Oracle Health AI Scribe 2026: NHS Launch, Clinical Results & What Providers Need to Know
Updated February 2026
On February 12, 2026, Oracle Health announced the general availability of its Clinical AI Agent, Clinical Note in the United Kingdom — marking a significant milestone in the global expansion of EHR-native ambient AI documentation. After successful pilots across three NHS trusts, the tool is now available to doctors and nurses across the UK's National Health Service.
This guide covers what Oracle Health's AI scribe does, the NHS deployment results, how it compares to Epic AI Charting and standalone tools, and what it means for healthcare providers globally.
Create Your AI SOAP Note in 2 Minutes
Start with 20 free SOAP notes. No credit card required.
What Is Oracle Health Clinical AI Agent, Clinical Note?
Oracle Health's Clinical AI Agent is an ambient AI scribe integrated directly into the Oracle Health EHR platform (formerly Cerner). Unlike standalone tools that require a separate app or device, the Clinical AI Agent operates natively within the EHR workflow.
How it works:
- Clinician downloads the Oracle Health app on a smartphone or tablet
- Phone is placed near the patient during the consultation
- The AI agent listens to the clinician-patient conversation in real time
- Structured clinical notes are generated automatically within the EHR
- Clinician reviews, edits, and approves the draft before it becomes part of the medical record
The tool "strips out any chat that is not relevant to diagnosis or treatment," focusing on clinical content rather than social conversation. Clinicians can also share care plans and follow-up instructions with patients at the end of the appointment — a workflow improvement noted by NHS pilot participants.
NHS Deployment: February 2026
Oracle Health's Clinical AI Agent launched in the U.S. in early 2025. After a multisite NHS pilot, it became generally available in the UK on February 12, 2026.
NHS Trusts Deploying Oracle AI Scribe
Three NHS trusts participated in the pilot and are now deploying the tool system-wide:
| NHS Trust | Location | Focus |
|---|---|---|
| Barts Health NHS Trust | London | One of the UK's largest NHS trusts |
| Imperial College Healthcare NHS Trust | London | Major teaching hospital network |
| Milton Keynes University Hospital | Milton Keynes | Acute and emergency medicine |
NHS Pilot Results
During the pilot at Milton Keynes University Hospital, consultant Robin Kearney in acute medicine reported:
"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."
Clinicians across the pilot reported:
- Completing follow-up tasks more quickly
- Ability to provide a care summary letter to patients at the end of the appointment
- Faster sharing of care plans with multidisciplinary teams
NHS Ambient Voice Technology Outcomes
NHS England has been evaluating ambient voice technology (AVT) broadly across multiple suppliers. Data from NHS-wide ambient AI trials shows:
- 23.5% increase in patient interaction time for clinicians using ambient scribes
- 13.4% more A&E patients seen per shift in emergency department deployments
- Significant reduction in after-hours "pajama time" documentation
Alec Price-Forbes, national chief clinical information officer for England, described ambient voice technology as "an enabler for us truly to reimagine healthcare."
Global Scale: Oracle AI Agent in 2026
The UK NHS launch builds on Oracle Health's established global footprint:
- Deployed in 300+ organizations globally as of February 2026
- Saved clinicians 200,000+ hours total documentation time
- 40% reduction in average documentation time per patient encounter
- Available through Oracle Health's $5 billion UK cloud investment commitment over five years
Oracle Health is one of the world's largest health IT companies, with EHR installations across large hospital systems, VA facilities, and international health organizations.
Oracle Health AI Scribe vs. Epic AI Charting vs. Standalone Tools
February 2026 has brought three major EHR-native ambient AI products to market almost simultaneously. Here's how they compare:
| Feature | Oracle Health AI Agent | Epic AI Charting | Standalone Scribes (e.g., SOAPNoteAI) |
|---|---|---|---|
| EHR Requirement | Oracle Health/Cerner | Epic EHR | Any EHR or no EHR |
| Availability | Large hospital systems | ~35% of U.S. hospitals | All practice sizes |
| Pricing | Enterprise contract | Enterprise add-on | Flexible subscription |
| Portability | Oracle Health only | Epic only | Works anywhere |
| Integration | Native EHR workflow | Native EHR workflow | Copy/paste or API |
| Specialty Templates | General clinical notes | General clinical notes | Specialty-specific |
| Mobile App | Yes (phone/tablet) | Yes | Yes |
| International | Yes (UK NHS, others) | Primarily U.S. | Global |
When Oracle Health AI Scribe Is the Right Choice
Oracle's Clinical AI Agent is a strong choice if:
- Your organization already uses Oracle Health (Cerner) EHR
- You're part of a large hospital system or NHS trust with an Oracle Health enterprise contract
- You value native EHR integration and structured data flow into existing workflows
- You want multi-disciplinary team support and care plan sharing features
When a Standalone AI Scribe May Be Better
Consider a standalone tool like SOAPNoteAI if:
- You use a different EHR (athenahealth, Kareo, Practice Fusion, Jane, or any other)
- You're a solo provider or small practice without enterprise Oracle Health access
- You need specialty-specific note templates with deep customization
- You work across multiple facilities or EHR systems
- You want flexible, affordable pricing without an enterprise contract
NHS Registry: 19 Approved Ambient AI Suppliers
In January 2026, NHS England published a national self-certified registry for ambient voice technology (AVT) suppliers. The registry lists 19 approved suppliers that have demonstrated compliance with NHS standards on:
- Clinical safety
- Technology standards
- Data protection and cybersecurity
Oracle Health's Clinical AI Agent is among the approved tools. The registry provides NHS trusts with a vetted shortlist for procurement decisions and establishes baseline requirements for AI scribe deployments across the NHS.
This represents the first formal national framework for ambient AI scribe governance in a major national health system — a model other countries may follow.
Governance and Data Protection Considerations
The NHS Oracle deployment has required NHS trusts to address new governance challenges:
Data governance:
- Audio recordings processed in real time and not retained as permanent records
- ePHI handling governed by NHS Data Security and Protection Toolkit requirements
- Vendor compliance with UK GDPR and NHS data standards
Clinical safety:
- All AI-generated notes require clinician review before entering the medical record
- Clinical safety officers review deployment protocols
- Incident reporting processes established for AI documentation errors
Cybersecurity:
- Oracle's $5B UK cloud investment includes security infrastructure
- Trusts must update security risk analyses to account for new AI data flows
- Access controls and audit logging required for AI agent systems
What Oracle's NHS Launch Means for the U.S. Market
The Oracle Health Clinical AI Agent's successful NHS deployment provides important validation for EHR-native ambient AI:
- Enterprise-scale is proven: Deploying AI scribes across large, complex health systems is achievable at scale
- International expansion accelerates competition: Oracle, Epic, and athenahealth are all racing to capture global health systems — driving faster feature development
- EHR vendor lock-in intensifies: As EHR-native tools improve, switching EHRs becomes even more complex — and standalone scribes' EHR-agnostic advantage becomes more valuable for multi-setting providers
For U.S. providers using Oracle Health (Cerner) EHR: ask your Oracle Health account representative about availability and pricing for the Clinical AI Agent. Enterprise rollout timelines vary by contract.
For providers not using Oracle Health: evaluate whether your EHR offers native AI documentation, and compare against standalone alternatives for your specific workflow and budget.
Frequently Asked Questions
Oracle Health Clinical AI Agent, Clinical Note is an ambient AI scribe integrated into Oracle Health's EHR platform (formerly Cerner). It uses ambient voice capture to listen to clinician-patient consultations and automatically generate structured clinical notes in real time. Clinicians review and approve the AI-generated draft rather than manually transcribing notes during or after appointments. It launched in the U.S. in early 2025 and became generally available in the UK for NHS organizations in February 2026 after successful pilots at Barts Health, Imperial College Healthcare, and Milton Keynes University Hospital.
Following successful pilot programs, Oracle Health's Clinical AI Agent launched in the UK in February 2026 with deployments at Barts Health NHS Trust (one of the UK's largest NHS trusts), Imperial College Healthcare NHS Trust, and Milton Keynes University Hospital. NHS England has published a national self-certified registry of 19 approved ambient voice technology suppliers, reflecting growing institutional adoption across the NHS.
According to Oracle Health's February 2026 announcement, the Clinical AI Agent has been deployed in more than 300 organizations globally and has helped save doctors more than 200,000 hours total — reducing average documentation time per patient by approximately 40 percent. During NHS pilot testing, clinicians at Milton Keynes University Hospital reported completing follow-up tasks more quickly and being able to provide care summaries to patients at the end of appointments. NHS England's broader ambient voice technology trials found a 23.5% increase in patient interaction time and 13.4% more A&E patients seen per shift.
Both are EHR-native ambient AI scribes, but they serve different EHR ecosystems. Epic AI Charting, launched in February 2026, is integrated into Epic EHR — used by approximately 35% of U.S. hospital patients. Oracle Health Clinical AI Agent is integrated into Oracle Health EHR (formerly Cerner) — used by many large hospitals, VA facilities, and international health systems. The key difference is EHR compatibility: providers using Oracle Health/Cerner EHR have access to Oracle's AI agent, while Epic users have access to Epic AI Charting. Both compete with standalone AI scribes like Abridge, Nuance DAX, Suki, and SOAPNoteAI.
Yes. Oracle Health's Clinical AI Agent launched in the UK in February 2026 after successful NHS pilots, making it one of the first EHR-native ambient AI scribes with significant international deployment. Oracle has committed a $5 billion cloud investment in the UK over five years to support its health IT expansion, including the AI clinical agent. The tool processes consultations in real time and generates structured notes within the Oracle Health EHR environment.
EHR-native AI scribes like Oracle Health Clinical AI Agent work exclusively within their EHR ecosystem — clinicians using a different EHR system cannot use Oracle's tool. Additional limitations include: (1) Dependency on the EHR vendor's AI development roadmap and release cycle; (2) Limited customization compared to specialty-specific standalone tools; (3) Availability tied to your organization's Oracle Health contract and pricing tier; (4) Less flexibility for providers who work across multiple settings or EHR systems. Standalone AI scribes offer EHR-agnostic portability that EHR-native tools cannot match.
Oracle Health's Clinical AI Agent is primarily designed for large health systems and hospital networks that already use Oracle Health (Cerner) EHR. Solo practitioners and small practices are less likely to have access to this tool, as it requires an existing Oracle Health EHR subscription. For small practices, standalone AI scribes — which work with any EHR, any specialty, and any size practice — are typically more accessible. SOAPNoteAI.com, for example, works across all specialties and EHR systems with flexible pricing designed for individual providers.
Medical Disclaimer: This content is for educational purposes only and should not replace professional medical judgment. Always consult current clinical guidelines and your institution's policies.