During the Covid-19 pandemic, a strategy to minimise face-to-face (FtF) visits and limit viral spread is essential. Video consultations offer clinical assessment despite restricted movement of people.We undertook a rapid literature review to identify the highest currently available level of evidence to inform this major change in clinical practice. We present a narrative synthesis of the one international and one national guideline and two systematic reviews-all published within the last 18 months.The global evidence appears to support video consultations as an effective, accessible, acceptable and cost-effective method of service delivery. Organisations must ensure software is simple, effective, reliable and safe, with the highest level of security for confidentiality.Although video consultations cannot fully replace FtF, they can radically reduce the need for FtF and the risk of Covid-19 spread in our communities while maintaining high standards of care. For patient safety, it will be critical to follow the WHO guidance regarding: a standard operating procedure; clinical protocols for when video consultations can (and cannot) be used; policies to ensure equity of access in disadvantaged populations; adequate staff training; and administrative support to coordinate appointments.

Original publication

DOI

10.1136/bmjspcare-2020-002326

Type

Journal article

Journal

BMJ supportive & palliative care

Publication Date

09/2020

Volume

10

Pages

271 - 275

Addresses

Department of Palliative Medicine, Sir Michael Sobell House Hospice, Oxford, Oxfordshire, UK annasutherland@doctors.org.uk.

Keywords

Humans, Pneumonia, Viral, Coronavirus Infections, Telemedicine, Videoconferencing, Referral and Consultation, Delivery of Health Care, Pandemics, Palliative Medicine, United Kingdom, Professional Practice Gaps, Betacoronavirus