Virtual conferencing & remote consultations
Published on: 27th April 2020 | Updated on: 7th April 2025
Video or audio conferencing is a method of communication involving a live visual and/or audio connection between two or more people in different locations.
Since the COVID-19 pandemic, this technology has been widely adopted across society, including use for virtual meetings and conferences within the NHS and the community pharmacy sector. This includes use of products such as Zoom and Microsoft Teams.
A remote consultation involves a pharmacy team member and a patient using this type of technology to undertake a consultation.
When can clinical services be provided via remote consultations or off-site?
The following table summarises service specification/contractual provisions related to off-site provision of clinical services, i.e. provision away from the pharmacy premises and the provision of remote consultations, where the patient is not present on the pharmacy premises.
If you are considering, where permitted, off-site provision for any of the services or undertaking remote consultations, please first review the information on our service webpage and the service specification.
Service |
Is off-site provision allowed?
(Pharmacy staff face-to-face with the patient, but not on the pharmacy premises) |
Are remote consultations allowed from the pharmacy premises? (Pharmacy staff at the pharmacy with the patient elsewhere, via audio or video consultation) | Are remote consultations allowed from off-site? (Pharmacy staff are off-site, not at the pharmacy premises with the patient also being elsewhere, via audio or video consultation) |
Appliance Use Reviews | Yes – read the information on our service webpage and the Secretary of State Directions for the detailed requirements related to off-site provision | Yes – read the information on our service webpage and the Secretary of State Directions for the detailed requirements related to remote consultations | No |
Discharge Medicines Service | No | Yes – read the information on our service webpage and in the Terms of Service for the detailed requirements related to remote consultations | No |
Flu vaccination service | Yes – read the information on our service webpage and the service specification for the detailed requirements related to off-site provision | Not applicable | Not applicable |
Hypertension Case-Finding Service | Yes, on an occasional basis, where prior consent has been obtained from the Integrated Care Board. See further information on our service webpage and in the service specification | Not applicable | Not applicable |
|
No
|
No | No |
New Medicine Service | Yes, in a patient’s home. Read the information on our service webpage and the service specification for the detailed requirements related to provision in a patient’s home | Yes – read the information on our service webpage and the service specification for the detailed requirements related to remote consultations | Yes – read the information on our service webpage and the service specification for the detailed requirements related to remote consultations |
Pharmacy Contraception Service | No | Yes – read the information on our service webpage and the service specification for the detailed requirements related to remote consultations | No |
Pharmacy First Service | No | Yes, but with exceptions – read the information on our service webpage and the service specification for the detailed requirements related to remote consultations | No |
Smoking Cessation Service | No | Yes – read the information on our service webpage and the service specification for the detailed requirements related to remote consultations | No |
COVID-19 vaccination service | Yes, where NHS England provide consent to this – read the information on our service webpage and the service specification for the detailed requirements related to off-site provision | Not applicable | Not applicable |
RSV and Pertussis Vaccination Service
|
No | Not applicable | Not applicable |
Guidance and resources on remote consultations
The following guidance and resources provide key information for pharmacy owners to read and consider before conducting remote consultations:
NHS England Remote Consultations Guide for Pharmacy Teams (2022)
Using video conferencing and consultation tools (NHS England)
Video consulting with your patients – a quick guide for NHS staff (University of Oxford/NHS)
Video consulting with your NHS – a quick guide for patients (University of Oxford/NHS)
NHS website video consultations webpage (for patients)
Remote consultations: how pharmacy teams can practise them successfully (Pharmaceutical Journal)
Considerations for pharmacy owners ahead of using remote consultations include:
- the robustness of your pharmacy’s WiFi connection
- the hardware you will need, e.g. webcams, headsets, laptops or mobile devices
- remote meeting/consultation software
- training of staff
- scheduling of consultations, e.g. whether consultations will be performed during set times each day, use of appointments and booking systems
- confirmation that your indemnity insurance covers remote consultations
Choosing a remote consultation system
When choosing a remote consultation system to use in your pharmacy, careful consideration should be given to a range of issues, including:
- the usability of the system for your pharmacy team and for patients
- any potential existing patient familiarity with systems, i.e. systems they may already be familiar with using with other healthcare providers
- cost of the system and value for money
- the quality of the system from the patient’s perspective and any reputational risks for your pharmacy
- an assessment of the data security features of the product
Before concluding the choice of a product, NHS England’s video conferencing guidance says a risk assessment should be undertaken.
There are a wide range of potential video consultation options to choose from. NHS England has a list of systems that met the standards for their Digital First Online Consultation and Video Consultation framework which provides a good starting point from which to identify a potential solution for your pharmacy.
NHSmail Microsoft Teams
All community pharmacy NHSmail users have the ability to use Microsoft Teams as part of their NHSmail licence.
Pharmacy teams can download the Teams app to pharmacy computers and mobile devices, and then use its audio, video and messaging functionality to communicate with NHSmail users within and outside of your organisation.
NHSmail Microsoft Teams and upgrade factsheet
For more information on this topic please email comms.team@cpe.org.uk