Questions doctors ask

The questions
that actually
stop a signature

Answered directly, in the order they are usually asked. If something here is evasive, tell us — an FAQ that dodges is worse than no FAQ at all.

Q01
Is empanelment exclusive? Does it restrict my hospital affiliations or private practice?
No, on all counts. The agreement is expressly non-exclusive. You may continue any hospital appointment, private practice, academic post or association with any other provider or platform, without restriction and without notifying us. Most of our consultants hold full practices elsewhere; the formats are designed around that assumption.
Q02
How am I paid, and on what basis?
As a fixed professional fee or a retainer for a defined clinical scope, agreed in writing before any patient is allocated. It is deliberately not linked to the number of patients you refer or are allocated, nor to the investigations, medicines or procedures you order. That structure protects you under the professional conduct regulations, given that Diagnex also supplies diagnostics, pharmacy and dialysis that a consultant may order. Specific figures are discussed individually, which is why they do not appear on this website.
Q03
Do I lose my patients to Diagnex?
No. Patients you refer remain under your care, and the agreement states that Diagnex acquires no interest in that relationship, during the engagement or after it ends. Referring a patient into Diagnex home care does not require you to empanel at all. Platform-acquired patients are allocated by speciality, geography and availability, and the basis of each allocation is disclosed to you at the time.
Q04
Who carries professional indemnity, and what is the scope?
Two separate policies. You maintain your own Doctors' Professional Indemnity, which we verify at empanelment and at each renewal. Diagnex separately carries Medical Establishment Professional Indemnity covering its own clinical staff and operations, including home and mobile settings. The indemnity in the agreement runs both ways: we indemnify you for our staff, equipment failure, water quality, consumables, logistics and any failure to operate the escalation protocol.
Q05
Is my own policy likely to cover this work?
Worth checking rather than assuming. Many Indian professional indemnity policies are written around a named hospital or clinic setting, and a number predate telemedicine. Ask your insurer to confirm in writing that your policy responds to teleconsultation and to care delivered at a patient's residence. We would rather raise this before you begin than have it surface after an incident.
Q06
What happens clinically if something goes wrong during a home session?
Our staff do not exercise clinical judgement. They follow a fixed trigger list — symptomatic hypotension unresponsive to first-line measures, chest pain or arrhythmia, access bleeding or loss, suspected haemolysis or air embolism, febrile reaction, unresolvable machine alarm, unexpected transfusion requirement, or ultrafiltration deviation beyond tolerance. Any trigger stops the session and initiates the ladder: treating consultant, then emergency services, then transfer. You are informed of any adverse event within 24 hours, and every escalation is entered in an incident register you may inspect.
Q07
How much time does this actually take, and can I set my own availability?
You set it, and you can change it. Availability is recorded in a schedule to the agreement and varied on reasonable notice. There are no minute-level response targets and no financial penalties — a regime common on high-volume consultation platforms and unsuitable for specialist practice. The lightest format requires no additional time at all: your existing patients receive home care under your prescription, with the record returning to you.
Q08
Is teleconsultation on this platform compliant with the Telemedicine Practice Guidelines?
Yes, and the platform is being built to enforce it rather than rely on it. Only practitioners with valid council or NMC registration may consult. Patient identity verification and informed consent are captured for every consultation. Medicines restricted from remote prescription are blocked at the point of prescribing, with a referral path to in-person assessment. Whether remote consultation is clinically sufficient in any case remains entirely your judgement, and nothing in the platform pressures completion of a remote consult.
Q09
Who owns the patient records and the clinical data?
Records are shared with the patient and the treating consultant, and Diagnex retains them for the statutory period. You receive copies of records relating to your patients on request, during the engagement and after it ends. Records will not be used for marketing, research, publication, product development or the training of any software or model without written consent from both the patient and you. Consent given for one purpose is not treated as consent for another.
Q10
Can I refer my own patients into home care without empanelling?
Yes. Referral does not require empanelment and carries no commercial arrangement of any kind. You write the prescription, we execute it at the patient's home, and the record comes back to you. Several consultants work with us this way indefinitely and never join the panel formally.
Q11
What qualifications and registration do you require?
Valid, current registration with a State Medical Council or the National Medical Commission, and the post-graduate qualification relevant to the format you are joining for. We verify both. You are asked to tell us within seven days if your registration becomes suspended, conditioned or lapsed.
Q12
Can I visit and inspect the facilities before committing?
We would prefer it. Panel consultants may inspect the water quality testing log, machine service history, technician certification file and incident register at any time, on request, and that right is written into the agreement rather than offered informally. You may speak to the technicians directly. A programme that cannot survive that request should not be running dialysis in a patient's bedroom.
Q13
How do I exit if it does not suit my practice?
Thirty days' written notice, either side, without giving a reason. You may also pause new allocations at any time while completing care already started. On exit, no patient's care is reduced or withdrawn as a consequence — arranging alternative clinical supervision is our obligation, not yours.
Q14
What if I want to be involved but am not ready to take patients?
Two formats exist precisely for that. Clinical advisory involves protocol design, quality review, training curriculum and incident review. Academic engagement covers CME sessions, clinical talks and training our clinical staff. Both are genuine engagements rather than waiting rooms, and several consultants have moved from one of them into clinical work later.

Not answered here?

Call the empanelment desk. We would rather answer a difficult question before empanelment than discover it mattered afterwards.

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