What Candour does
Everything here ends up in the record.
Five things that change what a comprehension record can say afterwards. It supports your consent discussion; it never replaces it.
01 — Questions
Written around this tooth, not this procedure.
Your practice system already knows it is LL6 and already knows why.
From the practice system
Appointment
Planned treatment
Endodontic treatment
Tooth
LL6 · FDI 36
Diagnosis
Irreversible pulpitis
Appointment
Today, 15:40
Identity, the appointment, the treatment, the tooth and the diagnosis. No notes, no medical history, no radiographs — those are never read.
Procedure-level question
“Root canal treatment can sometimes fail. True or false?”
True of every root canal, on every patient. Answerable without having understood this appointment.
Written from this appointment
“The nerve in your lower left first molar is inflamed and will not settle on its own. What does that mean for waiting?”
Names the tooth, names the reason, and tests the one thing this diagnosis changes — waiting is not an option here.
02 — Capacity, minors, languages
The patients a consent form assumes you do not have.
Which route this patient takes
Under 13
Parental responsibility
A person with parental responsibility answers, and who they are is recorded.
13 to 15
Gillick
The clinician assesses Gillick competence, and the answer decides who answers.
16 and over
Adult
Capacity presumed, unless there is a reason to doubt it.
Capacity in doubt
Mental Capacity Act
The two-stage test is recorded, with the support that was offered.
Capacity absent
Best interests
Recorded as a best-interests decision naming who was consulted — not as consent.
Languages a session can run in
6 today
English
English
اردو
Urdu
ਪੰਜਾਬੀ
Punjabi
polski
Polish
română
Romanian
বাংলা
Bengali
An overlay on your own template, keyed to your own questions — so the record is identical in every language. A clinician who reads the language approves it first, and the database refuses the session if they have not.
03 — The seal
Change one record and every link after it disagrees.
Record chain
Verified on every load
- 8f3c1d…a02e7b#1,172 · Sealed 11 Mar
- follows 8f3c1d…a02e7bb71a90…4fd3c2#1,173 · Sealed 12 Mar
- follows b71a90…4fd3c22ce480…91b6da#1,174 · Sealed 12 Mar
Each record stores the hash of the one before it, so altering one breaks every link after it. Tamper-evident, which is not the same as tamper-proof: it shows that something moved, not that nothing ever could.
Sealed record
position 1,174
- Follows
- 8f3c1d…a02e7b
- This record
- b71a90…4fd3c2
- Version
- Dental implant v4 — approved 12 Mar by K. Osei
04 — Your practice system
One line in the notes, pointing at the record.
Not a copy. A second copy of the evidence, editable by anyone with a login, is a weaker version of the same thing with nothing to say which one is right.
Written into the patient's notes
One note
Endodontic treatment, LL6. Completed in English.
One risk re-explained and understood on the second attempt.
Clinician K. Osei. Candour record #1,174.
The note points at the record; it never copies it. Write-back is the one place Candour changes anything in a system it does not own, and it needs a practice system with an API that permits it.
05 — Same day
The patient in pain at twenty to nine.
A short path, and a bypass that is recorded rather than silent.
Same day
Emergency pathway
- 08:41Patient added, appointment same day
- 08:44Short template, mandatory risks only
- 08:52Completed in the waiting room — or bypassed, with a reason
- 09:00Treatment goes ahead either way
A bypass is recorded, not hidden: it needs a written reason, it names the clinician, and it appears in governance afterwards. Candour never stops treatment going ahead.
The promise underneath all of it
Candour never stops treatment going ahead.
A gap is flagged and handed to the clinician. What happens next is a clinical decision, and it stays one.
Evidence
Numbers from a real practice go here.
Every figure on this site is illustrative, generated for the demonstration data. None of it is a customer's.
Outcome data — reserved
What comprehension actually did in a practice that used it.
Fills after a pilot practice has enough completed sessions for a figure to mean anything, and only with figures they have seen. A 50% rate computed from two sessions is not a fact about a practice.
What a practice said — reserved
A principal, a manager or a nurse, in their own words.
Fills when someone who has used Candour on real appointments is willing to be quoted and named. No composite quotes and no anonymous ones.
See it doing all of it.
The console runs on illustrative data. Nothing you do in it touches a patient.