Trusted from independent practice to national hospital groups
The material risks you disclosed, the neuromonitoring and the operation note in full, Note Dr writes the neurosurgical record, 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 read the imaging and talk the patient through the risks and the alternatives, it writes the record in the background, so someone weighing up brain surgery gets you, not the top of your head over a keyboard.
Material risk disclosure, on record
The specific risks of weakness, dysphasia, seizures and haemorrhage, and the reasonable alternatives you set out, captured in the patient's own context the moment you take consent, as Montgomery requires.
The operation note, RCS-complete
Findings, complications, any extra procedure and why, tissue removed, implant serial numbers, closure, estimated blood loss and prophylaxis, the narrative fields audits show drop first, documented as you operate.
Complications and candour, captured
An intra-operative event, what was done about it and what you then told the patient and family, recorded contemporaneously to support an open, honest account under the duty of candour.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in neurosurgery, the material risks consented under Montgomery and the RCS operation-note fields that audits show drop first, complications, blood loss, implants and prophylaxis, where 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 the imaging showed, which material risks were consented, or what happened in theatre, answered in seconds from the patient's 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, the consent standard set by Montgomery, the WHO Surgical Safety Checklist and the SBNS standards for neurosurgical practice, 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 neurosurgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Material risk, named every time
Weakness, dysphasia, seizures, haemorrhage, every material risk I name is captured in the patient's own context, with the alternatives I offered. Since Montgomery the consent discussion is everything, and now it is always there in writing, exactly as we discussed it.
★★★★★
The operation note is finally complete
Complications, blood loss, the fixation plate serial numbers, the prophylaxis, the fields that always slipped when I dictated from memory are captured as I operate. The RCS elements are all there, and the note is finished before I leave theatre.
★★★★★
Patients facing brain surgery get me
Someone weighing up a craniotomy does not want me typing. Now I read the scan, explain the risks and the alternatives and reassure, and the clinic note still writes itself. It has changed how my pre-operative clinics feel.
★★★★★
Candour, documented as it happened
When something happens in theatre, the event, what I did and what I then told the patient and family is all recorded contemporaneously. For an open, honest account under the duty of candour, having it in black and white the same day matters.
★★★★★
The thread holds to discharge
Consent, the operation note, the ward rounds and the discharge all read as one story now, across the whole team. Our last record-keeping review against the College standard was the calmest we have run, the notes already told the whole case.
Every recording and record is protected by strong, independently assessed security and encryption.
★★★★★
My records have never been this thorough: the material risks consented under Montgomery, the operation note with its complications, implants and blood loss, and the follow-up against the goal of surgery. 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 BConsultant neurosurgeon
Yes. It drafts the full Good Surgical Practice operation note as you work: the findings, complications, any extra procedure and why, tissue removed, implant serial numbers, closure, estimated blood loss, antibiotic and VTE prophylaxis and post-operative instructions, the detail easily lost after a long case spent protecting function, structured to your template for you to approve.
Yes — Note Dr drafts the clinic letter during the consultation itself, so it is ready for your review when the patient leaves rather than joining a dictation queue. The history, the imaging discussed, the options offered and the plan are set out in your format, and the letter goes nowhere until you have reviewed and approved it.
Note Dr is built for clinical vocabulary, so the working language of a neurosurgical clinic, from craniotomy and laminectomy to dysphasia, hydrocephalus and CSF leak, is recognised and carried into the draft. The draft is only ever a draft: you review and approve every note before it enters the record, so anything misheard is corrected in seconds and the final record is always yours.
Note Dr works alongside any electronic patient record rather than plugging into it. You copy or export the approved note, operation note or clinic letter straight into whichever EPR your trust or private clinic uses. That is by design: there is no integration project and nothing to install into hospital systems, so a neurosurgeon can start with the next clinic, not the next IT committee.
Record each material risk named individually, weakness, dysphasia, seizures, haemorrhage, infection and CSF leak, the reasonable alternatives such as biopsy or surveillance, and the patient's decision. Note Dr captures the key points of the discussion in their own context as you take consent, the contemporaneous record Montgomery and RCS Good Surgical Practice expect.
Yes. As you describe cortical and subcortical mapping, the motor or language boundaries identified and how they shaped the resection, Note Dr records the monitoring findings within the operation note. The functional limits you worked to and the patient's responses are documented contemporaneously, not reconstructed afterwards.
When an intra-operative event occurs, Note Dr captures what happened, what you did about it and what you then told the patient and family. Recording the event and the disclosure together, the same day, supports an open and honest account in line with the duty of candour and GMC Good Medical Practice.