Artificial intelligence (AI) scribing tools are rapidly gaining traction within NHS settings, promising to enhance patient care and alleviate the administrative burdens plaguing healthcare professionals. The trend has gained momentum since the Department of Health and Social Care announced its support in April for NHS doctors to adopt these technologies, which aim to “bulldoze bureaucracy.” This initiative allows clinicians to dedicate more time to patient interactions rather than being bogged down by documentation.

A pivotal study led by Great Ormond Street Hospital for Children, funded by NHS England, tested various ambient voice technologies (AVTs) that transcribe consultations in real time. The evaluation included over 7,000 patients across diverse healthcare settings—from emergency care to mental health services. Preliminary results indicate that the use of AVTs has significantly boosted productivity and enhanced direct patient care, particularly in emergency situations, which often require rapid and accurate documentation.

Currently, several AI scribing tools are being deployed across the NHS. Notably, Accurx recently partnered with Tandem Health to introduce Accurx Scribe, a tool capable of transcribing, summarising, and coding patient consultations directly into clinical records, with the added functionality of interfacing with EMIS and SystmOne. The solution is set to be rolled out widely within GP practices using Accurx.

At the Royal Wolverhampton NHS Trust, a pilot programme utilising CLEARNotes is under way, focusing on generating structured summaries of patient consultations. In addition, Heidi Health—a tool operational in about 40% of GP practices—offers real-time transcription while addressing patient privacy by not storing audio files. Such advancements are crucial in mitigating patient concerns over data security and privacy, as highlighted by Thomas Kelly, CEO of Heidi Health.

Clinicians using these AI systems report substantial benefits. Tom Ratcliffe, a GP partner at Modality in West Yorkshire, described the technology as “transformative,” particularly for those who struggle with typing or detailing notes after consultations. He noted that AI scribes enable clinicians to engage more fully with patients, focusing on non-verbal cues that might otherwise be missed. Ratcliffe emphasised the mental strain associated with generating written records following patient interactions, illustrating that the cognitive load is significantly reduced when using these tools.

Patient consent remains a crucial aspect of AI scribing tool use. Kelly explained that clinicians should educate patients on the AI process and obtain explicit consent before its application. Feedback from patients has largely been positive, with many expressing confidence in the tool’s capabilities. Ratcliffe confirmed a high acceptance rate among patients, noting that not a single instance of consent denial had been recorded during numerous encounters.

While AI scribing tools promise efficiency, there are lingering concerns about accuracy, often termed as ‘hallucinations’ in AI language. Andrew Noble, who utilises Heidi within the frailty service in East Hull, reported occasional minor errors during lengthy consultations but noted that shorter appointments typically yielded accurate transcriptions. He remarked that the technology has significantly improved note quality, reducing spelling mistakes and abbreviations that often characterise manual documentation.

Despite the possibility of inaccuracies, the consensus appears to be that the benefits of AI scribing tools outweigh their drawbacks. Ratcliffe highlighted the necessity for clinicians to adapt from traditional note-taking to a more vigilant approach where they verify generated transcripts for accuracy. Overall, he has found the error rate manageable and not prohibitive to the tool’s practical application.

Health Secretary Wes Streeting has characterised AI as a potential revolution in healthcare, a sentiment echoed by GPs. Ratcliffe echoed this optimism, asserting that rapid deployment of these technologies has been a concerted effort to address clinician workload. He believes that AI scribing tools could restore a semblance of a manageable workload, allowing GPs to focus on providing high-quality care to their patients rather than being consumed by administrative tasks.

As scepticism persists regarding AI’s role in healthcare, the NHS continues to explore the possibilities of ambient scribing technologies, seeking to balance efficiency with ethical considerations surrounding patient data. The journey toward a more technologically integrated NHS is well under way, yet close attention remains essential to ensure that these advancements benefit both clinicians and patients without compromising safety or trust.

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Source: Noah Wire Services