Trusted from independent practice to national hospital groups
From the consent conversation to the discharge letter, Note Dr writes the whole surgical record, the RCS operation note and the candour, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the consultation as it happens. While you examine, weigh the options and talk the patient through the risks, it writes the record in the background, so someone facing an operation gets you, not the top of your head over a keyboard.
The consent discussion, after Montgomery
The material risks you named and the reasonable alternatives you offered, captured in the patient's own context as you talk it through, the disclosure the law now expects.
An operation note against every RCS element
Findings, complications, any extra procedure and why, tissue and implants, closure and blood loss, the narrative fields audits show are dropped first, prompted and on record.
Complications and the duty of candour
When something does not go to plan, what happened and what you told the patient afterwards, documented at the time, so the candour conversation is part of the record.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in surgery, the consent discussion, the operation note in full and the candour when it matters, where published standards and audits show conventional records routinely fall short.
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 clinic, exactly which risks the patient consented to, or what was said after the operation, answered in seconds from their own record.
Walk onto the ward 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, GMC Good Medical Practice and the duty of candour, consent guidance after Montgomery 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 general surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Consent, named risk by named risk
Bleeding, infection, bile leak, duct injury, conversion, every material risk I name is captured in the patient's own context without me thinking about it. After Montgomery, that consent discussion is exactly where my exposure sits, and now it's always there in black and white.
★★★★★
The operation note is finally complete
Findings, any complication, blood loss, the prophylaxis, the closure, the narrative fields that always got dropped are prompted and on record. It maps to the RCS elements without me chasing a proforma, and it's finished before the patient leaves recovery.
★★★★★
Candour, documented at the time
When something doesn't go to plan, what happened and what I told the patient afterwards is captured straight away. Having the candour conversation in the record, dated and in my words, is the thing I never managed reliably before.
★★★★★
Hands free in pre-op clinic
Someone weighing up an operation doesn't want me typing. Now I examine, set out the options, go through the risks and reassure, and the clinic note is still written. It has genuinely changed how my consent clinics feel.
★★★★★
The smoothest case review yet
Consent, the operation note, the ward rounds and the discharge summary, complete on every case across the firm. Our last documentation review was the calmest we've run, the record 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 complete: the consent discussion after Montgomery, an operation note against every RCS element, the complications and the candour, the discharge letter the GP can act on. For the first time I'd let the full file on any case I've done speak for itself.
Mr Garrick PConsultant general surgeon
Yes. As you operate, Note Dr drafts the operation note covering the RCS elements: the findings, any complication, extra procedures and why, tissue removed, implant details, closure technique, estimated blood loss, antibiotic and DVT prophylaxis and the post-operative instructions. It prompts the narrative fields that are easiest to lose when writing up later.
Yes — Note Dr can listen as you operate or as you dictate the case immediately afterwards, and drafts the operation note against the RCS Good Surgical Practice elements: findings, complications, tissue removed, closure and post-operative instructions. Theatre audio includes the whole team, so you review the draft, correct anything attributed wrongly and approve it before it enters the record.
As you set out the operation, Note Dr captures the material risks you name and the reasonable alternatives you discuss, in the patient's own context, the disclosure Montgomery requires. It records the benefits, the option to decline and the patient's decision contemporaneously, so the consent conversation is on record rather than reconstructed afterwards.
Yes — Note Dr drafts the clinic letter from the consultation itself, so there is no dictation-and-typing cycle afterwards. The letter carries the diagnosis, the options discussed, the consent conversation and the plan, addressed to the GP or referrer. You review and approve it, then paste or export it into your practice system — Note Dr works alongside any system without integration.
Dictation means telling the whole story again after the patient has left. An AI scribe listens to the consultation itself — the history, the examination findings, the risks you name in the consent discussion — and drafts the note or letter while you work. With Note Dr the draft is ready when the patient leaves, and you review and approve it before it goes anywhere.
Note Dr is built for clinical language, so operative vocabulary is captured as you say it: Calot's triangle, the critical view of safety, anastomosis, adhesiolysis, port-site closure. Where a term is ambiguous on the audio, the draft shows what was heard so you can correct it in seconds — nothing is filed until you have reviewed and approved the note.
When something does not go to plan, Note Dr documents the complication, how it was managed and what you told the patient afterwards, at the time it happens. The duty-of-candour conversation is captured in your own words, dated and part of the record, so disclosure is documented as GMC guidance expects.