NHS Video Consultation Software — Built to the Evidence NHS Buyers Check.
Trembit is a video consultation software development company that builds and integrates real-time video platforms for NHS organisations and the UK digital-health companies that supply them. A consultation that drops mid-call, can’t reach the patient record, or can’t answer the DTAC never reaches clinical use. We engineer the video, the integrations and the clinical-safety and data-security evidence together, from the first architecture decision.
Trusted by Product Teams Worldwide
In Brief
Trembit is a video consultation software development company that builds NHS-facing video platforms, from WebRTC media and mobile apps to NHS login, FHIR UK Core integration and the clinical-safety and data-security evidence NHS buyers review. An engagement typically runs in four phases: a free 30-minute architecture call; a one-week standards-and-scope discovery that maps DTAC, DCB0129/DCB0160, DSPT and integration obligations before any code; a build in sprints with the hazard log kept alongside the backlog (a first release is typically scoped to about one month of build); and assurance support through the buyer’s DTAC and clinical-safety review. The team combines a solution architect, WebRTC, backend, mobile and QA engineers and a delivery manager, while your Clinical Safety Officer and IG lead stay accountable on your side. Cost is driven by integration depth, the number of apps, recording and residency requirements, the clinical-safety evidence scope and concurrency, and we give a firm estimate after a scoping call.
Part of our telemedicine app development work.
What an NHS video consultation build typically includes:
- One-to-one and group video with reconnection that survives patient mobile networks
- Patient identity through NHS login where the service is eligible
- Appointment and patient context from EPR or GP systems via FHIR UK Core / HL7
- Hazard-relevant engineering controls and the documentation your Clinical Safety Officer signs
- DSPT-aligned security controls: encryption, access control, audit logging, incident response
- Data-flow maps and residency options for the DPIA
Sound Familiar?
For UK digital-health companies
An NHS buyer sent you the DTAC, and your platform can't answer half of it.
Clinical safety, data protection, technical security, interoperability, accessibility: the questions arrive at once, and the evidence was never produced while the product was being built.
Your video was built for HIPAA, and the NHS asks different questions.
US compliance work helps, but it doesn’t give you a DCB0129 hazard log, a DSPT-aligned control set or UK GDPR data-flow evidence. Retrofitting those under a contract deadline is where launches slip.
NHS login and patient-record integration are on the roadmap, and nobody on the team has done it.
National integrations come with eligibility rules, onboarding and conformance testing. Planned late, they become the critical path.
For NHS trusts and ICBs
Your video tool sits outside the pathway.
Clinicians switch between the video tool and the EPR, re-key outcomes and chase missing patient context. The consultation works; the workflow around it doesn’t.
You need bespoke work, and a full open tender would take longer than the project.
The requirement is specific: an integration, a pathway, a service no off-the-shelf product covers. You need a compliant route to buy engineering, not a year-long procurement.
Your DCB0160 safety case depends on evidence your supplier can't produce.
Your Clinical Safety Officer can only sign off a deployment when the manufacturer’s hazard analysis, failure-mode behaviour and configuration records actually exist.
What the NHS Expects of a Video Consultation Platform
“NHS-compliant video” isn’t one certificate. It’s several separate obligations, owned by different people, and each one asks the platform for specific engineering. This is the short version; our engineering guide to DCB0129/DCB0160, DSPT and FHIR goes deeper.
| Standard | What it is | What it asks of a video consultation platform | How we engineer for it |
|---|---|---|---|
| DTAC (Digital Technology Assessment Criteria) | NHS England’s baseline criteria for digital health technologies, reviewed by NHS adopters during procurement. An updated form replaced the old one by 6 April 2026. | Evidence across five areas: clinical safety, data protection, technical security, interoperability, and usability and accessibility. | We produce the technical evidence as we build (architecture and data-flow documentation, security controls, accessibility against WCAG), so the supplier can complete the form from what exists. |
| DCB0129 (clinical risk management: manufacture) | Mandatory standard for manufacturers of health IT systems under the Health and Social Care Act 2012. | A clinical risk management system, a named Clinical Safety Officer, a hazard log and a clinical safety case report. For video, the hazards are specific: the wrong patient on a call, a call failing mid-consultation, recordings leaking into the wrong storage, audio/video desync. | Hazard-relevant controls built into the media path and a hazard log maintained with your Clinical Safety Officer through development. We produce the evidence; the safety case is signed by the accountable CSO. |
| DCB0160 (clinical risk management: deployment) | The deploying NHS organisation’s counterpart standard. | The trust’s own safety case for its pathways, training and fallback if video fails. | Deployment documentation, defined failure-mode behaviour and configuration records the deploying CSO needs. |
| DSPT (Data Security and Protection Toolkit) | NHS England’s online self-assessment against the National Data Guardian’s 10 data security standards, for all organisations with access to NHS patient data and systems. | Controls the organisation can evidence: encryption in transit and at rest, access control, audit logging, incident response, a known list of third-party services in the media path. | DSPT-aligned controls as standard engineering practice, not a pre-audit scramble. |
| UK GDPR / DPIA | Data protection obligations the buyer assesses before deploying a video tool. | Clear data flows, lawful recording and retention, residency. | Data-flow maps, recording consent and retention controls, and UK-hosted deployment options designed in. |
| NHS login | NHS England’s patient identity service, built on OpenID Connect, with verification levels up to P9. | Verified patient identity, with step-up verification only where the journey needs it. Partners must meet NHS login’s eligibility and onboarding process. | OpenID Connect integration and step-up journeys designed in at the architecture stage, not bolted on. |
| FHIR UK Core / EPR & GP integration | HL7 UK’s implementation guide for FHIR R4, the basis for NHS national APIs. | Patient and appointment context in, consultation outcomes back, without re-keying. | FHIR R4 UK Core and HL7 v2 integration, with the route (trust EPR, national API, or GP-system supplier interface) chosen per project, because national onboarding rules vary. See System Integration. |
Standards change. NHS England is reviewing DCB0129 and DCB0160 (public consultation closed 11 September 2026), and we track the outcome.
NHS Video Consultation Software Development Services
Video Consultation Platforms for UK Digital-Health Companies
For suppliers taking a product into the NHS.
Full-cycle build of the consultation product (web, iOS, Android, backend), engineered from day one to the evidence NHS buyers review.
- WebRTC one-to-one and group consultations that hold on patient mobile networks
- DCB0129 hazard log maintained with your Clinical Safety Officer
- DTAC technical evidence produced alongside the code
- NHS login and FHIR UK Core designed into the architecture
Bespoke Video Consultation for NHS Organisations
For trusts and ICBs with a requirement no product covers.
Custom video services for a specific pathway, or extensions to what you already run, delivered by a UK-registered supplier.
- Pathway-specific consultation flows and clinician tooling
- Integration with your EPR and scheduling systems
- Deployment evidence for your DCB0160 safety case
- UK-hosted deployment options
NHS Integration Layer
For platforms that need patient identity and record context.
The connective work between the video session and the NHS estate. → System Integration
- NHS login (OpenID Connect) integration
- FHIR R4 UK Core and HL7 v2 exchange with EPR systems
- Appointment context in, consultation outcomes back
- Onboarding and conformance testing planned as scheduled work
Compliance Evidence & Platform Rescue
For existing platforms that won't pass review, or won't hold under load.
Take-over and remediation of video consultation products another team left stalled, with the missing evidence rebuilt. → Security & Compliance
- DTAC and DSPT gap review mapped to the codebase
- Hazard analysis for the video path
- Call-drop and reconnection fixes at the protocol level
- Take-over of inherited, semi-functional code
How NHS Organisations Can Work With Us
There are three routes, depending on who is buying and what already exists.
Through an NHS Dynamic Purchasing System
Trembit LLP is a supplier on the NHS PiP Non-Clinical Systems Dynamic Purchasing System, run by the North of England Commercial Procurement Collaborative (NOE CPC), in the Video Consultation sub-category. NHS organisations running a further competition under this DPS can invite us to bid.
As the Engineering Partner to Your Supplier
If your trust already runs a video consultation product, we work with the supplier on integration, pathway-specific features or scale, so the tool fits your EPR and workflow without a replacement project.
Through Your Own Procurement
Running your own tender or quotation? We bid as Trembit LLP, registered with Companies House (OC421630), with a London office at 41 Devonshire Street.
How We Build NHS Video Consultation Software
Architecture Call (free, 30 minutes)
We look at your pathway, your buyer and the integrations you need, and tell you which NHS obligations apply to this engagement and who owns each one.
Standards & Scope Discovery (1 week)
Before code: which parts of DTAC, DCB0129/DCB0160, DSPT and the DPIA apply; who is the manufacturer and who holds the Clinical Safety Officer role; which integration routes are open to you; where data lives.
Build in Sprints, Evidence Alongside
Video, apps, backend and integrations shipped in working increments. The hazard log and security controls are part of the backlog, not a document written at the end.
Integration Onboarding & Assurance Support
NHS login and API onboarding, conformance testing, DTAC evidence, and the documentation your Clinical Safety Officer and IG lead review.
Go-Live, Monitoring, Change Control
Call-quality monitoring from day one. New features and configuration changes go back through the hazard log, because clinical safety doesn’t end at go-live.
Healthcare Video We've Built
KBV-Certified Psychotherapy Video Platform in Germany
WebPRAX Face2Face Germany
Challenge: A national regulator's certification with no reference implementation to follow.
- Peer-to-peer WebRTC, Germany-only infrastructure, on-premise STUN/TURN so no third party routes the media, end-to-end encryption auditable by certification bodies, group sessions up to 20 participants.
- Used daily by thousands of therapists.
- The NHS relevance: the same category of rigour DCB0129 and DSPT demand, in a different jurisdiction. Not a substitute for NHS assurance.
Video Interpreters for 4,000+ Hospitals in Under 20 Seconds
Martti (Equiti Health)
Challenge: On-demand medical interpretation inside clinical workflows: under 20 seconds to a clinical-quality video connection, 99.99% uptime across 4,000+ US healthcare facilities, one-click launch from Epic and Oracle Cerner with session write-back, native iOS and Android apps, on a platform operated under HIPAA and SOC 2.
Read the case study →Group Telemedicine Platform with Clinical Tools In-Call
Challenge: Multi-participant consultations for distributed care teams, with e-prescriptions, shared whiteboards and multi-provider scheduling inside the video session.
- End-to-end encryption, audit logging and EU data residency.
Real-Time Translation Inside Healthcare Video Calls
Challenge: Clinician speech translated and delivered as dubbed audio and live subtitles inside the same encrypted session, processed at the SFU level in a custom mediasoup media server, under HIPAA and GDPR with no audio stored on third-party servers.
Read the case study →What Healthcare Teams Say
“They know the inner workings of the tech and were able to inherit our semi-functional code and get it to work where multiple prior teams couldn’t. It was a tough project and yet they breezed through it.
“Their processing integrity was impressive. They precisely estimated the number of hours required and delivered according to promises.
Why Choose Trembit for NHS Video Consultation Software?
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Regulated video is what we already do
We built a KBV-certified psychotherapy video platform in Germany, and the video behind interpretation in 4,000+ US healthcare facilities. We know what it takes for a regulator or a clinical buyer to trust the media path.
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We're straight about who signs what
We build the platform and produce the evidence. Your Clinical Safety Officer signs the safety case, and your organisation owns its DSPT and DPIA. Clear roles make assurance faster, not slower.
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Protocol-level WebRTC, not a wrapper
We’re one of roughly 50 companies worldwide focused exclusively on WebRTC. When a consultation drops on a patient’s mobile connection, we fix it at the ICE, TURN and codec level.
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A UK entity, a long-term team
Trembit LLP is registered in the UK with a London office. Clients stay with us for years, and clinical platforms need a team that’s still there after go-live.
Frequently Asked Questions
Taking video consultations into the NHS?
Tell us who the buyer is and what the consultation needs to connect to. On a 30-minute call we’ll map which NHS obligations apply, who owns each one, and where the engineering risk sits.