Trusted from independent practice to national hospital groups
The consent you took, the operation note in full and the candour, Note Dr writes the whole ENT record from clinic to discharge, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the clinic as it happens. While you examine the throat, weigh up the operation and talk a patient through the material risks, it writes the consent record in the background, so someone facing surgery gets you, not the top of your head over a keyboard.
Material risks, in the patient's own words
Post-tonsillectomy bleeding, the return-to-theatre risk and the reasonable alternative, the Montgomery material risks, captured in the patient's own context as you take consent, not reconstructed later.
An operation note that meets the standard
Findings, complications, any extra procedure and why, tissue removed, haemostasis, estimated blood loss and prophylaxis, the RCS narrative fields audits show go missing, drafted as you operate.
Complications and candour on record
An intra-operative bleed, an unplanned return to theatre or an unexpected finding, documented contemporaneously, with the duty-of-candour conversation logged exactly as it happened.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in ENT surgery, the material-risk consent and the operation note in full, where published standards and audits show conventional records routinely drop the narrative and medicolegal fields.
Standards and audits referenced: RCS England Good Surgical Practice (2025), Montgomery v Lanarkshire Health Board (2015), GMC Good Medical Practice (2024), with operation-note and consent audits (Singh et al, 2012; Tonge et al, 2021).
Ask what was found at the consent clinic, exactly which risks were discussed, or what the patient consented to, answered in seconds from their own record.
Walk onto the list already knowing the story, without trawling the notes.
When a case calls for it, Note Dr surfaces the published guidance behind your decisions, RCS England Good Surgical Practice on the operation note, the GMC and Montgomery guidance on consent and material risk, ENT UK and the National Tonsil Surgery Audit, and the WHO Surgical Safety Checklist, with the source cited. 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 ENT surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Consent that reads the way I said it
The bleeding risk, the return-to-theatre figure, the alternative of riding it out on antibiotics, it is all captured in the patient's own context as I take consent. Since Montgomery that discussion is everything, and now it is in the record in black and white, not reconstructed from memory.
★★★★★
The operation note finally complete
Findings, complications, haemostasis, blood loss, the prophylaxis, the fields audits always pull me up on are there as I operate. The note meets the RCS standard before the patient leaves recovery, and it is the most complete it has ever been.
★★★★★
Paediatric consent, parents on record
For a child's adenotonsillectomy it captures who held parental responsibility, what I explained to them and what they agreed to. The whole consent conversation with the parent is documented exactly as it happened, which is precisely where my exposure sits.
★★★★★
Candour logged when it counts
When there is a complication, an unexpected bleed or a return to theatre, the open conversation with the patient is logged at the time. The duty-of-candour discussion is on record, and I am not trying to remember the wording weeks later.
★★★★★
Calmest case review we have run
Consent, the operation note and the discharge complete on every case across the team. Our last review against Good Surgical Practice was the smoothest we have run, the notes already told the whole story from consent to discharge.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this thorough: the material-risk consent, the operation note with every element the RCS expects, the complications and the discharge, the lot. For the first time I would hand a court the full file on any case I have done and trust it to speak for itself.
Miss Carys HConsultant ENT surgeon
Yes — Note Dr drafts the ENT clinic letter as you consult, covering the history, the flexible nasendoscopy or otoscopy findings, your impression and the plan, addressed to the GP in your own style. You review and approve every letter before it goes anywhere, so nothing waits in a dictation backlog. Works for new referrals and follow-ups alike.
Note Dr is built for the working vocabulary of an ENT clinic: flexible nasendoscopy, cholesteatoma, grommets, adenotonsillectomy, FESS and tympanometry, written into the draft the way you said them. You review and approve every note before it reaches the record, so anything misheard is corrected on sight and the final wording is always yours.
Yes — Note Dr fits private ENT practice as well as NHS clinics, because transcription happens on-device and the finished document is pasted or exported into whatever practice software your rooms already run. There is no EHR integration by design. The drafted clinic letter, procedure note or report is reviewed and approved by you before it goes to the patient's file or their GP.
Narrate the examination as you would to a registrar — cords mobile, no glottic lesion, post-nasal space clear — and Note Dr writes the findings into the examination section of the note or clinic letter as a structured narrative. The same applies to otoscopy and microsuction findings. You review the draft against what you actually saw and approve it before it enters the record.
Yes. It drafts the operation note as you work: the team, findings, the procedure, complications, any extra step and why, tissue sent, haemostasis, estimated blood loss, prophylaxis and post-operative instructions, the elements RCS Good Surgical Practice expects. The note is ready before the patient leaves recovery, structured to your template for you to approve.
As you discuss the procedure, Note Dr captures the material risks you name, such as post-tonsillectomy bleeding and the return-to-theatre risk, and the reasonable alternatives, in the patient's own context. It documents the key points of the discussion contemporaneously, the contemporaneous record Montgomery and the GMC expect. You review and approve.
Yes. An intra-operative bleed, an unplanned return to theatre or an unexpected finding is recorded in the operation note as it happens. When something goes wrong, the open conversation you have with the patient is logged at the time, so your duty-of-candour discussion is on record, in your own words, not reconstructed later.