WHAT IT WILL NEVER DO
- Never sends You read every reply and send it yourself.
- Never answers clinically Symptoms, results, whether treatment will help — those go to the consultant.
- Never guesses A missing fee shows as a blank, not an invented number.
- Never books what has not been confirmed A date can be pencilled. The procedure and the price are the consultant’s to settle.
- Never sees a name Patient identifiers are removed in your browser before anything leaves it.
The week you already know
The same twenty questions, in different words, every week.
Four consultants. Four fee lists. Four sets of insurer arrangements, and four different lines about what you may answer yourself and what has to go up.
A fee changed in March and it is still sitting in half your saved replies. And nothing can be answered until you have checked something.
Everything each practice told you once, held in one place.
So you stop carrying it.
When it is wrong
You correct it once.
Change the draft to what you would actually have written, and keep it. That reply comes back the next time the same question does.
Which means the answers are yours, in your words, rather than something generic written by somebody who has never worked an inbox.
Setting up
An afternoon, not a fortnight
Setting up a practice is the part everyone dreads. Most of what Margot needs is already written down somewhere — in the handbook, the fee list, the spreadsheet of questions the front desk answers every week.
Give it those. Margot fills in most of the setup itself, then asks you about the rest: the things nobody wrote down, and anything two documents disagree on.
Nothing goes live until you have checked it.
Priced per practice
Because that is the honest measure
SINGLE
£29
a month
one practice
PRACTICE
£49
a month
up to three
BUREAU
£79
a month
up to eight
Start a free trial Fourteen days free. No card, no setup fee. We set your first practice up together.
Who built it
A fee changed, and the old figure went out in a reply three weeks later.
Not carelessness. The number was in four places and only one of them got updated. That is the week Margot started.
I have worked in private practice administration for years — enquiries, correspondence, insurer authorisations, the lot. I still do. Margot runs on my own consultants’ inboxes, and every rule in it came out of an email that arrived and was answered badly.
The quote in three parts, the hospital that books its own list, the reply for a patient in pain at nine on a Friday night. None of it was designed. It was all corrected.
Ellie
Questions
What secretaries ask before they start
Does Margot use AI?
Yes, for one job: reading an enquiry and picking out the facts. Everything after that runs on your practice’s own rules. It does not decide anything, it does not diagnose, and it does not send. Patient identifiers are removed in your browser before anything is read.
Does it send emails on my behalf?
No. Margot drafts. You read every reply and send it yourself. There is no setting that changes this.
My consultant works from three hospitals. Does it cope?
That is the normal case, and it is built in. Each venue has its own days, its own services and its own way of booking. Where a hospital runs its own list, Margot gives the patient that hospital’s number rather than offering a date the office cannot hold.
Most of my inbox is patients we already know.
Margot reads for that. Somebody writing about their own ongoing care is not offered a first appointment and a price. If they have asked you to put something to the consultant, the draft says it has been passed on — and tells you to pass it on.
What about a patient in pain on a Friday night?
Symptoms are never answered here, but the patient is never met with silence either. Margot writes a reply that says the message has gone to the consultant, suggests they speak to their GP, and leaves A&E and 111 open. Anything urgent stops the draft altogether and tells you to ring them.
What if it gets something wrong?
You change the draft to what you would have written and keep it. That answer comes back the next time the same question does. After a fortnight the answers are yours, and what you have had to correct is a fair list of what the setup missed.
What happens to patient information?
Names, email addresses, telephone numbers, dates of birth and policy numbers are removed in your browser before anything is sent for processing. Nothing is stored. A data processing agreement is available for each practice you work with.
How long does it take to set up a practice?
An afternoon rather than a fortnight, if the practice has a handbook, a fee list, or a list of the questions the front desk answers most often. Margot fills in most of the setup from those, then asks you about what they did not cover.
Can I use it for more than one consultant or clinic?
Yes. Margot is built for secretaries working across several practices at once. Each one is set up separately and kept separate — fees, rules and correspondence never mix between them. Pricing is based on how many you run.
Do I need my consultant’s permission?
You should tell them, and the conversation usually goes well, because Margot drafts rather than sends. The practice will also want a data processing agreement in place, which is available on request.
Does it answer clinical questions?
Never. Anything about symptoms, results, whether a treatment will help, or which investigation someone needs goes to the consultant rather than being drafted. This is fixed and cannot be switched off.
Will it tell a patient they are covered?
No. Margot can state that a consultant is recognised by an insurer, because that is a fact about the consultant. Only the insurer can confirm that a particular patient is covered, and Margot will never say otherwise.
Is it suitable for NHS work?
No. Margot is built for private practice — private fees, private insurers and self-pay patients. NHS correspondence works differently and Margot is not designed for it.
Does it replace my diary or practice management system?
No. It handles correspondence and works alongside whatever you already use. Where a draft needs an appointment time, it leaves a visible blank for you to fill in.
What happens if I stop working for a practice?
You can remove it at any time, and export its setup so the practice keeps a copy. Your plan adjusts at the next billing date.
Not for everyone
- Not for NHS secretaries. This is built for private practice.
- Not a diary or a practice management system. It works alongside yours.
- Not for anyone who wants replies sent automatically. That is not what this is.