Small Mercy opens to New Zealand: your record in Sydney

From today, New Zealand clinicians can sign up to Small Mercy. Same product, same pricing, and the same rule we apply to everything else: we’d rather tell you exactly what you’re getting than round it up to something shinier.

So here is exactly what you’re getting.

Where your patients’ data goes (spoiler: not far)

New Zealand organisations run the AU Sovereign profile. Small Mercy stores the clinical record in Sydney and runs default transcription and note drafting on vetted Australian services over private links. Speaker identity is matched only on Small Mercy’s infrastructure. A Small Mercy-managed offshore processing route needs separate acceptance for that session and purpose. An optional confirmed-note or letter send reaches the connected practice-software account; Nookal’s Australian API host does not establish that account’s storage region.

The usual Small Mercy processing path takes one hop across the Tasman to Australia. A connected practice system has its own destination and terms, so check where that account stores data before sending a confirmed document. Small Mercy and its processing providers do not use consult data to train models.

The rest of the privacy design comes with it, unchanged: audio is deleted by default — kept encrypted only while you review, deleted the moment you confirm the note — every access is written to an append-only audit log, sign-in is passkey-first, and the patient can watch the deletion happen and keep a QR receipt. Privacy by design walks through all of it.

An NZ-resident processing region is on our roadmap. It isn’t built yet, so we won’t sell it yet — when your data can stay in New Zealand, we’ll say so in a post like this one.

The honest part

Small Mercy’s clinical tuning is Australian today. The drug vocabulary is PBS/AMH and the letters are RACGP-aware. MBS billing hints are Australian-only, so New Zealand organisations simply don’t see them — item numbers from the wrong country aren’t a feature. Much of the rest carries across the Tasman well — the notes, the flags, the letters, the uncertainty handling are the product, and they don’t care which side of the ditch you practise on. But we haven’t built NZ-specific vocabulary or billing, and our speech benchmarks are built on synthetic Australian-accent consult audio — we haven’t published New Zealand–accent numbers, and we won’t imply them.

If that trade-off doesn’t work for your practice, we’d rather you knew before you signed up. If you sign up and something New Zealand–shaped trips it up, tell us — that’s precisely the feedback that decides what gets built next.

What it costs

The same listed price as Australia: current founders pricing at A$49/month, billed in AUD and locked in for as long as your subscription stays active; practice plans run A$89–109 per clinician per month. Australian GST applies to Australian web subscriptions; New Zealand web subscriptions use the listed AUD price. App-store subscriptions use the local price displayed by the store. Free gives individuals 25 write-ups a week; paid adds live transcription, listen-back, templates and vocabulary, watch and desktop capture, and uncapped write-ups. The pricing page has the current detail.

What Small Mercy is, and isn’t

For readers meeting us for the first time: Small Mercy is a private AI medical scribe. It listens to a consented consultation, transcribes it in near real time, and drafts a structured note from only what was said — flagging anything it wasn’t sure it heard instead of guessing. You review and confirm before anything is saved. It runs on the web, Windows, Mac, iPhone and Apple Watch, and Android, with one account across all of them.

And the line that never moves: Small Mercy is a documentation aid, not a diagnostic device. It must never invent, suggest or infer a diagnosis, dose, management plan or other clinical fact absent from the source; required gaps stay [not stated]. Every draft needs your explicit review and confirmation.

Haere mai. Sign up today, read how the two sovereignty profiles work first — or, if you’re weighing up scribes in general, start with what to look for in a secure AI scribe in New Zealand.