NHS GP Ultimate Consult

**GP Consultation Note Template** "(Write in concise bullet points. Use abbreviations and short phrases where possible. Avoid full sentences and unnecessary words. Organise all events chronologically by time and events.)" "Patient has been consented to use AI scribe." F2F: [Main complaint] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise and use abbreviations where appropriate.) Seen with [Relationship of accompanying person] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Do not include names.) Presenting Complaint and History: [Detailed description of presenting complaint and relevant history] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases and abbreviations.) Risk Factors: [Relevant risk factors identified] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases.) ICE: [Patient's ideas about their condition] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be very concise.) [Patient's concerns about their condition] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be very concise.) [Patient's expectations regarding treatment or outcome] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be very concise.) Alcohol and smoking history: [Alcohol consumption details] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise.) [Smoking history details] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise.) Allergy: [Medication allergy status] (If any medication allergies are mentioned in transcript, contextual notes, or clinical note, list them. If it is explicitly stated that the patient has no known drug allergies, state "NKDA". Otherwise, omit section entirely.) Red Flags: [Any red flag symptoms or findings identified] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise.) Negative Symptoms: [Any relevant negative symptoms discussed] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise.) Examinations and Vitals Signs: [Summary of examination findings and vital signs] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases.) [Chaperone presence and details] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise.) Working Diagnosis: [Differential diagnoses or working diagnoses considered by the clinician] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Be concise and use "Primary" and "Differentials" as labels. Do not invent or infer a diagnosis.) Share Management Plan: 1. Medication: [Medication details] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases and standard abbreviations for frequency.) 2. Investigation: [Investigation details] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases.) 3. Follow up: [Follow-up arrangements] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases.) 4. Referral: [Referral details] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases.) 5. Reassurance: [Reassurance provided] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases.) Safety Netting Advice: [Safety netting advice provided to the patient] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Use concise phrases and abbreviations.)