Industry Spotlight: Jonathan Larbey, CEO, T-Pro

For Jonathan Larbey, chief executive officer at T-Pro, the real value of ambient voice technology (AVT) lies in workflow completion, not note creation.  

Larbey says that AVT – also known as AI scribing – must do much more than capture consultations between doctors and patients.

He argues that the production of high-quality, AI-generated clinical notes should be standard, not a cause for celebration.

“Any clinician will tell you that AVT is great for them: it reduces the amount of time they spend on documentation and it improves their life.

“But from an efficiency gain point of view, that’s not really where the benefits are.  The benefits are in the broader documentation workflow,” he says.

Larbey points out that most of the operational load comes after the note has been generated from the consultation.

From an efficiency gain point of view, the benefits of AVT are in the broader documentation workflow

“There are follow-ups, referrals, lab orders, correspondence to GPs and patients. Consultants are doing a lot of this stuff themselves.

“They’re logging into their electronic health records (EHRs) and becoming some of the most expensive data entry people in the world.”

Most AI scribes focus on note creation, leaving a huge amount of work where it has always been – in the hands of clinicians, admin teams and managers.

“Where our solution differentiates itself by being an integrated closed loop solution that automates the whole process and not just the note generation.

“And that gives you efficiency gains across the organisation,” says Larbey.

Workflow-native operational layer

T-Pro is built as a workflow-native operational layer that files the clinical note directly into the EHR, generates letters, summaries and referrals, tracks completions across teams, and provides auditability and governance.

Unlike clinician-first tools, it is designed for the full care delivery system, freeing up medical secretaries, department administrators and operational managers, as well as clinicians.

In NHS environments where care is delivered across complex, multi-site pathways, this makes it easier to ensure that documentation is standardised, governed, and measurable.

Larbey also emphasises T-Pro’s adaptability. This is not a “silver bullet”, but technology that works with people.

“AVT is brilliant – it’s transformative. But I also know that if I’ve got 2,000 clinicians in a trust, 200 of them are not going to want to use AI for all sorts of reasons.

“They’re not all going to be comfortable with it, so we also have old school speech recognition workflows that allows us to cater for everyone in a trust.

“We also have other input modalities that allow you to create a document, get it through the process, and make sure the right people are signing off on it.

“It’s clinically verified and going to the place it needs to go,” he says.

Beyond consultations

T-Pro supports clinicians on ward rounds and in the community, saving time for those who rarely, or never, have consultations with patients.

“Let’s say I’m a radiologist, for example. There is no consultation, but I can use the same background technology to conversationally interact with an image.

“The AI generates the report in a structured ways as I’m doing my reporting,” explains Larbey.

He adds that if a radiologist is supported to get through five additional images a day “that is a huge efficiency gain when it’s extrapolated across a broader service”.

The national focus on AVT has attracted a rush of entrants to the market, but Larbey says that only the most committed will stay the course.

“As the compliance bar goes up, the 50 different providers that sprung up last year suddenly becomes five or six because regulation costs a lot of money.

“To resource things like post-market surveillance is time and money intensive. We’re constantly checking the quality of the notes that we’re generating.”

T-Pro is built to meet the compliance and workflow requirements of high-volume settings, meaning that it can scale safely.

Larbey emphasises that as AVT adoption accelerates, it is no longer enough to show promising results from isolated pilots. NHS buyers now require trust-wide scalability.

They also need an honest and robust approach to the risks associated with AVT, such as hallucinations.

The focus should be on the guardrails you can put in place around your AI system to limit, flag, and mitigate those hallucinations as they occur

Any supplier who claims to have eradicated hallucinations is being “wildly disingenuous”, he says.

“You’re always going to get bits that leak around the edge, that’s the nature of the AI.

“The focus should be on the guardrails you can put in place around your AI system to limit, flag, and mitigate those hallucinations as they occur.

“We keep the human-in-the-loop, and everything has to be clinician-verified.”

One of the T-Pro’s guardrails means that the system cannot stray into making clinical decisions.

“We will partner with clinical decision support providers, but our guardrails will always constrain the model to stay away from things like drug interactions because that’s not what we do.

“Our business exists to automate administrative document workflows in healthcare. We don’t do anything else,” he adds.

It’s an exciting time for AVT in the NHS, and for T-Pro – already the biggest documentation provider to the NHS – Larbey believes the future is bright.

“AVT is part of the zeitgeist, and people’s understanding is catching up with where the technology is.

“There’s more willingness to adopt, there’s more government policy, there’s bigger risk appetites and, critically, there’s funding,” he says.

But in a dynamic market, what makes T-Pro stand out is how it uses AI automation and deep integration into EHRs to realise efficiency gains.

“We’ve designed and implemented our solutions across the NHS and they’re built for how the NHS actually works, not some nirvana of AI-enabled hospitals,” Larbey says.

“We deliver real-world benefits that are measurable. That’s what really drives adoption.”

Contact T-Pro:

Website: https://info.tpro.io/

Email: sales@tpro.io

LinkedIn: T-Pro

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