Talk:EConsult

Some proposed changes

Information to be added or removed:

Edit request

Side box: Name: eConsult Health Ltd Logo: Url: www.econsult.net Industry: Health Care Founder: Hurley Group Partners Founded: May 2011 Commercial: Yes Intro eConsult Health Limited is a collection of digital solutions developed by clinicians. eConsult delivers a range of prioritisation (triage) and consultation services to primary care and emergency care. eConsult enables NHS based GP practices to offer online consultation to their patients. This allows patients to submit their symptoms to a GP electronically, and offers around the clock NHS self-help information, signposting to services, and a symptom checker. Following the success of eConsult, eTriage was developed as an urgent and emergency care platform. History eConsult was started in May 2011 by the Hurley Group. It started as a way to manage limited resources and increasing patient demands within primary care. The GPs decided to look to technology to help them work smarter. Things were working so well that Tower Hamlets, the CCG that many Hurley Practices are based within, asked the team to expand and commercialise the platform they had developed. We are now the leading provider of online GP consultations across the NHS. In 2017, eConsult moved into the urgent and emergency care space, with our pilot urgent care centre in Bexley, Kent starting in January 2018. This is the first product to take patient histories and digitally triage them, allowing patients most in need to be seen quickly by the right healthcare specialist. Primary Care Model eConsult is the most widely used digital triage tool in primary care, built by NHS GPs for NHS patients, designed to enhance patient access, improve practice efficiencies and sign post patients to the right place at the right time for their care. Live in over 700 practices, eConsult gives millions of patients access to their own GP online. eConsult offers patients a ‘digital front door’ to their GP practice and another route to consult alongside the more traditional pathways of ‘phone, face to face and walk-in’. From experience 70% of eConsults can be managed without a face to face appointment, freeing up GP time. Features eConsult bolts onto an existing GP practice website without the need for an external app. eConsult integrates into the NHS App and NHS login, to further improve patient convenience. Evaluation As part of continued evaluation around the benefits of eConsult in a primary care setting, Candesic undertook an impact assessment of the online triage platform ‘eConsult’. Overall, eConsult has the ability to reduce GP appointment waiting times, reduce ‘Do Not Attend’ rates, improve triage to most appropriate care worker, and deliver home ‘query closure’ via a unique proprietary algorithm; all whilst maintaining positive patient satisfactions rates. Centralised Processing Model The eHub model was started in January 2017, born out of eConsult, as a way for the Hurley Group’s 15 practices to move to a centralised processing model. All eConsults are processed centrally by a group of specialist online consultation clinicians and administration staff. The eHub helps the Hurley practices manage demand, provide a quicker service for patients and tackle their long list of blood and lab results, electronic prescriptions and any other requests that do not require a face to face appointment. At the moment eHub are closing around 90% of online consultations without the need for a face to face appointment at a practice. This is freeing up a huge amount of time at the Hurley practices for patients who need to be seen. This model links in with the NHS long term plan for Primary Care Networks. Urgent and Emergency Care eTriage is currently live in Bexley Urgent Care Centre - Queen Mary’s Hospital in Sidcup. Model eTriage is a digital triage solution for EDs and UCCs developed by clinicians. It was designed to automatically check in and prioritise (triage) patients upon arrival to an emergency department. eTriage speeds up the streaming process, identifies sick patients earlier, reducing the waiting time and time to treatment within the department and delivering improved patient journeys. Features eTriage is designed to assist in the triage process of patients, automatically prioritising patients who the platform considers more urgent. Patients are triaged using the Manchester triage. A team of 26 NHS clinicians, consultants, paramedics and surgeons meet once per week to build templates and questions that meet eTriage’s strict clinical governance process. Any patient that trips a ‘Red flag’ when completing an eTriage econsult will be stopped and the staff will be notified. Already eTriage has red flagged’ many patients who were deemed to have urgent medical needs. Staff were notified within 4 minutes of these patients arriving at the Urgent Care Centre. Evaluation As part of an evaluation into the benefits of eTriage and how it can be rolled out into other Urgent Care settings Candesic undertook an impact assessment of eTriage at Bexley Urgent Care Centre at Queen Mary’s Hospital Sidcup. “eConsult offers an e-triage tool which, when used in Urgent and Emergency Departments, allows patients to be assessed more quickly and reduces total waiting times at the service.” Explanation of issue: The current content is very outdated and does not represent what the company is and the products we currently have on offer. References supporting change: https://econsult.net/primary-care/evidence/independent-external-assessments/ https://econsult.net/urgent-care/evidence/independent-external-assessments/ https://econsult.net/

Jimr140 (talk) 10:42, 28 February 2020 (UTC)

Reply 28-FEB-2020

  Unable to implement  

• The edit request cannot be implemented for two reasons:

1. The logo must first be uploaded to Wikipedia along with the appurtenant use license before it may be added to the article. The COI editor may use the File Upload Wizard to accomplish this. Once the file is uploaded, the COI editor should return to the talk page with the uploaded file's name and resubmit the request.
2. The references provided with the request do not originate from reliable, independent, WP:SECONDARY sources. Those types of sources are preferred for use in articles. The company may be used for non-controversial sourcing such as employee numbers, financials, and simple information such as product names. In-depth descriptions of the company's technology is not the purpose of the article.

• To that end, please provide secondary sources for the majority of content which you wish to add to the article, and — to a lesser degree — primary sources, such as the company, for routine facts and figures. Please feel free to submit that proposal as a new edit request at your earliest convenience.

Regards,  Spintendo  11:59, 28 February 2020 (UTC)

Outdated informatin - Edit request

Hi,

I do have a conflict of interest as an employee, but the current content is very outdated.

For example, it mentions eConsult is live in '340 GP practices' - we are live in 3026 GP practices.

This sentence: '12 GPs are using eConsult and it is planned to recruit 12 more, so patients will only be seen in person where necessary' is also completely incorrect.

Since the report in 2018, there have been many other papers published which speak about the changes that have been made and the positive impact eConsult now has on GP practices. This current content has a negative an inaccurate impact on the company.

I have put in a request for a change, which was refused. How should I present this information to be reviewed. I can include links to reports and case studies if that would help?

Jimr140 (talk) 11:57, 24 June 2020 (UTC)

• Declined You could make a new request if you provide the references. We're unlikely to cite self promotional material on a company's website or case studies. The source in the British Journal of General Practice is considered reliable, if you have academic studies refuting this we can add that, although I would note it would be unlikely the original source would be removed regardless of the negative effect on the company. The purpose of this page is not to advertise or promote the company but provide unbiased coverage. PainProf (talk) 23:16, 7 July 2020 (UTC)

Hi PainProf, I have been trying to get very outdated information updated on eConsult Health for some time now. Another user had been helping but has not replied for the past 11 months. I am very happy to work with users to get the information updated, but it is currently completely incorrect. For example, we have gone through two investment funding rounds (). I provided a full list of resources from scientific journals, news articles etc. Are you able to help me with this? Thank you, JimrobertseConsult (talk) 15:24, 21 May 2021 (UTC)

 Note: fixed title since it tried to transclude {{Request edit}} in the header 💜  melecie  talk - 12:38, 19 April 2022 (UTC)

Some proposed changes -- Updated information for 2020

• Information to be added or removed:

Content of user's edit request

Infobox website to include: Name: eConsult Health Ltd Url: www.econsult.net Industry: Health Care Founder: Hurley Group Partners Founded: May 2011 Commercial: Yes eConsult Health Limited is a company that provides a collection of digital solutions which deliver a range of prioritisation (triage) and consultation services to primary care and emergency care. Developed by NHS clinicians, eConsult enables NHS based GP practices to offer online consultation to their patients. Patients are able to submit their symptoms to a GP online, providing around the clock NHS self-help information, signposting to services, and a symptom checker. Building on the expertise gained in digital triage and over three million online consultations, eConsult Health Ltd developed eTriage: an automated digital triage platform for urgent and emergency care departments. History eConsult was founded in May 2011 by the Hurley Group as a way to manage limited resources and increasing patient demands within primary care. First rolled out in Tower Hamlets, the CCG that many Hurley Practices are based within, the Hurley Group was asked to expand and commercialise the solution they had developed. eConsult is now the most widely used provider of online GP consultations across the NHS with over 3,000 NHS GPs practices using eConsult. In 2017, eConsult moved into the urgent and emergency care space, with a pilot in the urgent care centre in Bexley, Kent starting in January 2018. It is the first urgent care product to take patient histories and digitally triage them, allowing the most in need patients to be seen quickly by the right healthcare specialist. This has now progressed to two A&E departments through eTriage that launched in 2020. Primary Care Model eConsult is the most widely used digital triage solutions for primary care in the NHS. Built by NHS GPs for NHS patients, eConsult is designed to enhance patient access, improve practice efficiencies and signpost patients to the right place at the right time for their care. eConsult is now live in over 3,000 NHS GP practices, giving millions of patients access to their own GP online. eConsult offers patients a ‘digital front door’ to their GP practice and another route to consult alongside the more traditional pathways of ‘phone, face to face and walk-in’. From experience, at least 70% of eConsults can be managed without a face to face appointment. Features eConsult bolts onto an existing GP practice website without the need for an external app. Since 2019 eConsult has integrated into the NHS App and NHS login, to further improve patient convenience. Evaluation There are limited evaluations of online consultation. Most of these first evaluations centred around early versions of the eConsult product. According to the 2018 Candesic Report: ‘eConsult has the ability to reduce GP appointment waiting times, reduce ‘Do Not Attend’ rates, improve triage to most appropriate care worker, and deliver home ‘query closure’ via a unique proprietary algorithm.’ An early 2017 report by Bristol University says ‘eConsult need further development and careful implementation to realise benefits’ Using the Total Triage model of care developed by eConsult, NHS GP practices noted that they were prepared to deal with the COVID-19 pandemic far better: “Due to the pressure to avoid any face-to-face contact that isn’t absolutely necessary, we have gone from turning about 40-45% of our eConsults into face-to-face appointments, to managing over 90% remotely this week,” he said. “We are all feeling the impact of COVID and the response this has generated already within NHS and particularly primary care is likely to change the landscape of general practice entirely in the future. It feels like we have made years’ worth of progress in a matter of days, and I am hopeful we can continue to build on this to consolidate and develop even more intuitive systems, and a way of working that can benefit both patient and doctor.” Ian Pawson, GP partner at Brownlow Health practice in Liverpool. Centralised Processing Model The eHub model was started in January 2017, born out of eConsult, as a way for the Hurley Group’s 15 practices to move to a centralised processing model. All eConsults are processed centrally by a group of specialist online consultation clinicians and administration staff. This model links in with the NHS long term plan for Primary Care Networks which was launched in 2019. The eHub allows Hurley Group practices to manage demand, provide a quicker service for patients including any requests that do not require a face to face appointment. At the moment Hurley Group’s eHub is closing around 90% of online consultations without the need for a face to face appointment at a practice. Ministry of Defence online consultation provider eConsult was selected as the online consultation provider of healthcare by the Ministry of Defence across all of its 124 sites. Around 183,500 military personnel are set to have access to the online platform from sites based in the UK and across the globe. Urgent and Emergency care eTriage is currently live in two NHS A&E departments and one NHS Urgent Treatment Centres. Model eTriage is a digital triage solution for EDs and UTCs developed by clinicians. It was designed to automatically check-in and prioritise (triage) patients upon arrival to an emergency department. eTriage speeds up the streaming process, identifies sick patients earlier, reducing the waiting time and time to treatment within the department while also delivering improved patient journeys. Features eTriage is designed to assist in the triage process of patients, automatically prioritising patients who the algorithms consider more urgent. eTriage is designed to identify the sickest patients with minutes of arrival and alert the appropriate staff. Any patient that trips a ‘Red flag’ when completing an eTriage will be stopped and the staff will be notified. Already eTriage has red-flagged many patients who were deemed to have urgent medical needs. Staff were notified within 4 minutes of these patients arriving at the Urgent Care Centre. Evaluation As part of an evaluation into the benefits of eTriage and how it can be rolled out into other Urgent Care settings, Candesic undertook an impact assessment of eTriage at Bexley Urgent Care Centre at Queen Mary’s Hospital Sidcup. “eConsult offers an e-triage tool which, when used in Urgent and Emergency Departments, allows patients to be assessed more quickly and reduces total waiting times at the service.” References

• Explanation of issue: The current content is outdated and represents the company from 2018 at latest, including the number of GPs live in, to what the business does and is called. I have included external references from noted sources for as many points as possible. Some information needs to come from our own site (number of GPs live in etc), this is in keeping with the guidance from wikipedia. I have a conflict of interest as an employee of the business. I am not trying to remove any negative information, but correct information which is factually incorrect. I have kept removed the BSJ article as a reference as it mentions 'In its current form' - this was in 2018 so is factually out of date now. We have had two independent reports carried about by Candesic. These are both hosted on our website, but written independently.
• References supporting change: I have included all sources throughout the text I have proposed

JimrobertseConsult (talk) 09:40, 15 July 2020 (UTC)

• Hello JimrobertseConsult, I recently started following your requests for edits to the E-Consult article. I viewed them as mostly promotional and, on the whole, not acceptable for Wikipedia. After evaluating your sources in the last request for independence and reliability and content notability, however, I think that portions of the request could be added to the article to update its content. If you would like to collaborate on an update, I will work with you, provided that you are willing to defer to my judgement about which portions of the current article and of your requested revision are suitable for inclusion. I would only add/keep content that comes from reliable sources, is not promotional, is notable and is balanced (in the sense that it includes both favorable and unfavorable material that is out there in reliable sources. My question is, "Why do you think that the E-Consult product belongs on a separate page, instead of on the Hurley Group page?" BiostatSci (talk) 21:18, 17 September 2020 (UTC)
• Not done due to concerns above. HeartGlow ^(talk) 18:05, 23 September 2020 (UTC)

• Hi HeartGlow30797. Yes, I understand and agree with the concerns expressed by those who declined JimrobertseConsult's previous requests for edits, and I will keep them in mind going forward. On the other hand, it seems to me that there is enough notable material to justify an update in those newly provided references that are independent and reliable. So, I plan to work with JimrobertseConsult to build an article on those sources that do meet standards. I'm not totally sure where to do that, but I think the proper place is here on the article's talk page. Is that correct? Thanks BiostatSci (talk) 23:04, 25 September 2020 (UTC)

• Hi BiostatSci. I know everyone is busy, but am I able to find a way to help progress the updates of this. The content is now a few years out of date, and even more has changed since the last response, including external investment, and increase in numbers of GP practices using eConsult etc. There are lots of articles and reports I can send through including We have more sources that I think would be useful: https://pressat.co.uk/releases/public-policy-projects-and-tech4cv19-launch-a-digital-white-paper-at-the-conservative-party-conference-4ab129692b1e02c725c9560a20e39787/ (p10) and https://www2.deloitte.com/uk/en/pages/life-sciences-and-healthcare/articles/realising-digital-first-primary-care.html (p12-14, 30). Let me know what else I can do to help this process. Please let me know how best to progress on this. I am just aware that most of the content on this page is outdated/ incorrect. Thank you JimrobertseConsult (talk) 16:29, 17 November 2020 (UTC)JimrobertseConsult

• Hi HeartGlow30797 and BiostatSci. Do you know how long it may take to progress on this. The content is now further outdated as we are growing quickly. We have had even more investment and we have more sources available. I do just want to update the content so that it accurately represents the company. The current content is years out of date. Some of our own customers have now highlighted the information is incorrrect. What can I do to help this? JimrobertseConsult (talk) 15:35, 16 December 2020 (UTC)

@JimrobertseConsult:, I apologize for the long delay in getting back to this. I have been quite busy with several other projects, but I am able to devote time to updating the eConsult Wikipedia page now. Since it seems like you have many new references, perhaps it would work best for you to post a new request for revision that includes all revisions and deletions that you think should be made. I, and others perhaps, then will edit to ensure that the final article meets Wikipedia standards. BiostatSci (talk) 15:12, 22 December 2020 (UTC)BiostatSci

Current content is over 4 years out of date. I do have a conflict of interest but would like to get the content updated

• What I think should be changed (include citations):

eConsult Health Limited is a company that provides a collection of digital solutions which deliver a range of prioritisation (triage) and consultation services to primary care and emergency care. Developed by NHS clinicians, eConsult enables NHS based GP practices to offer online consultation to their patients. Patients are able to submit their symptoms to a GP online, providing around the clock NHS self-help information, signposting to services, and a symptom checker. Building on the expertise gained in digital triage and over three million online consultations, eConsult Health Ltd developed eTriage: an automated digital triage platform for urgent and emergency care departments.

History

eConsult was founded in May 2011 by the Hurley Group as a way to manage limited resources and increasing patient demands within primary care. First rolled out in Tower Hamlets, the CCG that many Hurley Practices are based within, the Hurley Group was asked to expand and commercialise the solution they had developed. eConsult is now the most widely used provider of online GP consultations across the NHS with over 3,000 NHS GPs practices using eConsult. Each month approximately 1 million eConsults are submitted across the 3000+ GP practices. In 2017, eConsult moved into the urgent and emergency care space, with a pilot in the urgent care centre in Bexley, Kent starting in January 2018. It is the first urgent care product to take patient histories and digitally triage them, allowing the most in-need patients to be seen quickly by the right healthcare specialist. This has now progressed to nine A&E departments through eTriage that launched in 2020. In 2022, eConsult announced they will be rolling out their eTriage platform in Homerton University Hospital.

In early 2021 eConsult Health raised £7 million funding from Calculus Capital, led by Gresham House Ventures, alongside existing shareholders.

In June 2021, eConsult Health acquired video consultation and SMS platform Q doctor to help the expansion into the secondary care market.

Primary Care

Model

eConsult is the most widely used digital triage solutions for primary care in the NHS. Built by NHS GPs for NHS patients, eConsult is designed to enhance patient access, improve practice efficiencies and signpost patients to the right place at the right time for their care. eConsult is now live in over 3,000 NHS GP practices, giving millions of patients access to their own GP online. eConsult offers patients a ‘digital front door’ to their GP practice and another route to consult alongside the more traditional pathways of ‘phone, face to face and walk-in’. From experience, at least 70% of eConsults can be managed without a face to face appointment.

Features

eConsult bolts onto an existing GP practice website without the need for an external app. Since 2019 eConsult has integrated into the NHS App and NHS login, to further improve patient convenience.

Evaluation

There are limited evaluations of online consultation. Most of these first evaluations centred around early versions of the eConsult product. According to the 2018 Candesic Report: ‘eConsult has the ability to reduce GP appointment waiting times, reduce ‘Do Not Attend’ rates, improve triage to most appropriate care worker, and deliver home ‘query closure’ via a unique proprietary algorithm.’ An early 2017 report by Bristol University says ‘eConsult need further development and careful implementation to realise benefits’

Using the Total Triage model of care developed by eConsult, NHS GP practices noted that they were prepared to deal with the COVID-19 pandemic far better: “Due to the pressure to avoid any face-to-face contact that isn’t absolutely necessary, we have gone from turning about 40-45% of our eConsults into face-to-face appointments, to managing over 90% remotely this week,” he said.

“We are all feeling the impact of COVID and the response this has generated already within NHS and particularly primary care is likely to change the landscape of general practice entirely in the future. It feels like we have made years’ worth of progress in a matter of days, and I am hopeful we can continue to build on this to consolidate and develop even more intuitive systems, and a way of working that can benefit both patient and doctor.” Ian Pawson, GP partner at Brownlow Health practice in Liverpool.

Centralised Processing Model

The eHub model was started in January 2017, born out of eConsult, as a way for the Hurley Group’s 15 practices to move to a centralised processing model. All eConsults are processed centrally by a group of specialist online consultation clinicians and administration staff. This model links in with the NHS long term plan for Primary Care Networks which was launched in 2019.

The eHub allows Hurley Group practices to manage demand, provide a quicker service for patients including any requests that do not require a face to face appointment. At the moment Hurley Group’s eHub is closing around 90% of online consultations without the need for a face to face appointment at a practice.

Ministry of Defence online consultation provider

eConsult was selected as the online consultation provider of healthcare by the Ministry of Defence across all of its 124 sites. Around 183,500 military personnel are set to have access to the online platform from sites based in the UK and across the globe.

Urgent and Emergency care

eTriage is currently live in nine NHS A&E or UTC departments.

Model

eTriage is a digital triage solution for EDs and UTCs developed by clinicians. It was designed to automatically check-in and prioritise (triage) patients upon arrival to an emergency department. eTriage speeds up the streaming process, identifies sick patients earlier, reducing the waiting time and time to treatment within the department while also delivering improved patient journeys.

Features

eTriage is designed to assist in the triage process of patients, automatically prioritising patients who the algorithms consider more urgent. eTriage is designed to identify the sickest patients within minutes of arrival and alert the appropriate staff. Any patient that trips a ‘Red flag’ when completing an eTriage will be stopped and the staff will be notified.

Already eTriage has red-flagged many patients who were deemed to have urgent medical needs. Staff were notified within 4 minutes of these patients arriving at the Urgent Care Centre.

Evaluation

As part of an evaluation into the benefits of eTriage and how it can be rolled out into other Urgent Care settings, Candesic undertook an impact assessment of eTriage at Bexley Urgent Care Centre at Queen Mary’s Hospital Sidcup. “eConsult offers an e-triage tool which, when used in Urgent and Emergency Departments, allows patients to be assessed more quickly and reduces total waiting times at the service.”

Outpatients

eConsult Specialist is currently live in multiple sites including Cardiff and Vale’s Demartolgy clinic.

Model

eConsult specialist is a digital triage solution for Outpatient departments. Specific templates for specific specialist. eConsult specialist is commissioned across 40 specialties and we are always on the lookout for trust innovation partners willing to co-create new templates with us for their service areas and pathways.

• Why it should be changed:

The current content is outdated and represents the company from 2018 at latest, including the number of GP practices live, the product functionality and what the business is called. I have included external references from noted sources for as many points as possible. Some information needs to come from our own site (number of GPs live and number of eConsults submitted etc), this is in keeping with the guidance from wikipedia. I have a conflict of interest as an employee of the business. I am not trying to remove any negative information, but correct information which is factually incorrect. I have removed the BSJ article as a reference as it mentions 'In its current form' - this was in 2018 so is factually out of date now. We have had two independent reports carried about by Candesic. These are both hosted on our website, but written independently.

Please let me know if anything is still not in keeping with Wikipedia guidance. I have tried a few times to get this content updated so would appreciate support in getting the information accurate.

JimrobertseConsult (talk) 10:39, 3 March 2022 (UTC) JimrobertseConsult (talk) 10:39, 3 March 2022 (UTC)

References