Case Study · Alder Hey Children's NHS Foundation Trust

Ambient voice technology
across paediatric services.

A 12-month deployment across outpatient clinics, A&E, and specialist paediatric services — from routine appointments to complex multi-disciplinary consultations.

Alder Hey Children's NHS Foundation Trust
95%
Of clinicians would recommend Lyrebird
100%
Reported improved focus during consultations
93%
Of patients comfortable with AI documentation
67%
Of patients said clinicians gave them more attention
The challenge

Letters taking 30 days.
Evenings spent catching up.

Before deploying ambient voice technology, Alder Hey faced documentation and workflow challenges common across NHS acute settings. Outpatient letters could take up to 30 days to reach families and GPs, creating gaps in care continuity and communication.

Clinicians were spending evenings catching up on clinical documentation, contributing to unsustainable workloads. Secretarial teams were stretched chasing letters and approvals through transcription and approval workflows.

During consultations, clinicians divided their attention between the patient and documentation requirements — affecting both the quality of interaction and the comprehensiveness of notes.

The impact was felt across every layer of the service: patients, clinicians, administrative teams, and the organisation's ability to govern its own records.

Outpatient letters taking up to 30 days to reach families and GPs — creating gaps in care continuity and communication.
The deployment

From routine clinics to
multi-disciplinary A&E.

Alder Hey partnered with Lyrebird Health to deploy ambient voice technology across outpatient clinics, A&E, and specialist paediatric services. The technology captures clinical conversations in real time and generates structured documentation, enabling clinicians to focus on the patient during consultations and review notes afterward.

Sustained adoption reached 500+ consultations per week at 6 months — indicating that initial benefits were maintained as the tool became part of routine practice.

12
Month pilot
October 2024 to October 2025
500+
Consultations per week
Sustained at 6 months
3
Settings
Outpatient, A&E, specialist paediatric
Outcome 01

Productivity and efficiency.

8 min
Saved per consultation
Average across all specialties.
40%
Reduction in A&E clinician time per patient
Significant impact in high-acuity settings.
26 min
Admin time saved daily per clinician
Redirected to patient-facing work.

32 minutes saved per 4-hour clinic session enabled 13.33% higher patient volumes with no additional clinicians or hours worked. Resources previously spent on manual typing and outsourced transcription were redirected into frontline care.

Outcome 02

Documentation quality
and clinician experience.

Lyrebird-generated notes scored 37.1 out of 40 versus 34.6 for manually written clinical notes — a 6.2% quality improvement validated against the PDQI-9 framework. 58% of AI-generated notes were accepted verbatim by clinicians, demonstrating high baseline accuracy.

7.2% improvement in clinical note and document quality, validated against the PDQI-9 standardised metrics.
"A complex appointment that would have taken me 40 minutes to type up now takes 5 minutes to check and copy. I could actually focus on the patient instead of worrying about the notes."
CP
Clinical Psychologist
Alder Hey Children's NHS Foundation Trust
"Even in a multi-disciplinary clinic with eight professionals and a family talking, the system captured the key clinical content. It's game-changing."
ST
Consultant Speech Therapist
Alder Hey Children's NHS Foundation Trust
Outcome 03

What families noticed.

Families began receiving same-day correspondence — a visible and immediate change in patient experience. 67% of patients and families reported that clinicians gave them more attention. 93% were comfortable with AI-assisted documentation.

Administrative teams, no longer chasing documentation backlogs, shifted focus to patient communication and service coordination.

Same-day letters for all patients, reduced from up to 30 days. For families of children in complex care, that is not a small thing.
"Our partnership with Lyrebird represents an exciting step toward a future where technology empowers healthcare professionals to deliver even better care."
Adam Bateman, Deputy CEO · Alder Hey Children's NHS Foundation Trust
What comes next

A model for paediatric
services at scale.

Alder Hey's deployment demonstrates that ambient voice technology can work across diverse paediatric settings — from routine outpatient clinics to complex multi-disciplinary consultations and high-acuity A&E environments.

Sustained adoption at 500+ consultations per week at 6 months indicates that initial benefits are maintained as the tool becomes part of routine practice. For other NHS trusts considering ambient voice technology, Alder Hey's experience offers evidence that simultaneous improvements in productivity, quality, patient experience, and clinician wellbeing are achievable when implementation is done thoughtfully.

From Lyrebird Health
"Alder Hey is the largest single-site deployment of ambient AI in the entire NHS, with over 1,500 clinicians using it. It's been an amazing journey so far and Lyrebird is committed to supporting the safe and compliant deployment of tools that make a real difference to clinicians and patients across the NHS."
Kai Van Lieshout
CEO and Founder, Lyrebird Health