now the working diagnosis and why I excluded the serious things is right there. I edit and approve in under a minute.

    ★★★★★

    Safety-netting never gets skipped

    Iolo P, advanced nurse practitioner

    Safety-netting was the bit I always said and rarely had time to type. Note Dr writes exactly what I told the patient and when to come back, on every consultation. That was my single biggest gap, and now it is closed.

    ★★★★★

    My prescribing decisions stand up

    Maeve T, advanced nurse practitioner

    As an independent prescriber I need the drug, the indication, the allergy check and my reasoning in the note. Note Dr captures all of it as I prescribe, so each decision I make in my own right is fully documented, not implied.

    ★★★★★

    Phone consultations, properly recorded

    Senara K, advanced clinical practitioner

    Remote calls were where my notes were thinnest. Note Dr records why they called, what I could not assess by phone and who owns the next step. Given how often remote records come up in claims, that reassures me enormously.

    ★★★★★

    Calmest record review we've had

    Loveday R, lead advanced nurse practitioner

    Contemporaneous, complete notes across the whole team, with the reasoning and the safety-net on every consultation. Our last record-keeping review against the NMC standards was the smoothest we have run, the notes already told the story.

    Rated 4.7 out of 5 by advanced nurse practitioners 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 list, same-day appointments, phone triage and chronic-disease reviews, every record now reads to the same standard, with the working diagnosis, the differentials, the prescription and the safety-netting that used to vanish when clinic ran late. My notes finally match the autonomous care I actually give.

    Kerensa HAdvanced nurse practitioner

    ANP FAQs

    Can advanced nurse practitioners use an AI scribe in the UK?

    Yes — advanced nurse practitioners can use an AI scribe for the consultations they manage autonomously, provided the record remains their own. Note Dr drafts the note as you consult — history, examination, working diagnosis, prescribing and safety-netting — and you review and approve it before saving. The assessment, the prescribing decision and the clinical judgement stay yours.

    Do I need to tell patients I'm using an AI scribe?

    Yes — tell the patient at the start that an AI scribe will draft the note, whether in the room or on a telephone triage call, and give them the chance to decline. Note Dr is built for that conversation: nothing is captured until you choose to start, and if the patient objects you simply document as you did before. Whatever is drafted, you review and approve the final record.

    Who is accountable for an AI-generated clinical note?

    The clinician who approves it — for an ANP, accountability for the record sits with you as the registrant, exactly as it does for a typed note. Note Dr drafts the consultation record; you check the working diagnosis, the prescription and the safety-netting read as intended, correct anything that does not, and approve. The note is yours, produced with help but owned by you.

    Can an AI scribe document telephone triage?

    Yes — Note Dr documents telephone triage as readily as face-to-face consultations. The draft records why they called, the history taken, what you could not assess remotely, the disposition and the safety-netting, with the mode of contact noted. Remote contacts are where ANP records are thinnest, so the draft makes those limits explicit, and you review and approve before filing.

    Does Note Dr document my autonomous assessment and working diagnosis?

    Yes. As you take the history, examine and reason toward a diagnosis aloud, Note Dr records your assessment and the working diagnosis you reach managing the patient in your own right. The clinical reasoning is captured at the time, not reconstructed from memory, and you review and approve before it is saved.

    Can it capture the differentials I considered and the negative findings?

    Yes. As you weigh alternatives and rule them out, Note Dr records the differentials you considered and the negative findings that excluded them, such as no red flags or a normal examination. These are the elements records most often miss, and they are exactly what defends an autonomous decision later.

    How does it record my independent prescribing decisions?

    As you prescribe, Note Dr captures the drug, the dose, the indication, the allergy check and the reasoning behind your choice. The decision you make as an independent prescriber is documented at the point of care. You review and approve the record before it reaches the patient notes.

    Records that keep up with your triage list

    Complete, defensible records for every patient you assess and manage in your own right, same-day appointments, phone triage and reviews, approved by you. The diagnosis, the differentials, the prescription and the safety-netting, finally handled.

    Get Note Dr free

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