Uploading consultations done outside of FourteenFish is very simple, detailed below are the steps to follow.
Our system accepts a wide range of files, but if you have any questions/issues with specific file formats or size limits, please click here.
Step 1: Go to the upload area
Once you are logged into your account, go to the Remote Consultation Tool from your Dashboard, and select the Upload button:
Step 2: Basic details and patient consent
Before you upload your file you'll need to fill in the details on the a form, which include giving the consultation a short title, entering the patient's phone number, information about the recording format and the patient consent, then hit Next.
If you have any questions regarding consent, and which option you need to choose, please visit our help page on this, here.
Step 3: Upload your recording
Once you hit Choose your file, you can select the consultation you want to upload:
While your file is being uploaded you will be shown a progress bar which also tells you the upload speed, and approximate time remaining:
Just leave your browser open whilst it does its thing and you can carry on with other work while it's uploading. You do need a good, uninterrupted internet connection for the upload to progress.
Step 4: Complete the Workbook
The title of the case will already be filled in from Step 2, so you just need to fill in the remaining details of the Workbook, including a sentence to give an overview of the case, then hit Save:
Step 5: Your recording will be processed
Once your uploaded file has been processed, you will see a green tick underneath the Recording status, in the overview page:
You are now ready to Share with your Supervisor!
Comments
75 comments
The original information from RCGP and reinforced by local deanery is that recordings will be able to be uploaded to the portal for use in the RCA from secure sources- such as IRIS connect which has been given to us to start work towards the exam.
Can we gain more clarification this will be the case as otherwise I have a lot of wasted time and effort on video recording- upon the advice of local deanery- if these cannot be used for submission.
Hi Sarah, thanks for your comment. We discussed this with the RCGP this morning. In a nutshell yes you will be able to use these recordings provided you can prove consent was obtained from the patient. We are going to update this page shortly.
Ok good to know as I had the same query as Sarah above.
If consent is verbal at the beginning and end of the consultation will that be enough proof?
I also wondered that if patient identifying goes prior to consent, but consent isnt included in the 10 minutes then I assume neither is the consenting, how can you then be marked on ensuring you have the correct patient?
Thanks for the clarification, again I would echo Hazel and say would verbal consent at the start of recording be sufficient? Again this is guidance we have been given from local deanery and the RCGP Handbook.
Hazel and Sarah – Yes verbal consent at the start of recording is definitely sufficient. We discussed whether the trainee ticking a box to say they received patient consent would be enough, but it was decided it would either need to be...
We will be updating this page to reflect this in the next couple of hours.
Thank you for the information and I will keep an eye out for further updates.
I shall endeavour to clarify about patient identification falling before consent, and therefore not part of the 10 minutes we are assessed on as we have been told the consent does not fall into this, with my deanery.
Sorry for not addressing that part of your question Hazel. Basically we are talking about the difference between...
Updated on 12th June 2020: We can confirm that when examiners are assessing your consultations for the RCA exam, they will take into account the time taken for getting consent and will not stop watching the consultation after 10 minutes. For example, if it takes 30 seconds to get consent from the patient then the assessor will be lenient and give you around 10m 30s to conduct the consultation.
Due to this, it makes most sense to identify the patient first as you normally would (e.g. DOB, first line of their address) and then ask for consent for recording. This is most natural, and also you could argue that you don't know who you are getting consent from until you check their identity. So to be clear, the best order would be...
Identification ➡️ Consent ➡️ Consultation
Thank you for your swift and helpful replies Phil.
All eagerly awaiting the launch of the platform!
Hi Phil
In the case where verbal consent was taken at the beginning of the consultation and written consent (through text message on AccuRx) at the end of the consultation to confirm they still consent to the recording being used for training purposes, which box would we tick from the 2, or are we able to tick both boxes?
In this case I would go with verbal consent, as that is perfectly adequate and then you don't need to attach any other documentation as the proof of consent is within the recording.
Thanks Phil for the prompt reply
Hi Phil. At the recent RCGP webinar for trainees, the gist I understood was that verbal consent recorded in the patient's medical notes or even taken by reception staff and documented in the patient's medical notes is sufficient and all that is needed from us and our trainers was to confirm on the Fourteen Fish platform that consent is obtained off-record i.e. no further need to upload written consent forms.
Indeed this is how I have been collected my recordings so far.
I have just now seen this and it just does not seem right. Can you please clarify.
Hi Ali. This policy has come from the college, but I will double check this with them tomorrow and mention the webinar you attended. Can you remember the date of the webinar?
Thanks for double checking. Of course I may have misunderstood. The event was "CSA for AiTs during COVID-19 and forthcoming RCA" Jun 2, 2020
So following this, is there a way to record consent via SMS from patients on the FourteenFish platform where I am using Third Party software to make the recording? I will likely have to be going back to some patients to request written consent digitally.
Thanks
Hi
What is the guidance for patient identification process that is acceptable?is there a GDPR restriction?
Is it acceptable to confirm before consultation about Patient’s full name,date of birth ,first line of address?
That is after consent-then identification,before moving to consultation
If consent for recording was obtained via Accu RX can this be uploaded as written evidence of consent? Accu RX printouts will not bear a signature of course
The original RCGP handbook says if recurring outside of fourteen fish, for verbal consent you must also offer right to withdraw consent after the consultation. On fourteen Fish however it just says verbal consent?
please can you supply an appropriate consent form for us to use - we've adapted the usual one to include an addendum that this video may be used for assesment as part of the MRCGP RCA but it would seem sensible to provide one standardised form for all to use to cover this?
thanks
In regards to consent could you confirm as above regarding demographics and introduction is that included in the consent time or not? As different webinars are saying different things. As for non fourteen fish recordings, it would be difficult to not confirm consent without asking if your talking to the right patient first. Also in terms of verbal consent for non fourteen fish recordings what would be adequate verbal consent, if the patient is aware the consultation is being recorded as reception informed them at booking, and you acknowledge at the start is that enough? With a follow up accurx message with a consent form where they reply back yes if they are still happy for the recording to be used, as you can take a screen shot of the accurx message.
I also understood from one of the RCGP webinars that verbal consent recorded in the patient's medical notes or taken by reception staff and documented in the patient's medical notes was sufficient and all that was needed. Nothing was mentioned re. uploading forms. I have 2 or 3 good recordings done in this way.
Phil you mentioned you were going to check this - did you get an answer?
Thanks
Sorry for the delay in getting back to you about this. I will try and get a firm answer for you today.
Any update on when we will be able to upload videos from external sources? I have quite a few videos made through iris connect that will need to be transferred over here and the more this feature is getting delayed the more anxious it is making me! Thanks
Hi, just wanted to check when the upload feature will become available.
From reading above it looks like a wide range of formats will be accepted (I.e from Apple/android/mp3 etc), is that correct as I have a fair few recordings. Look forward to hearing from you. Thanks!
Hi I am a trainee in Gloucestershire and we have been sent an email from our deanery at 16:50 today advising that we only use 14 fish from now to record consultations. The email stated there were some potential data security issues with uploading from other platforms and they were working on this.
I have been recording consultations with consent as advised by the college and 14 fish and reviewing these with my trainer.
I am very worried that 14 fish will now potentially on the opening day of the submission period change their platform so we are not able to upload our consultations that we have been recording.
This situation is stressful enough without guidance changing the night before the opening date.
Can you please give clarification and reassurance that we will be able to upload our recorded consultations to 14fish from other platforms?
Phil do you have an update please? The advice re. consent is all over the place currently and causing a lot of us anxiety with respect to consultations already concluded. Thanks
Hi Phil,
I wanted to clarify about the consenting.
1. I always take written consent before face to face consultation. Do I need to record the consent?
2. I can see you advised for consent first then identity check then consultation. How is it possible to consent someone then check identity?
3. So far I am taking the consent which is not recorded and simply start consultation by addressing patient name. Is it right or I need to check identity again? which feels more unnatural.
I also wanted to check one more thing. I am recording the telephone calls by putting the patient on speaker. Is it okay to do that?
In my Practice there is no phone network therefore I am not planning to record directly on fourteenfish.
Hi Phil,
If the consent was taken before the start of the audio consultation ( Not part of the recording) and you mentioned at the beginning of the recording "Verbal Consent Obtained", Would this be enough to Tick verbal consent box? Thank you.
Is anyone from 14F looking at this?
Article is closed for comments.