IMPORTANT - Push Doctor are currently experiencing incredibly high demand for their sessions. They are keen to emphasise that they cannot guarantee regular sessional work and that they are just at an initial stage of gauging interest. Please see below for their requirements in both compliance documents and availability/suitability.
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Push Doctor is a digital telehealth company, allowing GPs to connect with NHS patients through online video consultations.
Push Doctor enables GPs to securely connect with patients remotely, with flexible working hours to fit to your schedule.
Equipment and consulting environment
Consulting environment and Display Screen Awareness (DSE)
Before consulting on the platform you must look professional and presentable, well dressed and assuming the same status that you would if you were consulting with patients within a surgery setting.
The area in which you consult from must be private, away from anyone else and you must ensure your phone is on silent whilst consulting (although close to hand in case we need to reach you or vice versa).
The ideal room to consult from is a personal study. Please ensure that your environment is well-lit, professional, tidy and clear of personalised items. We also advise against consulting from within your own practice/hospital, as the firewall settings may block your access to our platform.
For your own benefit, we would encourage you to complete a Display Screen Equipment (DSE) assessment and send across a copy to ourselves.
Equipment table
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What do you need? |
Optional items |
Minimum specification |
What will we provide? |
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PC/Laptop with webcam and microphone
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External microphone/webcam |
Minimum of Windows* 10, i3 processor and 4GB Ram. *Macs are fine to use, but need to have 4GB RAM. We would advise against using a Chromebook or Macbook air. |
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NHS Digital Laptop and smartcard reader (provided by ourselves) |
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Minimum connection requirements:
You can test your internet connection here. |
Configuration of the laptop and assistance with setup |
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Microsoft Word licence |
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Assistance during installation |
Further information regarding equipment
Your Push Dr laptop will remain property of Push Doctor and will need to be returned to ourselves should you cease to work with us.
It is security-hardened in order to meet the security requirements set by NHS Digital. This includes, but is not limited to, being fully encrypted, USB ports being disabled, threat protection and removal of admin privileges. Personal use of the machines should be kept to a minimum and no unauthorised software is to be installed.
Due to your self-employed status, we are also unable to provide our GPs with licences to install Microsoft Office on your laptops. As you will require Microsoft Word to issue referrals on EMIS/Systmone we kindly ask that you have a licence ready to install. We can guide you through this once the laptop is received.
You will need to ensure that your connection meets the minimum requirements before progressing to training and assessment.
Once you are on platform it is your responsibility to notify our Support team should you have any issues with your equipment or internet connection.
Furthermore, should you choose to consult from a new setting, we ask that you take the necessary precautions regarding your consulting environment and internet connection.
Training that will be scheduled
Training, assessment and induction for Push Doctor’s NHS Service takes around 3-4 hours in total. Please note that this we cannot offer payment for this.
To progress to training you will need to have previous experience using Systmone or EMIS WEB.
Training/induction comprises of:
- Walkthrough videos & reading of our platform guide
- Completion of an online assessment*
- Introductory call with one of our Associate Medical Directors (AMDS) (up to 1 hour)
- Laptop set up (estimated 1-1.5 hours in your own time)
*You will be notified straightaway as to the outcome of the assessment, at which point we can either discuss the next steps (scheduling shifts and laptop purchase) or give you the opportunity to re-attempt if you have not passed.
Once this is complete and you are signed off you can then use Systmone/EMIS remotely; completing consultations in the same way you would in a GP surgery.
Medical Team introduction and initial monitoring
Alongside your training with the Operations Team, you will be booked in for an introductory telephone call with an AMD. This is an opportunity for you to find out a little more about the medical team and for us to find out more about you. We’ll also help answer questions you may have around some of the clinical aspects of working on the platform, such as prescribing or examination.
In order to become a Push Doctor GP you will be required to undertake training of the Push Doctor Platform; this training will be carried out remotely and in your own time. In addition to training, there will also be an introduction call with a member of the Medical team. The call can take up to an hour, and will cover the following talking points:
- Introduction and welcome
- Past experience
- Initial monitoring process
- Ongoing audit and support
- Standards expected - GMC, PHE, NICE guidance
- NHS clinical flows
- Prescribing
- Intimate examinations
- Other resources
- PGP supervision and audit policy
- Safeguarding & emergency button process
- Incidents and Significant events
- Any questions/ next steps
Following this call, you will be able to start your first consultations. All of our new GPs work for a maximum of 6 hours to begin with and can only work beyond this after having 10 of their consultations reviewed by an AMD. Once this review is complete, we will schedule another telephone call with you in order to feedback. This isn’t something you should be worried about! Many of our GPs find this to be a really valuable learning experience because so rarely do we receive feedback or peer review in our normal working lives. Although this review serves an important purpose in assuring Push Doctor of your competence and safety, it also helps us to identify any learning needs or support you might need. Consulting online is noticeably different to consulting in a face-to-face setting and Push Doctor has particular standards to make this as safe as possible. Therefore, don’t feel disheartened if we offer some tips or suggestions or if we recommend a further consultation review; we want you to feel comfortable and well-supported throughout your time with us at Push Doctor, especially in your first few weeks.
There is a possibility that, after this review, we might feel it is best not to progress your work with us. We would only end our relationship here if significant concerns around safety or fitness to practice were raised from the consultation review.
Compliance Documents
You will need the following in order to work on the Push Doctor platform:
Operational requirements
- Entry on the GMC register*
- Entry on the NHS performers list*
- Up-to-date CV
- Photo ID (Passport/Driving Licence)
- Resident / Work Permit (if applicable)
- Current DBS (CRB) check, to be verified by ourselves through one of the following methods:
- Running a check on the online DBS update service (if you are registered to this)
- Verification of the original DBS certificate (dated within three years). This will need to be posted to our head office, after which we will return to yourself.
- Latest Appraisal and Revalidation (if applicable) evidence
- (For recently qualified GPs CCT is fine)
- Contact details of 2 clinical referees
- Screenshot of internet speeds (you can test your internet connection here)
*The Operations team will verify your GMC and NHS performer registration.
Clinical Documents
To provide Push Dr with assurance that the GPs consulting on our platform are engaged with our vision to provide outstanding healthcare, we do ask that you complete some additional training; you may already have completed these modules as part of your CPD. Antimicrobial stewardship is a particular focus for our organisation and therefore we ask everyone to make a pledge and become an antibiotic guardian.
- Adult Safeguarding Certificate Level 3 (within the last 3 years)
- Child Safeguarding Certificate Level 3 (within the last 3 years)
- Evidence of training on the Mental Capacity Act (within the last 3 years)
- Evidence of training on Data Security Awareness/Information Governance/the Data Protection Act (within the last year)
- Evidence of training on Antimicrobial Resistance (within the last year)
- Antibiotic Guardian pledge certificate
- ‘Sepsis’ training certificate (within the last 3 years)
- Medical Indemnity Certificate with sufficient cover (this can be submitted after completion of training)
Once active on the platform it is your responsibility to keep all compliance documentation up to date and provide the operations team with evidence of any document updates. The operations team will track all compliance documents and may request you provide updated information; failure to comply with these requests will mean your time on the platform will be restricted until the relevant evidence can be provided.
Sessions
Push Doctor’s NHS Sessions are a minimum of 1 hour long and are between 0800-2000 Monday to Friday and between 0900-1700 at the weekend.
The maximum we allow our doctors to work without a break is 6 hours. Breaks are not factored into the session, so a long shift would to be split e.g. 0900-1300 & 1400-1700.
Rather than a set list of patients to work through, we ask our GPs to aim to see as many patients as possible within their session.
If sessions overrun, you are able to claim for the extra time in 15 minute increments.
FAQs:
1. Will indemnity be provided?
No, you will have to check with your provider to ensure you are sufficiently covered.
2. How much does online indemnity cost?
This depends on the number of sessions you chose to work, so please contact your medical indemnity.
However, as we are providing NHS appointments, work on our platform is covered by the state-backed indemnity scheme.
3. Do I need all documents in order to do the training?
Yes, aside from your updated insurance certificate, enabling you to get started as soon as possible.
4. Does training need to be completed in one go?
No, the vast majority is done in your own time.
5. Does Push Doctor pay for training and induction?
No, we do not cover this.
6. Where would patients that I consult with be registered?
Push Doctor patients are in the UK only.
7. How many sessions can I do each day?
We allow a maximum of 10 hours a day. However, as breaks are not factored in, we don’t allow a single session to last more than 4/5 hours. For example, if you wanted to work a 0900-1700 we would split this into two separate blocks.
8. Can I claim pension on Push Doctor sessions?
Pension cannot be claimed on Push Doctor sessions.
9. Am I able to work sessions from abroad?
No, to work Push Doctor sessions you need to be based in England at the time of consulting.
10. If I am not on the online Update Service, How do I arrange posting my DBS certificate to Push Doctor?
Once you have been successfully onboarded, further information will be sent on how to get your DBS certificate verified.
11. Can I consult with children on the service?
No. Our current policy is that only patients who are 18 years old and over are able to use the service.
12. What is expected of me in terms of prescribing?
For patient safety we have our own prescribing guidelines to follow. This will be covered during your medical intro call.
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