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Accurx Scribe: Templates for NHS Trusts

Scribe makes it easy to generate structured clinical notes, ward round summaries, patient letters and more.

Helen avatar
Written by Helen
Updated this week

To support how different services work, we’ve built a wide range of templates tailored to clinical contexts and documentation needs. These templates help ensure notes are captured consistently, with the right level of detail and formatting to support onward communication and record-keeping.

🔍 What are Scribe templates?

When you start a Scribe, you’ll see a list of available templates. These give structure to your note and guide how information is captured – whether you’re clerking a patient, writing up a ward round, or running an outpatient clinic 👇

You can then review and edit the output, copy it into your patient record, or turn it into a formatted document such as a discharge letter or outpatient note.

Generic template collection for Secondary Care

These templates are available to every user, no matter your specialty or setting. They’re designed to cover common documentation needs across inpatient, outpatient, and multidisciplinary care:

  1. Clerking: Full initial assessment including history, examination, investigations and plan.

  2. Clinical Meeting Template: For MDTs, case reviews, and shared care planning.

  3. Hospital OPD Review: Structured notes for outpatient consultations.

  4. Operation Note: Records key details of surgical procedures.

  5. Outpatient Procedure Note: For documenting minor procedures in clinic.

  6. Patient Review: Quick template for ward-based or follow-up reviews.

  7. SBAR Review: Handover or escalation notes using the SBAR format.

  8. Ward Round: Captures daily progress and plans during ward rounds.

Specialised template collections

As well as those above, here’s a breakdown of some more specific templates for a variety of services:

Emergency Medicine

  1. A&E Clerking: A detailed template for initial assessment, covering history, examination, investigations, and differential diagnosis.

  2. A&E Triage: A focused template for quick triage assessments, capturing key history, observations, and immediate plans.

  3. SBAR handover: Structured around SBAR to support safe and effective handovers or escalation within ED.

  4. A&E Procedure Note: Captures all key elements of a clinical procedure, including indication, findings, and post-procedure plan.

An example: A&E procedure note 👇

...and the discharge summary:

Trauma and orthopaedics

  1. T&O OPD Note: Structured outpatient note for fracture clinics, with focused history, imaging, and follow-up plan.

  2. PTWR T&O Hip Fracture: Comprehensive admission template capturing history, risk scores, consent, and MDT planning for hip fracture patients.

An example: T&O OPD Note 👇

...and the clinic letter:

Paediatrics

  1. Paediatric Outpatient Clinic: Structured clinic note with developmental history, full systems exam, and follow-up plan.

  2. Paediatric Ward Round: Concise ward round template to record progress and clinical updates during inpatient care.

An example: Paediatric Outpatient Clinic 👇

...and the paediatric patient letter:

General Surgery

  1. General Surgery OPD Note: A structured outpatient note template including full history, observations (vital signs), and a wide range of investigations.

An example: General Surgery OPD Note 👇

...and the discharge summary:

Anaesthetics and ICU

  1. Pre-op Anaesthetic Review: Documents perioperative risk assessment, comorbidities, and anaesthetic plan.

  2. ITU Ward Round: ICU review template capturing patient progress, systems review and management plan.

  3. ITU PM Update: Evening ICU summary documenting updates and overnight planning.

  4. Pain Team Review: Review note capturing assessment, response to treatment, and next steps.

  5. Pain Team MDT Letter: Summary letter outlining the pain team’s input for communication and records.

Cardiology

  1. Cardiology Outpatient Review: Focused follow-up template including vitals and cardiology investigations like ECG, Echo, Holter, and BP monitoring.

  2. Cardiology MDT Letter: Summary letter documenting outcomes of multidisciplinary cardiology meetings.

Dermatology

  1. Dermatology Outpatient Review: Structured clinic template covering dermatology history, skin examination, dermoscopy, and supporting investigations.

Dietetics

  1. Dietician Note: Structured note for nutritional assessments, including measurements, biochemistry, and clinical interpretation.

Endocrinology

  1. Endocrinology Outpatient Review: Structured clinic template capturing endocrine-focused history, observations, and investigations like DEXA and biochemistry.

ENT

  1. ENT OPD Review: A structured clinic note including ENT-specific history, full observations, investigations (e.g. endoscopy, imaging), and examination findings, with space for clinical impression and next steps.

Gastroenterology

  1. Gastroenterology Outpatient Review: Structured clinic note covering GI history, full observations, and relevant investigations like endoscopy or imaging.

  2. Gastroscopy: Detailed procedural template capturing indication, consent, and findings throughout the upper GI tract.

Obstetrics and gynaecology

  1. Gynaecology OPD Note: Structured clinic template for gynaecological assessments, including ultrasound, hysteroscopy, and clinical findings.

  2. Obstetric Assessment: Full antenatal history and risk assessment template for pregnancy booking and follow-up.

Respiratory

  1. Respiratory OPD Note: Structured clinic note covering respiratory history, observations, lung function tests, and supporting investigations.

Urology

  1. Urology Outpatient Review: A detailed clinic note capturing urological history, full observations, and investigations including ultrasound, urodynamics, prostate volume, and cystoscopy, with space for examination and clinical interpretation.

Oncology/haematology

  1. Haematology/Oncology OPD Note: A comprehensive clinic note including diagnosis, systemic treatments, treatment side effects, observations, and investigations (including histology/cytology), with structured fields for history and planning.

  2. Haematology/Oncology Ward Round: A streamlined template for inpatient review during ward rounds, including observations, examination, and relevant investigations.

Renal

  1. Renal Outpatient Review: A structured clinic note for routine nephrology reviews, including renal-focused history, full observations (BP, sats, temp, weight), and investigations such as bloods, urine, and imaging.

  2. Low Clearance Clinic: Specifically designed for patients with advanced CKD, this template captures chosen dialysis modality, access planning, EPO treatment, transplant status, Hep B vaccination, and relevant observations and investigations.

Neurology

  1. Neurology Outpatient Review: A comprehensive clinic note for neurological assessments, including history, full observations, investigations (e.g. CT/MRI, EEG, ECG), and neurological examination findings.

Let us know if you have any questions. Happy Scribing! 🎤

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