Oracle rolls out clinical AI note tool across NHS UK

Oracle Health has made its Clinical AI Agent, Clinical Note, available across the NHS and the wider UK healthcare sector following pilots at several NHS trusts.

The product uses ambient voice capture during consultations to generate structured patient notes, care plans, and follow-up actions in real time. Clinicians then review and approve the draft notes.

Several pilot sites have begun broader deployments, including Barts Health NHS Trust, Imperial College Healthcare NHS Trust, and Milton Keynes University Hospital.

The move comes as ministers set out technology priorities for the health service. The Government's 10-Year Health Plan, Fit for the Future, calls for wider use of digital tools and artificial intelligence in care delivery. The National Cancer Plan also highlights ambient voice technology as a way to improve the "cancer patient experience by allowing clinicians to focus their time on the person in front of them."

Administrative workload is a growing operational issue for NHS employers as they seek to reduce waiting times and improve productivity. Clinical documentation can take up substantial clinician time and slow the flow of information between teams.

How it works

The system listens to the patient-clinician conversation via a mobile device placed near the patient, then generates clinical documentation. The output is structured for use within the trust's systems.

The tool aims to reduce the need for clinicians to type notes or navigate drop-down menus during and after appointments, easing administrative work associated with clinic visits and handovers.

During the NHS pilot, clinicians reported completing follow-up tasks more quickly. Some said they could provide a letter or plan to the patient at the end of the appointment, while others noted faster sharing of care plans with multidisciplinary teams.

Milton Keynes University Hospital clinician Robin Kearney described the impact on workflow and information-sharing.

"As a user of the Clinical AI Agent, it's been really fantastic. It's improved the accuracy of my notes and given me a lot of time back. Now, when I see a patient, I can spend all my time focusing on them. I can complete my letter and give it to the patient before they even leave the department a few minutes later," said Robin Kearney, Consultant in Acute Medicine, Milton Keynes University Hospital. "Plus, if another clinician sees the patient, they can write a note immediately so everyone else in the team will know within a few minutes what the plan is for the patient. That's allowing that patient to get joined up care. That was really difficult before."

Imperial College Healthcare's Chief Clinical Information Officer and Caldicott Guardian, Sanjay Gautama, linked the technology to both patient and clinician experience and said notes are reviewed before any follow-up actions are taken.

"Our ongoing trial of the Clinical AI Agent has demonstrated the power that ambient voice technology can bring to the NHS," said Sanjay Gautama, Chief Clinical Information Officer and Caldicott Guardian, Imperial College Healthcare Trust NHS and North West London Integrated Care Board. "It is beneficial for both patient and clinician experiences. Our clinicians can focus on engaging with the patient, knowing that comprehensive and robust notes will be taken. These notes are then available for clinical staff to review, approve, and action appropriate follow-up care."

Barts Health's Group Chief Informatics Officer, Sarah Jensen, said clinicians can complete and sign the clinic note during the appointment.

"Our clinicians who have been using the Oracle Health Clinical AI Agent have been able to document the patient visit and sign the clinic note in real-time," said Sarah Jensen, Group Chief Informatics Officer, Barts Health NHS Trust. "They just need to download the app on their phone, place it near the patient to record the conversation, and this is processed in the trust system to strip out any chat that is not relevant to diagnosis or treatment."

US rollout

Oracle Health launched Clinical AI Agent, Clinical Note in the US a year ago. The product is used in more than 300 organisations, and Oracle says it has saved doctors more than 200,000 hours and reduced average documentation time per patient by about 40%.

The UK rollout sits alongside broader investment plans for Oracle's cloud operations in the country. Oracle has said it plans to invest USD $5 billion over five years in the UK to meet demand for its cloud services, including expanding its Oracle Cloud Infrastructure footprint.

Oracle Health and Life Sciences Executive Vice President and General Manager Seema Verma positioned the product as a response to workforce pressures and clinician workload.

"The healthcare industry is grappling with workforce shortages and overloaded clinicians on a global scale. By embedding advanced AI-powered capabilities into their workflows, we are directly tackling the administrative burden that contributes to burnout and hinders clinicians' ability to focus on providing patient care," said Seema Verma, Executive Vice President and General Manager, Oracle Health and Life Sciences. "Bringing these innovative capabilities to the NHS is a key part of our commitment to help empower their doctors, so they can deliver exceptional care."

IDC Senior Research Director Mutaz Shegewi described the launch as part of a wider trend toward AI-assisted clinical tools.

"The launch of Oracle Health's Clinical AI Agent in the UK reflects continued investment in AI-enabled clinical tools, underscoring the increasing role of AI in supporting clinical workflows, addressing operational efficiency, and informing more data-driven approaches to patient care," said Mutaz Shegewi, Senior Research Director, Worldwide Healthcare Provider AI, Platforms and Technologies, IDC.