eConsult Health

eConsult Video Consultation

eConsult Video Consultation (Q Health), allows secure and safe video consultation between NHS clinicians and patients. It allows telephone AND video consultation, with seamless upgrade/downgrade between the two. It is a nationally approved platform (NHSD-DFOCVC), operational across CCGs and ICSs nationwide, which gives scheduled and unscheduled video consultation flexibility.

Features

  • Secure video consultation
  • Dynamic Telephony/Video upgrade/downgrade mid-call
  • Secure NHS Digital compliant image upload
  • Multi-participant video
  • Scheduled and ad hoc video calls
  • Blur clinician background
  • Screen share
  • Waiting room capability
  • Invite participant by SMS or email

Benefits

  • Enable synchronous remote consultation (phone or video)
  • Reduce unnecessary patient travel
  • Reduce unnecessary clinician travel
  • Enable networked working
  • Enhance digital access/reduce digital exclusion versus standard video consultation provision
  • Support clinicians' assessments through optional upgrade telephone to video consultation

Pricing

£225 to £2,160 a user

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at commercial@econsult.health. Tell them what format you need. It will help if you say what assistive technology you use.

Framework

G-Cloud 13

Service ID

4 7 4 3 1 4 2 7 5 6 0 8 4 7 1

Contact

eConsult Health Aman Kundraw
Telephone: 020 7062 5737
Email: commercial@econsult.health

Service scope

Software add-on or extension
No
Cloud deployment model
Public cloud
Service constraints
Users require an up to date browsers
System requirements
  • NHS Mail
  • Robust internet connection
  • Up to date browser
  • Suitable device (laptop, desktop, tablet, smartphone)

User support

Email or online ticketing support
Email or online ticketing
Support response times
Support hours 08:00 – 20:00 Monday – Sunday
Response times are determined by priority. In addition to email, we provide live chat support via our website (typical response time of 5 minutes) and telephone support.

Priority 1: Within 1 hour
Priority 2: Within 2 hours
Priority 3: Same day
Priority 4: Same day - acknowledgement and triaged.

Out of hours support:
Out of hours 20:00 – 08:00 Monday – Sunday and Bank Holidays

Priority 1 Within 12 hours
Priority 2 Within 12 hours
Priority 3 Next working day
Priority 4 Next working day
User can manage status and priority of support tickets
No
Phone support
Yes
Phone support availability
9 to 5 (UK time), 7 days a week
Web chat support
Web chat
Web chat support availability
9 to 5 (UK time), 7 days a week
Web chat support accessibility standard
WCAG 2.1 AA or EN 301 549
Web chat accessibility testing
We have a User Research team dedicated to ensuring a user centric design.
This team maintain user groups of all end users (patients and clinicians), assistive users are a core component of these groups. Our User Research team regularly host interviews, focus groups and interviews with these groups to understand how our existing functionality and new feature and function (i) meets the needs of the end users, and; (ii) where adaptation is required.

Customer side, we work actively to ensure that the platform is intuitive for users to ensure that the seamless interaction with customer side systems aligns to existing experiences.
Onsite support
No
Support levels
Support hours 08:00 – 20:00 Monday – Sunday Response times are determined by priority. In addition to email, we provide live chat support via our website (typical response time of 5 minutes) and telephone support.
Priority 1: Within 1 hour
Priority 2: Within 2 hours
Priority 3: Same day
Priority 4: Same day - acknowledgement and triaged.

Out of hours support: Out of hours 20:00 – 08:00 Monday – Sunday and Bank Holidays
Priority 1 Within 12 hours
Priority 2 Within 12 hours
Priority 3 Next working day
Priority 4 Next working day
Support available to third parties
Yes

Onboarding and offboarding

Getting started
Full implementation plan and support provided by our implementation and operations teams. Systems and functionality training provided via a mix of channels (online, face-to-face, webinars etc) alongside modular change management programme. User guides, training videos, library of on-demand webinars, scripts, manuals, templates and marketing collateral is provided as part of onboarding and ongoing support.

In addition, we hold quarterly webinars to discuss shared learning, share best practice and advise of the product roadmap.
Service documentation
Yes
Documentation formats
  • HTML
  • PDF
  • Other
Other documentation formats
Hosted videos
End-of-contract data extraction
ISO 27001 compliant process for data extraction, transfer and removal.
End-of-contract process
Customer are required to provide a 90 day notice period. Upon request, the agreement will not auto renew. Customer will internally agree step down pathways and business continuity approach. We will support this process for smooth transition.

If no termination request is received, the agreement will auto-renew for 12 months.

Using the service

Web browser interface
Yes
Supported browsers
  • Microsoft Edge
  • Firefox
  • Chrome
  • Safari
Application to install
No
Designed for use on mobile devices
Yes
Differences between the mobile and desktop service
EConsult Video Consultation is cloud based, accessible via browser and compatible with internet browsers that carry 99% of all internet traffic (inc mobile browsers).
The mobile browsers is fully adaptive to smartphone and tablet settings.
Service interface
Yes
User support accessibility
WCAG 2.1 AA or EN 301 549
Description of service interface
The patient side service interface is web-based and accessed by patients via a clickable link shared with the patient via SMS or Email from the clinical dept.

Clinical departments access the platform via our toolbar. From here ad hoc and scheduled video/telephone calls can be organised with patients.
Accessibility standards
WCAG 2.1 AA or EN 301 549
Accessibility testing
We have a User Research team dedicated to ensuring a user centric design.
This team maintain user groups of all end users (patients and clinicians), assistive users are a core component of these groups. Our User Research team regularly host interviews, focus groups and interviews with these groups to understand how our existing functionality and new feature and function (i) meets the needs of the end users, and; (ii) where adaptation is required.

Customer side, we work actively to ensure that the platform is intuitive for users to ensure that the seamless interaction with customer side systems aligns to existing experiences.
API
No
Customisation available
Yes
Description of customisation
Clinic setup for video consultations (including ad hoc) is configurable: -

- Clinic name
- Invitation link copy
- Sender ID for SMS

Customisations can be undertaken by the user via the department facing eConsult Video Consultation toolbar.

Scaling

Independence of resources
The majority of processing occurs on our multi-tier, AWS London infrastructure, which is configured for elastic scaling in order to handle peaks and troughs in usage,

Analytics

Service usage metrics
Yes
Metrics types
Real time dashboard of video consultation data - durations, clinic activity
Reporting types
  • Real-time dashboards
  • Regular reports
  • Reports on request

Resellers

Supplier type
Not a reseller

Staff security

Staff security clearance
Other security clearance
Government security clearance
None

Asset protection

Knowledge of data storage and processing locations
Yes
Data storage and processing locations
United Kingdom
User control over data storage and processing locations
No
Datacentre security standards
Managed by a third party
Penetration testing frequency
At least once a year
Penetration testing approach
‘IT Health Check’ performed by a Tigerscheme qualified provider or a CREST-approved service provider
Protecting data at rest
  • Physical access control, complying with CSA CCM v3.0
  • Encryption of all physical media
  • Scale, obfuscating techniques, or data storage sharding
Data sanitisation process
Yes
Data sanitisation type
Deleted data can’t be directly accessed
Equipment disposal approach
A third-party destruction service

Data importing and exporting

Data export approach
If a customer, user or patient requests a documented data extract, we provide a structured CSV file detail all data that we hold about them.

Requests can be made directly to our first line support team who operate on a 24 hour SLA if requests are received between 9am - 5pm, Monday to Friday.
Data export formats
CSV
Data import formats
Other
Other data import formats
N/A - users cannot upload their data into the service

Data-in-transit protection

Data protection between buyer and supplier networks
  • TLS (version 1.2 or above)
  • Bonded fibre optic connections
Data protection within supplier network
TLS (version 1.2 or above)

Availability and resilience

Guaranteed availability
Guaranteed availability of 99.9% - this excludes planned downtime for regular product releases and spot fixes, this is communicated to customers well in advance.

Planned downtime is mitigated by rigorous user testing prior to launch. All product releases are undertaken at the quietest period of usage and typically are completed within 15 minutes.

No refund or credit scheme is currently in place.
Approach to resilience
Housed in UK-based, multi-region, Tier 3 Data Centres for high availability and resilience.

Our range of products are utilised by more than 3200 unique organisations UK wide, and uptime has been stable at 99.9% for last 24 months.

We also practice a fully agile methodology and use a scrum model of development for iterative product enhancement, operating on a fortnightly release cycle. This cycle also includes a full review of the last release to ensure a review the quality of the release against agreed success criteria and opportunities for improvement.
Outage reporting
We run a multi channel approach to maximise the opportunity of users to review and understand any communication shared on outages. This includes:
- Emails to affected users.
- A "status page" on our corporate website
- Use of Social media (Facebook and Twitter)
- Messaging shared within our WhatsApp user group
- Patient messaging via our patients facing, cloud based interface
- If appropriate, phone calls to users (dependant upon scale)

In addition, we undertake full business investigation of any outages to fully understand what occurred and what learnings we can take from it.
An abstract of this review and any changes being undertaken are shared with users within our monthly newsletters.

Identity and authentication

User authentication needed
Yes
User authentication
Other
Other user authentication
NHS Mail Single Sign On (SSO)
Access restrictions in management interfaces and support channels
All access is via a VPN, using MFA and SSH keys
Access restriction testing frequency
At least every 6 months
Management access authentication
  • 2-factor authentication
  • Public key authentication (including by TLS client certificate)
  • Dedicated link (for example VPN)
  • Username or password

Audit information for users

Access to user activity audit information
Users contact the support team to get audit information
How long user audit data is stored for
At least 12 months
Access to supplier activity audit information
Users contact the support team to get audit information
How long supplier audit data is stored for
At least 12 months
How long system logs are stored for
At least 12 months

Standards and certifications

ISO/IEC 27001 certification
Yes
Who accredited the ISO/IEC 27001
Alcumus ISOQAR
ISO/IEC 27001 accreditation date
07/12/2021
What the ISO/IEC 27001 doesn’t cover
All business areas are covered.
ISO 28000:2007 certification
No
CSA STAR certification
No
PCI certification
No
Cyber essentials
Yes
Cyber essentials plus
Yes
Other security certifications
No

Security governance

Named board-level person responsible for service security
Yes
Security governance certified
Yes
Security governance standards
ISO/IEC 27001
Information security policies and processes
We have a broad range of policies to support our ISO27001 certification.
We use a Jira add in to ensure that all polices are read and confirmed by staff.
Monthly internal audits are performed to validate clauses of the standard.
The Information Security and Risk manager reports to the Chief operating Officer, who sits on the Exec board.
As a continous improvement environment, we have a CAPA (Corrective Actions/Preventative Actions) process in place, which we record non-conformace and general security improvements.
Security incidents are reported via Jira Service Desk on a dedicated request offering.

Operational security

Configuration and change management standard
Supplier-defined controls
Configuration and change management approach
We have formal change management in place, recording all changes to production.
Vulnerability management type
Supplier-defined controls
Vulnerability management approach
We use Codacy and Snyk for code quality and library vulnerabiities.
We perform quarterly Vulnerability scans and yearly Penetration testing (or on major release)
We are signed up to the NCSC Weekly Threat Report and also get threat reports from NHS digital and our Security partner

Critical risk vulnerabilities – 2 Business days
High risk vulnerabilities – 5 Business days
Medium risk vulnerabilities – 15 Business days
Low risk vulnerabilities – 30 Business days
Protective monitoring type
Supplier-defined controls
Protective monitoring approach
We use Datadog for all security Alerting
Datadog monitors events such as component issues, to service issues to security issues, for example, a server fails to start as a component issue, failure to connect to NHS Login service as a service issue and excessive connection attempts by one address made in quick succession.
All of these alerts are available in the console and via slack alerts
Incident management type
Supplier-defined controls
Incident management approach
A Incident Management policy is in place.
Incidents are investigated and resolved. This could lead to a change request.
Service impacting issues are reported on our status page. https://status.econsult.net
Major incidents are reported to the NHS Digital helpdesk and a full incident report is generated.

Clinical incidents are reported via the website and our Clinical governance team investigate each one thoroughly. Responding back promptly and offering a full explanation of our findings at the end of the investigation.

Secure development

Approach to secure software development best practice
Independent review of processes (for example CESG CPA Build Standard, ISO/IEC 27034, ISO/IEC 27001 or CSA CCM v3.0)

Public sector networks

Connection to public sector networks
Yes
Connected networks
  • NHS Network (N3)
  • Health and Social Care Network (HSCN)

Social Value

Fighting climate change

Fighting climate change

eConsult Video Consultation allows for clinical teams to work remotely (where appropriate) and allows for patients to consult with the team/s whilst only attending for a physical consultation if deemed as appropriate by an appropriate clinician. This mitigates unnecessary travel to and from locations for key stakeholder groups.

In addition, enhanced use of digital interfaces reduces the dependancy on printing, stationary and post.

Pricing

Price
£225 to £2,160 a user
Discount for educational organisations
No
Free trial available
No

Service documents

Request an accessible format
If you use assistive technology (such as a screen reader) and need versions of these documents in a more accessible format, email the supplier at commercial@econsult.health. Tell them what format you need. It will help if you say what assistive technology you use.