Trusted from independent practice to national hospital groups
The Montgomery consent and the operation note with every implant logged, Note Dr writes the orthopaedic record, implant to discharge, ready to approve.
Get Note Dr free→Trusted from independent practice to national hospital groups
Note Dr listens to the appointment as it happens. While you examine the knee, weigh the alternatives and talk the patient through the material risks, it writes the record in the background, so someone deciding on a joint replacement gets you, not the top of your head over a keyboard.
Montgomery consent, in their own words
The material risks you discussed and the reasonable alternatives, tailored to what mattered to this patient, captured the moment you take consent, where audits show specific risks are recorded barely half the time.
The operation note that audits ask for
Findings, complications, implant serial numbers, estimated blood loss, antibiotic and VTE prophylaxis and closure, the narrative fields most often dropped, documented contemporaneously so the note matches the procedure.
Implants traceable, outcomes recorded
Every component logged by make, size and serial number, ready for the registry, with the outcome measures and follow-up that close the loop from theatre to discharge.
A reviewed Note Dr record captures more of what a record needs to stand up to scrutiny in orthopaedics, the Montgomery consent, the complete operation note and the continuity to discharge, 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 the knee examination showed, exactly which risks were consented to, or which implants went in, answered in seconds from the patient's own record.
Walk into theatre 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, the consent standard set by Montgomery, the WHO Surgical Safety Checklist and the AoMRC and PRSB record-structure standards, with the source cited. It never tells you how to treat your patient; that judgement stays with you.
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Why orthopaedic surgeons trust Note Dr with a record that stands up to scrutiny.
★★★★★
Implant numbers, never chased again
Every component goes in by make, size and serial number, captured as I implant it and ready for the registry. The bit of the operation note I used to chase from the scrub team is simply there, and the traceability is complete before I leave theatre.
★★★★★
Montgomery consent, in their words
The material risks I discuss and tailor to each patient are logged in their own context, infection, clot, stiffness, revision. For consent after Montgomery, that specific discussion is exactly what gets questioned, and now it is always there in black and white.
★★★★★
The narrative fields stop going missing
Complications, blood loss, the antibiotic and VTE prophylaxis, the fields audits always flag as dropped. Note Dr captures them as I work, so the operation note is the most complete it has ever been against the Good Surgical Practice standard.
★★★★★
Hands stay on the patient
Someone deciding on a joint replacement does not want me typing. Now I examine, weigh the options and explain the risks, and the clinic note is still written. It has genuinely changed how my pre-operative clinics feel.
★★★★★
Calmest case review we've had
Consent, the operation note, the ward rounds and the outcome measures, complete on every case across the firm. Our last record-keeping review 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 Montgomery consent, the operation note with the implants and the prophylaxis, the ward rounds and the outcome at follow-up, 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 Cordelia AConsultant orthopaedic surgeon
Note Dr transcribes the consultation on your own device, so the audio is not sent away to be turned into text. The AI drafts the note, and you review and approve every word before it is saved. Nothing enters the record without your sign-off, and you choose what is exported into the operation note, the clinic letter or your hospital system.
Yes. Note Dr drafts across the whole pathway: the fracture-clinic and pre-operative assessment, the Montgomery consent, the operation note with implants and prophylaxis, the post-operative ward round and the discharge summary. It follows your own templates for each setting, whether the case is trauma or elective, and you review and approve every note before it is saved.
Note Dr does not plug into your EPR by design. It drafts the note, you review and approve it, and then you paste or export the finished record into your hospital EPR, an operative-note system, a clinic letter or the National Joint Registry entry. Keeping it separate means it works the same across NHS and private lists without an integration project.
Yes. As you operate, it drafts the full operation note: findings, complications, any extra procedure, tissue removed or added, implant serial numbers, estimated blood loss, antibiotic and VTE prophylaxis, closure and post-operative instructions. Dictated after the list, it is this detail that slips once the next joint is on the table. You review, sign and approve before it is saved.
Record the material risks discussed, infection, venous thromboembolism, stiffness, neurovascular injury and revision, the reasonable alternatives, and how the discussion was tailored to what mattered to the patient. These are the elements most often missing from a consent record. Note Dr logs each point in the patient's own context as you take consent.
Yes. As each component is implanted, Note Dr captures its make, size, lot and serial number, ready for the operation note, the National Joint Registry and the patient's implant record. The traceability that GSP requires is recorded contemporaneously, not chased from the scrub team after the list.
Yes. Note Dr records the WHO Surgical Safety Checklist completion, the antibiotic and VTE prophylaxis given, and each ward round: recovery, the wound and neurovascular check, prophylaxis continued and mobilisation. The contemporaneous trail carries from theatre to discharge, structured to your own template.