Built by a clinical psychologist for the work AI scribes were not designed around.

A psychology session note is a specialist piece of writing that is not a brief, not minutes, and not a SOAP record, but a piece of clinical documentation that has to carry the formulation, the alliance, the modality used, and the regulatory context in a register the profession recognises. The AI tools that arrived for clinicians from 2024 onward looked, at first glance, as though they might help with this, and each one was useful in parts, but every one of them surfaced the same set of unanswered questions about where the data went, who trained on it, what jurisdictions it crossed, and what happened when something went wrong.

For a clinician with HCPC registration to protect and a regulator to answer to, those questions are load-bearing rather than incidental, and the sales pages I was reading rarely answered them in a way that would survive a written question from an indemnity insurer or an information governance lead. The product I wanted to use did not exist, so over two years I wrote the prompts, the procedures, and eventually the company that Cogent Clinic has become.

Cogent keeps client-identifying content out of the cloud entirely, runs all hosting and AI processing inside the United Kingdom, holds a hash-chained audit log that can be verified by anyone with the right to see it, and refuses by design the things an AI tool should not be doing in clinical work, which is to say diagnosis, risk prediction, and treatment recommendations. The clinician is the author of record for every document Cogent produces, and that sentence sits inside the system prompt as well as inside the terms.

Cogent Clinic Ltd is a small UK company, and I would rather ship something the profession can live with than something that scales at the profession's expense.

Dr Aisha Tariq
HCPC PYL30787 · Founder, Cogent Clinic Ltd