Terms of Service

By registering for an account, subscribing, or otherwise accessing or using the Service, you agree to be bound by these Terms and our Privacy Policy, which is incorporated into these Terms by reference. If you are using the Service on behalf of an organisation, you represent that you have the authority to bind that organisation to these Terms.

If you do not agree to these Terms, you must not access or use the Service. We may update these Terms from time to time. We will notify you of material changes by email or by displaying a notice within the Service. Continued use of the Service after any such update constitutes your acceptance of the revised Terms.

You must be at least 18 years old and a registered dental professional (or operating under the supervision of one) in the United Kingdom to use this Service.

Nosht (Solo, Pro, and Practice plans) is a cloud-based clinical note documentation tool designed for UK dental professionals. It is not a medical device as defined by the UK Medical Devices Regulations 2002 or the MHRA. The Service provides structured templates, intelligent dropdown fields, automated compliance prompts, and guideline-referenced warnings to assist clinicians in drafting dental clinical notes efficiently.

Notes are created within the Nosht interface and are intended to be copied by the user and pasted into their own Practice Management Software (PMS), electronic patient record system, or other documentation system. Nosht does not itself constitute a patient record system and is not approved as a standalone clinical records solution under NHS England contractual requirements.

Compliance-related prompts, guideline references, and warnings within the Service draw on publicly available guidance from bodies including the Faculty of General Dental Practice (UK) [FGDP(UK)] (whose record-keeping standards are now stewarded by the College of General Dentistry, CGDent), the General Dental Council (GDC), the Care Quality Commission (CQC), and the British Society of Periodontology and Implant Dentistry (BSP). These prompts are provided for reference and informational purposes only. Nosht is not affiliated with, endorsed by, or acting on behalf of any of these bodies.

Clinical note text is produced directly from structured templates, dropdown selections, and conditional logic that Nosht writes from cited UK guidance. Nosht does not record or transcribe voice or audio, and does not use AI to autonomously generate or finalise clinical content. Nosht does offer optional, clinician-reviewed AI features (described below) that assist with documentation; the clinician reviews and confirms every field before the note is used.

Nosht offers three optional, clinician-reviewed AI features, each powered by Anthropic's Claude API (Anthropic, PBC): (1) AI shorthand pre-fill — the clinician's typed shorthand (e.g. "UL6 MOD comp A2 lido 1 cart RD") is sent to Anthropic to suggest values for empty template fields; (2) the Bulletproof Mode completeness check — the composed clinical note text you have written is sent to Anthropic for an advisory check of documentation completeness; and (3) the mobile app's quick note (typed) — your typed shorthand is sent to Anthropic to draft a structured note. These features send text only: there is no audio capture, and the content is designed to exclude patient identifiers (names, dates of birth, and NHS numbers). An automated check blocks text that appears to contain patient identifiers, but it cannot catch everything, so do not type patient names or other identifiers into these features. Under our data-processing arrangement with Anthropic, inputs and outputs are not used to train Anthropic's models. Under Anthropic's standard commercial API terms, inputs and outputs may be retained for a limited period (up to 30 days) for trust, safety and abuse-monitoring purposes and are then deleted, except where Anthropic is required to retain them for longer to meet legal or safety obligations; they are not used for any other purpose. See our Data Processing Agreement §5 and Security & data protection for full details. The clinician reviews and confirms every field and remains solely responsible for the content of the note before it is saved or used.

To access the Service you must register for an account using a valid email address and a password, or via Google or Apple sign-in. You agree to provide accurate, current, and complete information during registration and to keep that information up to date.

You are responsible for maintaining the confidentiality of your account credentials and for all activity that occurs under your account. You must notify us immediately at hello@nosht.io if you suspect any unauthorised access to or use of your account.

You must not share your account credentials with any other person, allow any other person to access the Service through your account, or create accounts on behalf of third parties without their knowledge and consent.

We reserve the right to suspend or terminate accounts where there is evidence of shared access, fraudulent registration, or breach of these Terms.

New subscribers to Nosht Solo or Nosht Pro receive a 3-day free trial beginning on the date of subscription. Valid payment details are required at sign-up, but no charge will be made during the trial period. At the end of the 3-day trial, your subscription will automatically convert to a paid plan at the applicable rate shown at sign-up unless you cancel beforehand.

You may cancel your subscription at any time during the trial via the Settings section within the Service or by contacting us at hello@nosht.io. If you cancel before the trial ends, no charge will be made and your access will continue until the trial period expires.

The free trial is available once per person. Creating multiple accounts to obtain additional trial periods is a breach of these Terms.

Continued use of Nosht requires an active paid subscription. Current pricing is displayed on the pricing page and at the point of signup, and is the rate you agree to pay at the moment your subscription is created.

Standard pricing. Nosht subscriptions are billed monthly or annually, as you choose at sign-up — currently Nosht Solo at £9.99/month or £99/year and Nosht Pro at £19.99/month or £199/year. The current rates are always shown on the pricing page and at the point of signup.

Early-subscriber rate. Subscribers who joined during the earlier beta period at the introductory rate keep that original rate for as long as their subscription remains active and uninterrupted; we will not move an existing subscriber to standard pricing without their agreement. For any subscriber, where we change the price that applies to you, we will give not less than 30 days' advance notice by email before the change takes effect, and you may cancel before that effective date without further charge.

App Store prices are shown in the App Store before you buy and are billed by Apple.

Nosht Limited is not registered for VAT. No VAT is charged on Nosht subscriptions, and we will tell you by email before that changes. We reserve the right to change pricing at any time; where changes affect existing subscribers, we will provide not less than 30 days' advance notice by email.

Payments are processed by Stripe, Inc., a third-party payment processor. By providing payment details, you authorise Stripe to charge the applicable subscription fee on the billing cycle you select. The first charge is made at the end of the3-day free trial period (Section 4.1) unless you cancel during the trial.

Subscriptions renew automatically at the end of each billing period unless cancelled before the renewal date. Annual subscriptions renew automatically for a further year at the then-current annual price unless cancelled before the renewal date; cancelling stops the next renewal and you keep access until the end of the paid year. You are responsible for ensuring your payment details remain valid. If a payment fails, we may suspend access to the Service until payment is successfully collected.

Nosht does not store your full payment card details. All payment data is handled directly by Stripe in accordance with their privacy policy and PCI-DSS compliance standards.

You may cancel your subscription at any time via the Settings section within the Service or by contacting us at hello@nosht.io. Cancellation takes effect at the end of the current billing period; you will retain access to the Service until that date.

We do not offer refunds for unused portions of a billing period, except where required by applicable law or at our sole discretion in exceptional circumstances.

If you are a consumer (as defined under applicable UK consumer protection legislation, including the Consumer Contracts (Information, Cancellation and Additional Charges) Regulations 2013), you can cancel within 14 days of your subscription starting without giving a reason. If you asked us to start the Service during those 14 days, which happens when you begin your free trial, we may deduct a proportionate amount for any paid days you used. During the 3-day free trial that amount is £0. This statutory right is separate from, and runs concurrently with, the contractual free trial described in Section 4.1. This does not affect any other statutory rights you may have.

The 3-day free trial described in Section 4.1 is a contractual benefit offered by Nosht in addition to (and not in replacement of) any statutory cancellation rights you may have under the Consumer Contracts Regulations 2013.

In addition to the standard 3-day free trial described in Section 4.1, we may from time to time offer extended or alternative free trial periods through promotional campaigns. The duration and terms of any such promotional trial will be displayed at the point of registration and will supersede the standard 3-day terms only for the duration of that promotion.

If you access the Service through our iOS application, your subscription may be managed through Apple's App Store and processed as an in-app purchase. Subscriptions purchased through the App Store are subject to Apple's terms and conditions in addition to these Terms.

Auto-renewal: App Store subscriptions renew automatically unless cancelled at least 24 hours before the end of the current billing period. You can manage and cancel subscriptions through your Apple ID account settings.

Refunds: Refund requests for subscriptions purchased through the App Store must be directed to Apple. Nosht cannot process refunds for App Store purchases.

App Store prices are shown in the App Store before you buy and are billed by Apple.

Nosht Practice is not yet on sale. These terms will apply once it launches, and its pricing will be shown on the pricing page at that time. The following additional terms will apply to subscribers on the Nosht Practice plan:

1. The Practice subscription comprises a recurring platform fee plus a per-clinician seat fee, with a minimum of two clinician seats. The platform fee, the seat fee, the number of seats and the total are shown to you at checkout before you confirm the subscription.
2. The practice administrator (the individual who creates the Practice account) is responsible for managing clinician access, including inviting and removing clinician seats, and for ensuring that all clinicians using the Service under the Practice plan comply with these Terms.
3. Note drafts and completed note content created by individual clinicians under a Practice plan are not shared with the practice administrator or other practice members. These note drafts are not patient records — they are working documents intended to be copied into the practice's PMS. Audit results for those notes (completeness scores and findings) and compliance reports generated under the Practice account are accessible to the practice administrator and practice managers within the Nosht application.
4. Removal of a clinician seat from the Practice plan does not immediately delete that clinician's historical note drafts or audit data within Nosht. Previously created audit results remain accessible to the practice administrator and practice managers within the platform; the clinician's note drafts stay in the clinician's own account. All data remains subject to the retention and deletion terms in our Privacy Policy and Data Processing Agreement.
5. Upon cancellation of a Practice plan, the practice retains access to all features until the end of the current billing period. After the billing period ends, access to practice management features (audit dashboard, compliance reports, team management) will be suspended, but historical data will be retained in accordance with our data retention policy.

You agree to use the Service only for lawful purposes and in accordance with these Terms. You must not:

1. Use the Service for any purpose that is unlawful, fraudulent, harmful, or that violates any applicable UK or international law or regulation.
2. Input patient-identifiable information only where a Nosht feature is designed to hold it: the Referral Letter template (patient name, date of birth and, optionally, NHS number, address and contact details), Send Leaflet (the patient's email address or mobile number, as described in Section 9A), and the referral tracker, reminders, and the child-exam guardian-name field (patient initials, short references, or a guardian's name). Do not enter patient names, NHS numbers, dates of birth, or addresses into any other clinical note field — use clinical descriptors only. Where you enter patient personal data under this clause, you act as Data Controller and Nosht processes that data as your Processor under our Data Processing Agreement (see Section 9). You are solely responsible for ensuring your use of the Service complies with UK GDPR, the Data Protection Act 2018, and all applicable NHS data governance requirements.
3. Attempt to gain unauthorised access to any part of the Service, its underlying infrastructure, or any connected systems.
4. Reverse engineer, decompile, disassemble, or otherwise attempt to derive source code or underlying algorithms from the Service.
5. Use automated scripts, bots, scrapers, or other automated means to access or interact with the Service without our prior written consent.
6. Reproduce, duplicate, copy, sell, resell, or exploit any portion of the Service without our express written permission.
7. Submit content that is defamatory, obscene, abusive, or otherwise objectionable, or that infringes the intellectual property rights of any third party.
8. Use the Service in a manner that could damage, overburden, impair, or disrupt the Service or its servers or networks.
9. Misrepresent yourself as a registered dental professional when you are not, or use the Service in a clinical context in which you are not legally authorised to practise.

We reserve the right to investigate suspected violations of these Terms and to suspend or terminate access where a violation is confirmed or reasonably suspected. We may also report unlawful activity to appropriate authorities.

The Service and all content made available through it — including but not limited to clinical note templates, section structures, compliance prompts, guideline references, software code, design elements, logos, and trade marks — are the exclusive property of Nosht or its licensors and are protected by applicable intellectual property laws.

Subject to your compliance with these Terms and payment of applicable fees, we grant you a limited, non-exclusive, non-transferable, revocable licence to access and use the Service for your own professional clinical documentation purposes. This licence does not permit you to copy, modify, distribute, sell, or create derivative works from any part of the Service or its content.

You retain ownership of any text you personally author and input into the Service. By inputting content, you grant us a limited licence to process, store, and display that content solely to the extent necessary to provide the Service to you. We do not claim ownership over clinical note text you generate using the Service.

Any feedback, suggestions, or ideas you submit to us regarding the Service may be used by us without restriction or compensation to you.

The Service is provided on an "as is" and "as available" basis. To the fullest extent permitted by law, we make no representations or warranties of any kind, express or implied, regarding:

1. The accuracy, completeness, currency, or applicability of any compliance prompts, guideline references, or warnings presented within the Service. Clinical guidelines are subject to change and users are responsible for verifying that any guidance referenced within the Service reflects the current published version.
2. The fitness of any note generated using the Service for use as a clinical record, for submission to the NHS Business Services Authority, or for any regulatory, indemnity, or dentolegal purpose.
3. The compliance of notes generated using the Service with GDC Standards, FGDP(UK)/CGDent record-keeping guidance, CQC inspection requirements, NICE clinical guidelines, BSP periodontal guidance, or any NHS contractual obligations. Users must independently satisfy themselves that any notes meet the applicable standards for their practice type and patient population.
4. The suitability of the Service for any particular clinical specialty, patient group, or treatment modality.

Nothing in the Service constitutes clinical, legal, regulatory, or indemnity advice. Nosht is not affiliated with and has no relationship with the GDC, FGDP(UK), BDA, BSP, CQC, NHS England, the Dental Defence Union (DDU), the Medical Protection Society (MPS), or any other professional body or dental indemnity organisation. References to external guidelines within the Service are made purely for informational context and do not imply endorsement by or affiliation with the relevant body.

You are responsible for maintaining your own appropriate dental indemnity cover and for complying with all obligations imposed by your indemnifier. Nosht accepts no responsibility for any loss of indemnity cover or adverse indemnity outcome arising from your use of the Service.

Bulletproof Mode documentation completeness checks are informational reminders only and do not constitute a compliance audit, regulatory assessment, or certification that any note meets any particular standard. A high Bulletproof Mode score does not guarantee that a note is adequate for regulatory, indemnity, or medico-legal purposes. You remain responsible for independent clinical and regulatory review of all notes.

While we endeavour to ensure the accuracy of all clinical reference data within the Service, we do not warrant that such data is free from errors. Published drug doses, interaction data, and clinical guidelines are subject to change without notice. The Service may not reflect the most recently published version of any guideline or formulary. Users must independently verify all clinical information.

You acknowledge that you must not solely rely on the Service for any time-critical aspect of patient care or clinical record-keeping. Failure of the Service does not relieve you of your independent clinical obligations.

The Service includes optional financial management tools including an income tracker, expense tracker, tax calculator, and invoice generator ("Financial Tools"). These tools are provided to help you organise your financial records. They do not constitute financial advice, tax advice, or accounting services.

Tax calculations, estimates, and projections displayed within the Service are approximate and provided for informational purposes only. They should not be relied upon as a substitute for professional tax advice from a qualified accountant or tax adviser. You are solely responsible for verifying the accuracy of any tax calculations before relying on them or submitting data to HMRC.

Nosht is not regulated by the Financial Conduct Authority. The Financial Tools do not constitute a regulated financial service.

Where the Service integrates with HMRC Making Tax Digital APIs, you authorise Nosht to submit data to HMRC on your behalf based on the information you have entered. You remain solely responsible for the accuracy and completeness of all data submitted. Nosht accepts no liability for penalties, interest, or other consequences arising from inaccurate data, late submissions, or reliance on tax estimates provided by the Service.

Nosht is not affiliated with, endorsed by, or acting on behalf of HM Revenue & Customs.

To the fullest extent permitted by applicable law, whether in contract, tort (including negligence), breach of statutory duty or otherwise, and even if we have been advised of the possibility of such loss or damage, Nosht, its directors, employees, contractors, and licensors shall not be liable to you or any third party for any:

• indirect, incidental, special, consequential, or punitive loss or damage;
• loss of clinical records or business data (this does not limit our obligations or liability as your processor under the Data Processing Agreement or data protection law);
• clinical outcomes, adverse patient outcomes, or professional regulatory consequences arising from or connected to notes drafted using the Service;
• loss of profits, revenue, or anticipated savings;
• loss of goodwill or reputation;
• any regulatory, disciplinary, or indemnity consequences arising from the content of notes generated using the Service;
• financial losses, tax penalties, interest charges, or adverse tax outcomes arising from the use of or reliance on the Financial Tools or any tax calculation, estimate, or submission made through the Service;

Without prejudice to the foregoing, we expressly exclude liability for any loss, harm, or damage arising from any clinical decision made in reliance upon information provided by the clinical reference tools within the Service (including but not limited to the LA Dose Reference, Antibiotic Guide, Paediatric Dose Calculator, Emergency Protocols, and Drug Interactions reference). These tools are provided for quick-reference convenience only and the treating clinician bears sole responsibility for independently verifying any clinical information before acting upon it.

Where liability cannot be excluded by law, our total aggregate liability to you in respect of any claim arising under or in connection with these Terms or your use of the Service shall not exceed the greater of (a) the total subscription fees paid by you to us in the twelve months immediately preceding the date on which the claim arose and (b) £1,000. Nothing in this section limits our obligations or liability as your processor under the Data Processing Agreement or data protection law.

Nothing in these Terms excludes or limits our liability for death or personal injury caused by our negligence, fraud or fraudulent misrepresentation, or any other liability that cannot be excluded or limited by English law.

Nothing in these Terms excludes or limits your statutory rights under the Consumer Rights Act 2015. Where you are a consumer, the digital content and services we provide must be of satisfactory quality, fit for a particular purpose, and as described. These Terms apply to the fullest extent permitted by law and without prejudice to your statutory rights.

Our collection and use of your personal data is governed by our Privacy Policy, which forms part of these Terms. Please read it carefully.

The personal data we collect in connection with your use of the Service relates to you as a subscriber — for example, your name, email address, payment information, and account usage data. We are the data controller in respect of this data and process it in accordance with UK GDPR and the Data Protection Act 2018.

As described in Section 5 (Acceptable Use), Nosht's clinical templates other than the Referral Letter are designed to hold clinical descriptors rather than patient identifiers. Where you enter patient personal data — in the Referral Letter template, Send Leaflet, the referral tracker, reminders, the child-exam guardian-name field, or otherwise — you act as the Data Controller and Nosht processes that data as your Processor under our Data Processing Agreement, which forms part of these Terms. You must ensure that any such processing is lawful, that appropriate data subject rights are respected, and that your use of the Service in this manner complies with your obligations under UK GDPR, the Data Protection Act 2018, and any applicable NHS data governance frameworks.

We use Supabase for authentication and user data storage, Stripe for payment processing, Netlify for web hosting, Anthropic, PBC for the optional AI documentation features (described in Section 2), and — where you use the Send Leaflet feature — Resend (email delivery) and Twilio (SMS delivery). We also use error-monitoring and, where you opt in, analytics providers. Our current full list of sub-processors is at nosht.io/security#sub-processors. All are subject to their own privacy policies and data processing agreements. Data is stored on or processed by infrastructure within the European Economic Area, the United Kingdom, or the United States, subject to appropriate international transfer safeguards as detailed in our Privacy Policy and Data Processing Agreement.

The Service includes a feature that allows you to send patient information leaflets directly to patients by email or SMS ("Send Leaflet"). When you use this feature, you are the Data Controller of the patient's personal data (email address or mobile number) and you are initiating the communication on your own authority as the treating clinician.

By using the Send Leaflet feature, you confirm that:

1. You have obtained or are relying on an appropriate legal basis under UK GDPR to send electronic communications to the patient (for example, the communication constitutes a healthcare communication to an existing patient relating to their treatment, which may be sent without separate marketing consent under Regulation 6 of the Privacy and Electronic Communications Regulations 2003 (PECR) where it is not a "marketing" communication).
2. You have verified that the email address or mobile number entered belongs to the intended patient and that you are authorised to use it for this purpose.
3. You will not use the Send Leaflet feature to send unsolicited marketing communications or any communication that is not directly connected to the patient's dental care.
4. You accept sole responsibility for ensuring that your use of the Send Leaflet feature complies with UK GDPR, PECR, NHS contractual requirements, and any applicable guidance from the GDC or your indemnity provider regarding patient communications.

Nosht acts as Processor when transmitting patient communications on your instruction. Full details of how patient contact data is handled are set out in our Data Processing Agreement and Privacy Policy.

We will use reasonable endeavours to make the Service available 24 hours a day, seven days a week. However, we do not guarantee uninterrupted availability. The Service may be temporarily unavailable due to scheduled maintenance, emergency maintenance, circumstances beyond our reasonable control, or technical failures. Where planned maintenance is scheduled, we will endeavour to give reasonable advance notice.

We reserve the right to modify, update, suspend, or discontinue any part of the Service at any time, with or without notice. This includes changes to templates, compliance prompts, feature sets, and user interface elements. Where we discontinue the Service entirely, we will provide not less than 30 days' notice and will pro-rate any refund of prepaid subscription fees.

We may add, modify, or remove templates and clinical prompts from time to time as guidelines are updated. We are not obligated to maintain any particular template in perpetuity. Where you have customised a template, we will endeavour to preserve your customisations but cannot guarantee this across all Service updates.

You are responsible for ensuring that you do not solely rely on the Service for any time-critical aspect of patient care or clinical record-keeping. You should maintain independent access to your PMS and other record systems at all times.

You may terminate your account and subscription at any time in accordance with Section 4.4 (Cancellation). Upon termination, your right to access and use the Service ceases immediately at the end of the current billing period (or immediately if you request immediate closure).

We may suspend or terminate your account immediately, without notice, if we reasonably believe that you have breached these Terms, including but not limited to the acceptable use provisions in Section 5, or if your subscription payment is overdue for a period exceeding 14 days.

Upon termination of your account for any reason, we may delete your account data, including any notes, drafts, or settings stored within the Service, in accordance with our data retention policy as set out in our Privacy Policy. You are responsible for exporting or copying any data you wish to retain before your account is terminated. We are not liable for any loss of data resulting from account termination.

Sections 6 (Intellectual Property), 7 (Disclaimer), 8 (Limitation of Liability), 12 (Governing Law), and any other provisions that by their nature should survive termination shall survive the termination or expiry of these Terms.

These Terms and any dispute or claim arising out of or in connection with them or their subject matter or formation (including non-contractual disputes or claims) shall be governed by and construed in accordance with the law of England and Wales.

Each party irrevocably agrees that the courts of England and Wales shall have exclusive jurisdiction to settle any dispute or claim arising out of or in connection with these Terms or their subject matter or formation.

Before initiating formal legal proceedings, we encourage you to contact us at hello@nosht.io so that we may attempt to resolve the matter informally. This does not affect any right you may have to seek urgent injunctive or other interim relief from a court.

If you are a consumer resident in the United Kingdom, you may also have the right to refer disputes to an alternative dispute resolution (ADR) scheme. We are not currently obliged to use an ADR scheme and do not currently offer one. If we can't resolve a complaint, we'll tell you so in writing.

Entire Agreement. These Terms, together with our Privacy Policy, Data Processing Agreement, and Cookie Policy, constitute the entire agreement between you and Nosht with respect to the Service and supersede all prior or contemporaneous agreements, representations, or understandings.

Severability. If any provision of these Terms is found to be unlawful, void, or unenforceable by a court of competent jurisdiction, that provision shall be limited or eliminated to the minimum extent necessary so that these Terms shall otherwise remain in full force and effect.

Waiver. Our failure to enforce any right or provision of these Terms shall not constitute a waiver of that right or provision unless acknowledged and agreed to by us in writing.

Assignment. You may not assign or transfer your rights or obligations under these Terms without our prior written consent. We may assign our rights and obligations under these Terms freely, including in connection with a merger, acquisition, or sale of business assets, provided we give you reasonable notice.

Third Party Rights. These Terms do not create any rights enforceable by third parties under the Contracts (Rights of Third Parties) Act 1999.

Force Majeure. We shall not be liable for any delay or failure to perform our obligations where such delay or failure results from circumstances beyond our reasonable control, including but not limited to acts of God, natural disasters, pandemic, government action, Internet outages, or third-party service failures.