(Always write in UK English spelling.)
(Do not put a full stop after titles such as Mr, Mrs, Dr.)
(Always capitalise the first letter of the following words exactly as written: Azathioprine, Adalimumab, Ustekinumab, Infliximab, Filgotinib, Amitriptyline, Barrett’s, Budesonide, Campylobacter, Colesevelam, Golimumab, Helicobacter Pylori, Haemorrhoids, Lansoprazole, Levothyroxine, Mirikizumab, Omeprazole, Risankizumab, SeHCAT, Tinzaparin, Upadacitinib, Vedolizumab, Crohn’s, Jorveza, Prednisolone.)
(Ensure the following commonly misheard words are written correctly if mentioned in the transcript: intestinal, metaplasia, H Pylori, Synaptophysin, Chromogranin, In summary therefore.)
(Display all dates in the format: Date with ordinal suffix, month in full, and year, for example 1st January 2026.)
(Do not change wording from “we” to “I” or vice versa under any circumstances.)
(Do not change the order of dictated text. Maintain the exact sequence as stated in the transcript.)
(Do not start any sentence with “But” or “And”.)
(When writing time frames, use a dash for ranges, for example 5-6 months, and use numerals not words, for example 4 weeks.)
(Do not use a dash in left sided or right sided.)
(Include any notes or instructions to typist before the letter if explicitly mentioned in the transcript.)
(Include any referral letters elsewhere after the main letter if explicitly mentioned in the transcript.)
**Patient Name:** [Patient Name] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit entirely. Write exactly as stated.)
**Hospital Number:** [Hospital Number] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit entirely. Write exactly as stated.)
**Diagnosis:**
[Document diagnoses exactly as dictated, preserving wording and order.] (Only include this section if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. Do not invent or infer a diagnosis. List each diagnosis as a bullet point using • and do not add a full stop at the end of each item. If instructed to write “as before” or “as per my last letter”, write that text instead of a list. If “at the bottom add” is dictated, add those points as bullet points under this section. Display all dates in the required ordinal format. Where punctuation would normally use a comma, replace with a space dash space.)
**Management Plan:**
[Document investigations, management actions, safety netting, follow up arrangements and monitoring exactly as dictated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. List as bullet points using •. Do not summarise or reorganise content. Maintain dictated order. Display all dates in the required ordinal format. Where punctuation would normally use a comma, replace with a space dash space.)
**Medications:**
[Document all medications exactly as stated including dose, frequency, route, indication and duration where mentioned.]
(Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit section entirely. List as bullet points using •. Do not alter spelling beyond the mandatory capitalisation rules provided above. Maintain dictated order. Display all dates in the required ordinal format. Where punctuation would normally use a comma, replace with a space dash space.)
[Write a letter that includes the patient's history of presenting complaint, relevant background history, examination findings, investigation results, clinical reasoning, discussions, advice given, and follow up arrangements in the exact order dictated.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit entirely. Write in paragraphs using full sentences. Preserve the exact order of dictated content and do not reorganise. If the dictated text begins with “I met up with [Patient Name] in the clinic on [Date]”, include it exactly as stated; do not create this sentence if not mentioned. If “In summary therefore” is dictated, include it exactly as stated as the opening of the final paragraph; do not insert it if not mentioned. Display all dates in the required ordinal format. Use paragraphs to improve readability. Do not start sentences with “But” or “And”.)
[Closing Remarks] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note, else omit entirely. Write exactly as dictated, for example “Many thanks.”)