Investor Pitch - June 2026 · Confidential

GP on Call
South Africa's Pharmacy-First Digital Health Platform

GP on Call routes patients through AI triage with Nurse Roxanne to partner pharmacies first, with GP escalation when needed -- end-to-end booking, payment, clinical documentation, pharmacy fulfilment, and financial infrastructure in one platform.

500+

GPs in Network

9

Provinces

24/7

Availability

4.8★

Patient Rating

The Problem

GP Access in South Africa is Broken

Millions of South Africans cannot access a GP quickly, affordably, or digitally - and the existing infrastructure wasn't built for the modern world.

GP Appointment Wait Times

Average 2-5 day wait for a non-emergency GP appointment in South Africa. Emergency rooms are overwhelmed with non-emergency cases as a result.

Geographic Inequality

Rural and peri-urban areas have severe doctor shortages. Over 70% of private GPs are concentrated in 3 provinces.

Fragmented Payment Models

Opaque pricing, inconsistent medical aid claims, and no digital payment infrastructure for GP consultations.

No Digital Health Trail

Patients carry paper prescriptions and sick notes. No integrated health record across providers.

Market Opportunity

A Multi-Billion Rand Opportunity

Africa's telehealth market is at an inflection point - and South Africa is the most structured entry market on the continent.

R270bn+

SA Healthcare Market

Total addressable market (2024)

~R120bn

Private Sector Share

Annual private healthcare spend

28%

Telehealth CAGR

Projected growth 2024-2030 in Africa

35M+

Underserved Population

South Africans without reliable GP access

The Solution

One Platform. The Full Care Cycle.

GP on Call isn't a single feature - it's the complete digital infrastructure for GP-level healthcare in South Africa.

Tele-Consultation

Video GP consultations from anywhere in SA in minutes, not days.

Home Visits

GPS-matched doctor dispatched to your door, with real-time tracking.

In-Practice Bookings

Pre-book at a nearby practice, skip the queue with digital intake.

Pharmacy-First Triage & Consultation

Nurse Roxanne AI triages patients conversationally and routes mild-to-moderate cases to partner pharmacies. Pharmacists treat with OTC packs or escalate to GPs with full clinical context. Subscription plans include OTC packs, prescription baskets, and monthly pharmacy consultations.

Health Records Vault

Centralised patient health record - lab results, sick notes, referrals.

Subscription Wellness Plans

Monthly wallet-based subscription covering consultation costs.

AI Triage & Smart Intake

AI-powered symptom assessment, auto-populated intake forms, and historical intake intelligence for doctors.

Practice Management Suite + Branded Website

Full in-practice management: appointments, SOAP clinical notes, prescriptions, billing, kiosk — plus a fully branded public booking website per practice. GP and Specialist templates with customisable content sections, live doctor availability calendar embedded on the site, and bookings flowing directly into the practice appointment book.

Patient Kiosk & AI Triage

Touch-screen self check-in kiosk for practice waiting rooms. Patients complete AI triage on arrival, results feed directly into the clinical workflow.

Unified Medical History

Doctors see a patient's full clinical history across both tele-consults and in-practice visits in one panel — SOAP notes, ICD-10 history, chronic conditions, allergies, and lab results.

Sticky Doctor (Preferred GP)

Patients can bookmark a preferred GP after a high-rated consultation. On future tele-consultations, the platform checks if that doctor is online and prompts the patient to request them — or seamlessly routes to the next available GP if unavailable.

Async Low-Connectivity Consultations

Patients in areas with poor internet upload photos/video of their condition, describe symptoms, and receive a written doctor response — no video call required. Ideal for rural and township patients.

Digital Referral Ecosystem

Doctors issue structured referral letters from within a consultation. Patients grant or deny consent. Specialists access a time-limited secure portal to view clinical context and patient records.

Wearable Sync Add-On

An optional R49/mo add-on links patient wearables (Apple Health, Google Fit, Fitbit, Garmin, Oura) to their health dashboard. Admin monitors sync health; data feeds clinical decisions.

Platform Architecture

Four Fully-Operational Portals

Every stakeholder in the healthcare journey has a purpose-built, production-ready interface on the platform.

Patient App

  • Nurse Roxanne AI conversational triage with red-flag gate
  • Pharmacy-first routing & consultation requests
  • Pharmacy-to-GP escalation with full clinical context
  • AI symptom triage & online suitability check
  • Auto-populated pre-consultation intake forms
  • Consultation booking (3 types)
  • PayFast & Pay@ retail cash top-ups
  • Subscription plans with OTC packs, prescription baskets & monthly consultations
  • OTC entitlement tracking (12-month rolling window)
  • Health records vault
  • Follow-up task tracking
  • Medical aid claim automation
  • OTC pharmacy ordering with AI product matching
  • Medication reminders with adherence tracking
  • Second opinion specialist requests
  • Insurance pre-authorization workflow
  • Health metrics & trend charts with alerts
  • SMS OTP phone verification
  • Sticky doctor — bookmark preferred GP after high-rated consultation
  • Async low-connectivity consultations (photo/video upload + doctor text response)
  • Digital referral letters with patient consent & specialist access portal
  • Wearable sync add-on (R49/mo) — Apple Health, Google Fit, Fitbit, Garmin, Oura

Doctor Portal

  • Historical intake intelligence panel (recurring symptoms)
  • Availability & schedule management
  • Smart booking acceptance
  • Real-time patient navigation
  • Prescription & sick note issuance
  • Earnings dashboard & PDF export
  • Repeat prescription workflow
  • Unified patient medical history (tele + in-practice)
  • Live transcript via Deepgram during tele-consults
  • Async consultation review — respond to low-connectivity patient submissions
  • Digital referral letter issuance with specialist access token & consent tracking

Admin Command Centre

  • Live operations wallboard
  • Triage analytics dashboard: routing distribution, escalation rates, full clinical paths
  • HPCSA iRegister credential verification
  • Doctor QA scores (ratings + sentiment + documentation + reliability)
  • Doctor approval & quality monitoring
  • Automated monthly payouts
  • Monthly financial report: revenue vs integration & operational costs
  • Financial analytics, scenario builder & break-even analysis
  • OTC ad campaign performance dashboard
  • Pharmacy network management & pharmacy consultation oversight
  • SMS template management & testing
  • Second opinion request oversight
  • Pre-authorization approval workflow
  • Wearable sync add-on management & patient monitoring
  • Granular admin role & page-level permission management

Pharmacy Portal

  • Live pharmacy consultation queue — accept patient triage requests from Roxanne
  • View Roxanne triage summary, severity, red flags & pharmacy suitability score
  • Pharmacy-to-GP escalation with clinical context handoff
  • PCDT pharmacist scope differentiation (standard vs PCDT prescribing)
  • Prescription (Rx) queue management with step-by-step status transitions
  • OTC (Over-the-Counter) orders - receive, quote, pack and dispatch without prescription
  • Courier request management (Courier Guy, Fastway, DHL, Aramex, Paxi)
  • Patient delivery billing - pharmacy quotes, patient pays via PayFast in-app
  • Automatic patient email notifications at every status change
  • SAPC Y-Number license verification during pharmacy onboarding
  • Pharmacy performance analytics: fulfilment rate, avg fulfilment time, Rx vs OTC volumes

Practice Management Suite

  • Practice profile & subscription management
  • Day-view appointment scheduler
  • Patient register with full medical profiles
  • SOAP clinical notes with vitals & ICD-10 coding
  • In-practice prescription issuance & sick notes
  • AI-assisted clinical summaries & drug interaction checker
  • Patient kiosk: touchscreen self check-in with AI triage
  • Queue wallboard for waiting room display
  • Practice billing & invoice management (NHRPL tariff codes)
  • Unified medical history: in-practice + tele-consult records in one view
  • Branded public booking website (GP & Specialist templates) with live availability calendar
  • Customisable website content sections: Hero, About, Services, Conditions, referral & insurance notes
  • Bookings from branded site recorded as PracticeAppointments linked to the practice
Business Model

Multiple Compounding Revenue Streams

A diversified revenue model combining transaction commissions, recurring subscriptions, and future network fees.

Transaction Commission

20%

Platform retains 20% of every once-off consultation fee. Doctor receives 80%.

Subscription Plans

R199-R549/mo

Monthly subscription fees (Basic, Premium, Family) collected upfront. Wallet credit issued to patients. Unused credit stays on platform until spent.

Distance Surcharges

R150-R250

Home visit distance surcharges billed at 10/15/20km bands - paid 100% to doctor, improving doctor retention with zero platform cost.

OTC Advertising (CPVV)

R12/view

Cost-Per-Verified-View ad network across three placements. Brands pay per genuine patient view; patients earn R12 wallet credit per ad. Patients use earned credits to pay for consultations, prescriptions, and OTC products - creating a virtuous cycle of engagement, reduced payment friction, and higher repeat bookings. Platform retains a network margin on every campaign spend.

Second Opinion Fees

R450-R1200

Specialist second opinion service fees (routine R450, urgent R750, emergency R1200). Platform takes commission on each completed second opinion request.

SMS Services

~R0.25/SMS

SMS OTP verification, booking reminders, and medication alerts via SMS Portal integration. Margins on bulk SMS volume as platform scales.

Pharmacy Consultations

R99/consult

Platform pays partner pharmacies a consultation fee (default R99) for each pharmacy-first visit. The platform retains a margin on each consultation, and pharmacists can escalate to GPs -- generating additional GP consultation revenue.

Pharmacy Fulfilment & OTC

R35/order

R35 facilitation fee on every prescription and OTC delivery order processed through the platform. As pharmacy volume scales, network listing fees and courier commission margins become a significant revenue layer.

Wearable Sync Add-On

R49/mo

Optional wearable device sync subscription (R49/mo) enabling patients to connect Apple Health, Google Fit, Fitbit, Garmin, and Oura to their health dashboard. Pure incremental recurring revenue on top of core subscription plans.

Current Fee Schedule

Tele-Consultation

R349

Platform earns R70

After-Hours Tele-Consultation

Outside normal hours

R449

Platform earns R90

In-Practice Visit (pre-booked)

R499

Platform earns R100

House Visit

Within standard radius

R899

Platform earns R180

After-Hours House Visit

R1,299

Platform earns R260

Distance Surcharges (100% to doctor)

+R150 at 10km · +R200 at 15km · +R250 at 20km

Basic Plan

R199/mo

R199 wallet credit

Premium Plan

R349/mo

R349 wallet credit

Family Plan

R549/mo

R549 wallet credit

Competitive Advantage

Why We Win

Six structural advantages that compound over time and make GP on Call increasingly difficult to displace.

Regulatory Compliance

HPCSA-compliant telehealth, POPIA data governance, live iRegister verification for every doctor onboarded, full audit trail. Regulatory barriers protect against fast followers.

Network Effects

More doctors > faster matching > better patient experience > more bookings > more doctors. Each new doctor and patient strengthens the platform for all users.

Clinical Data Moat

Every consultation, prescription, health record, and follow-up builds a longitudinal patient health profile - an irreplaceable asset as the platform scales.

Multi-Stakeholder Integration

Patient, doctor, pharmacy, and administrator all operate in one ecosystem. Switching cost increases with every prescription, health record, and relationship built on platform.

Full-Stack Digital Infrastructure

Booking > Payment > Consultation > Prescription > Pharmacy > Follow-up: the full care cycle is digital end-to-end. No competitor has closed this loop in the South African GP market.

Advertising-Funded Patient Engagement

Patients earn wallet credits by watching OTC ads, reducing friction to booking consultations and prescription orders. Brands reach engaged patients at point-of-need. Creates retention flywheel: more patients > more engagement > more ad placements > lower CAC.

Quality Monitoring

Star ratings, admin oversight, and automated payout tied to consultation quality create a self-regulating clinical quality flywheel.

Product Roadmap

From Foundation to Scale

Three phases delivered - including full AI intelligence layer. Now scaling.

Phase 1

Foundation

Complete ✓
Core booking engine (3 consultation types)
Doctor & patient portals
PayFast & Pay@ payment integration
Prescription & sick note issuance
Admin Command Centre
Phase 2

Ecosystem

Complete ✓
Pharmacy network & fulfilment
Subscription wallet plans
Follow-up task engine
Health records vault
Repeat prescription workflow
Automated payouts
Phase 3

Intelligence

Complete ✓
AI symptom triage & suitability check
Auto-populated intake forms from triage data
Historical intake intelligence for doctors
OTC ad network (3 placements, CPVV model)
Doctor QA scoring (ratings + sentiment + docs + reliability)
Live operations wallboard
AI financial insights & analytics
Phase 4

Practice Management

Complete ✓
Full practice management suite (appointments, billing, patient register)
SOAP clinical notes with ICD-10 & vitals
In-practice prescriptions, sick notes & drug interaction checking
AI-powered patient kiosk with touchscreen triage & queue management
Queue wallboard for waiting room displays
Unified medical history panel (tele + in-practice across all providers)
Practice billing with NHRPL tariff codes & medical aid claim support
Sticky doctor — preferred GP bookmarking with real-time availability routing
Branded public booking website per practice (GP & Specialist templates)
Customisable website content sections with practice-type-specific defaults
Live doctor availability calendar embedded on branded booking site
Online bookings recorded as PracticeAppointments on GP on Call platform
Phase 5

Pharmacy-First Model

In Progress
Nurse Roxanne AI conversational triage with red-flag gate & pharmacy suitability scoring
Pharmacy consultation routing & live pharmacy queue
Pharmacy-to-GP escalation with full clinical context
TriageSession persistence for clinical audit & triage analytics
Subscription entitlements: OTC packs, prescription baskets, pharmacy & GP consultations
12-month rolling OTC entitlement tracking with audit trail
PCDT pharmacist scope differentiation
Centralised pharmacy group model — any available pharmacist handles requests
Triage analytics dashboard with full clinical path visibility
ConsultWaitingSafeguard — patient engagement during pharmacy queue waits
Phase 6

Scale & Advanced Infrastructure

Upcoming
Async low-connectivity consultations (photo/video + doctor text response)
Digital referral ecosystem: letter issuance, patient consent, specialist access portal
Wearable sync add-on subscription (R49/mo) — Apple Health, Google Fit, Fitbit, Garmin, Oura
Monthly financial report: live revenue vs integration cost net performance
Granular admin RBAC: role-based page-level access control
Medical aid real-time claim adjudication
Specialist referral network expansion
Corporate wellness contracts
Chronic disease management programmes
Multi-country expansion (SSA)
API marketplace for medical aids

Let's Build the Future of GP Access Together.

GP on Call is positioned to become the definitive digital health platform for GP-level care in South Africa and across the continent. We're looking for partners who share that vision.

GP on Call· South Africa · Confidential

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