Telehealth exploded during the pandemic and has remained a significant part of UK healthcare delivery. For some situations, it's genuinely better than face-to-face. For others, it's a cost-cutting measure dressed up as convenience. Knowing which is which protects your care quality.
When telehealth works well
Follow-up consultations. If you've already been examined, diagnosed, and had investigations, a follow-up to discuss results and adjust treatment plans works perfectly well remotely. No need to travel for a conversation.
Mental health therapy. The evidence shows that video-based CBT and talking therapy produce outcomes comparable to face-to-face for most presentations. For patients with mobility issues or who live rurally, it's arguably better because it removes the barrier to attendance.
Medication reviews. Discussing medication adjustments, reviewing side effects, and managing repeat prescriptions are all appropriate for remote consultation.
When to insist on face-to-face
New or undiagnosed symptoms. A physical examination cannot be conducted remotely. If you're presenting with new symptoms that haven't been investigated, a video call is inadequate. Insist on a face-to-face appointment.
Complex or multi-system conditions. When your situation requires nuanced clinical assessment — palpation, auscultation, neurological examination — remote consultation misses critical information.
When you feel unheard. If a remote consultation feels rushed or dismissive, request face-to-face. It's your right, and clinical evidence supports the importance of in-person assessment for complex presentations.
Getting the most from a video consultation
Prepare as you would for any specialist appointment. Write your questions in advance. Have your medication list ready. If relevant, have recent test results to hand. Ensure good lighting and a quiet room. And if the consultation raises concerns that require physical examination, say so explicitly — don't let convenience override clinical necessity.