At a glance

• EHR integration: Direct EMIS integration - eliminating copy and paste

• Practice wide deployment: Enabled for over 50 GPs and non-doctor staff

• Documentation quality: Notes are more accurate, better coded, and easier to search

• Patient experience: Patients feel more listened to; none declined AI use during a visit

• Operational impact: Clinicians feel safer, less stressed; workload falls as note-taking burden decreases

The Challenge: Risk and distraction undermining care clarity

At The Hill Surgery, documentation wasn't just time-consuming - it carried potential legal risk. If nurses or pharmacists generated poor-quality notes, GP partners would be held accountable. As Dr. Radia shares, “If notes are poor… it puts liability on us as partners.” Clinicians found it difficult to maintain eye contact and rapport during consultations when juggling note-taking.

“We won’t go back to not having a scribe.”

– Dr Milan Radia, GP Partner

The Solution: AI scribe that supports clinical responsibility

Dr. Radia introduced Tandem’s AI medical scribe to address both quality and accountability. Tandem listens during consultations, structures notes automatically, and integrates directly with EMIS—a critical differentiator. As Dr. Radia observed, “this just works with how we actually practice.” Today, Tandem is used daily by GPs, nurses, and pharmacists alike—and as he puts it, “We won’t go back to not having a scribe.”

Results: Safer notes, calmer clinicians, better patient focus

The impact was felt across clinical, operational, and emotional dimensions:

• Better documentation: Notes are more accurate, better coded, and easier to search

• Staff confidence up: Non-doctor staff document with greater confidence; GPs feel safer reviewing records

• Enhanced patient experience: Patients feel more heard and less distracted by clinician note-taking; none declined AI assistance

• Efficiency gains: Clinicians perceive reduced workload because they aren’t torn between care and paperwork

• Team morale: Clinicians deliver “quality medicine” with critical details—such as BP and exam findings—properly coded

“Tandem has improved the accuracy of notes — capturing useful information I wouldn’t have recorded due to time constraints.”

– Denise Koppschall, Physician’s Associate

“It makes clinic a lot more efficient and less stressful.”

– Janine Farmer, Advanced Nurse Practitioner

From Pilot to Routine Use

While the exact pilot timeline isn’t specified, today Tandem is firmly embedded in daily operations at The Hill Surgery. It’s used consistently by both GPs and non-doctor clinicians, with unanimous clinical buy-in and no plans to revert to manual documentation.

Built on safety, trust, and shared responsibility

This case reflects how AI—when integrated thoughtfully and with clinician control—can protect both patient safety and practitioner accountability. At The Hill Surgery, the deployment prioritized clinical sovereignty: clinicians retained full oversight of documentation, Tandem simply enabled better presence and risk mitigation.

“This just works with how we actually practice.”

– Dr Milan Radia, GP Partner, The Hill Surgery

“Tandem has improved the accuracy of notes—capturing useful information I wouldn’t have recorded due to time constraints. It makes clinic a lot more efficient and less stressful.”

– Denise Koppschall, Physician’s Associate, The Hill Surgery