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AI scribes and GMC guidance

By the wai teamAugust 29, 20264 min read

Reviewed by The Wellness Clinical Team, October 5, 2026

Summary

There is no GMC rulebook titled AI scribes, and doctors keep asking where they stand. The answer is that the existing duties already cover it. Good medical practice, the guidance on records, and the guidance on recordings of patients apply to a scribe exactly as they apply to a pen.

Three duties do the work. The patient consents to being recorded. The record is accurate. And the doctor, not the tool, remains responsible for what the note says.

Read that way, an AI scribe is not a regulatory grey area. It is a familiar duty with a new instrument, and a clinician who keeps the three duties in view is on solid ground.

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GMC guidance on making recordings of patients treats the recording as part of care, which means the patient understands what is happening and agrees to it. For an ambient scribe that is a short, plain explanation before the consultation and an easy way to decline.

The consent is documented. A one-line note that the patient was told and agreed is enough, and its absence is the gap a complaint would find first.

The record must be accurate

Good medical practice requires clinical records that are clear, accurate and legible, made at or near the time of the events. An AI draft does not change that standard, it just changes who writes the first version.

Since simulated-encounter research puts average scribe error near 7 percent, the accuracy duty is precisely why the doctor reads the note before it is signed. The tool drafts, the doctor makes it accurate. The evidence on how often a draft is wrong is in our review of scribe hallucination rates.

The doctor stays responsible

This is the load-bearing point. The scribe is a tool the doctor uses, so responsibility for the final record sits with the doctor, not the vendor and not the software. A note signed without reading it is the doctor's note, mistakes and all.

That is not a reason to avoid scribes. It is the reason to choose one that makes review fast and its reasoning visible, so signing is a genuine check rather than a reflex.

How wai is built around these duties

wai shows its working and holds every patient-affecting action for human approval, so the doctor reviews reasoning rather than trusting a black box. Consent capture and an audit trail sit in the workflow rather than bolted on.

None of that removes the doctor's responsibility, and it is not meant to. It makes meeting it quick, which is the honest goal.

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Frequently asked questions

Does the GMC allow doctors to use AI scribes?

There is no GMC guidance that prohibits AI scribes, and no guidance that names them. The existing duties apply. The patient consents to being recorded under the guidance on recordings, the record must be accurate under Good medical practice, and the doctor remains responsible for the final note. A doctor who keeps those three duties is using a scribe within GMC expectations.

Do I need patient consent to use an AI scribe?

You do need patient consent to use an AI scribe. GMC guidance treats a recording of a patient as part of their care, so the patient should understand that the consultation is being recorded and be able to decline easily. A short spoken explanation before the consultation and a one-line note that consent was given is the practical standard. The absence of that note is the first thing a complaint would look for.

If the AI scribe makes an error, who is responsible?

The doctor. An AI scribe is a tool, and responsibility for the accuracy of the clinical record sits with the clinician who signs it, not with the software or the vendor. That is why reading the note before signing is not optional, and why a scribe that makes its reasoning visible and easy to check is safer to rely on. wai is built so every patient-affecting action waits for that human approval.

Does the consent to record have to be written down?

GMC guidance on making recordings of patients treats the recording as part of care, which means the patient understands what is happening and agrees to it. For an ambient scribe that is a short, plain explanation before the consultation and an easy way to decline.

What does Good Medical Practice require of clinical records?

Good medical practice requires clinical records that are clear, accurate and legible, made at or near the time of the events. An AI draft does not change that standard, it just changes who writes the first version.

Sources

  1. GMC, Making and using visual and audio recordings of patients
  2. GMC, Good medical practice

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