Is Small Mercy tuned for UK medicine?

The honest answer is not yet, and we would rather you knew that before you decided than after.

What is Australian today

• The drug vocabulary is Australian. Medication recovery works against a PBS/AMH vocabulary — see medication name corrections. There is no BNF or UK-specific vocabulary.
• Letter completeness gates are RACGP-aware. Referral letters are checked against Australian expectations of what a referral should contain.
• Billing hints are Australian-only. MBS item-number hints are switched off entirely for UK organisations, because the schedule is Australian. There is no UK billing-code feature and we are not claiming one — see why don’t I see billing hints?
• The speech benchmarks are Australian. Our published figures come from internal benchmarks on synthetic Australian-accent clinical audio and public speech corpora. We have not published UK-accent numbers, so we won’t imply them.

What works the same anywhere

Most of the product has no nationality:

• paid near-live transcription, and telling your voice from everyone else’s;
• the two uncertainty flags — anything it wasn’t sure it heard or couldn’t place cleanly is surfaced instead of smoothed over;
• [ not stated ] rather than a plausible invention for anything that wasn’t said;
• grounding every note statement to the transcript, and listening back to transcription flags on paid plans;
• nothing saved until you confirm it;
• letters and tasks drafted from the same consult, each one a draft you confirm;
• the privacy architecture — audio deleted by default, the QR deletion receipt, the append-only audit log.

A consult is a consult. What differs is the local vocabulary and paperwork around it.

Practice software

United Kingdom organisations can connect Cliniko accounts in Cliniko’s UK region (shards uk1, uk2 and uk3) and Nookal through Nookal’s European API service. Both work as they do in Australia: today’s appointments come into Small Mercy, a confirmed note is filed as a draft treatment note once you have checked the patient a second time, and letter filing puts a confirmed letter on the patient’s record as a PDF copy. Nookal’s European API service alone does not establish where your practice’s Nookal account stores data — check that with Nookal. See connecting Cliniko or Nookal.

If that doesn’t work for you

Tell us. Get in touch — the feedback lands with the people who build it, the doctor included, and it is what decides what gets built next.