For patients

Ambient AI Scribes: What Patients Should Know

Ambient AI scribes can record or transcribe a consultation and produce a draft clinical note for the clinician to review. They may improve documentation and reduce admin burden, but patients should be told when they are being used and how their information is handled.

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.

See the patient AI checklist