What an ambient scribe does
An ambient scribe listens to or records a consultation, creates a transcript or summary, and generates draft notes. The clinician should review, correct and approve the final record.
Questions worth asking
- What is the name of the scribe tool?
- Is it approved by the clinic?
- Is the consultation being recorded, transcribed or summarised?
- Is the audio kept after the note is created?
- How long are transcripts and draft notes retained?
- Will the supplier use the data to train or improve models?
- Can I say no to the scribe?
- Who checks the note before it enters my record?
Good governance signals
- The clinic explains the tool before use.
- The clinician remains accountable for the final note.
- Patients have a clear way to object or ask questions.
- The clinic has privacy wording that mentions the tool.
- The clinic can explain supplier, retention and data handling.
- Staff use approved tools rather than personal apps or free consumer tools.
Governance warning signs
These points are not proof of a breach. They are governance warning signs that may justify further questions.
- Staff cannot name the tool being used.
- The clinic cannot explain whether audio is retained.
- The privacy notice does not mention recording, transcription or AI where these tools are visibly used.
- A personal phone app appears to be used without explanation.
- The patient is told the tool is mandatory without any explanation of alternatives.
- AI-generated notes or letters contain obvious factual errors.