PT  - JOURNAL ARTICLE
AU  - Payne, Rebecca Elizabeth
AU  - Clarke, Aileen
TI  - How and why are video consultations used in urgent primary care settings in the UK? A focus group study
AID  - 10.3399/BJGPO.2023.0025
DP  - 2023 Sep 01
TA  - BJGP Open
PG  - BJGPO.2023.0025
VI  - 7
IP  - 3
4099  - http://bjgpopen.org/content/7/3/BJGPO.2023.0025.short
4100  - http://bjgpopen.org/content/7/3/BJGPO.2023.0025.full
SO  - BJGP Open2023 Sep 01; 7
AB  - Background Video consulting was widely rolled out across general practice at the start of the COVID-19 pandemic. In the in-hours setting there has been a marked shift away from using the technology, but many urgent care clinicians continue to use video consulting. Little is known about the reasons behind this discrepancy.Aim To understand how and why video is used in urgent care settings.Design & setting Focus groups were held via Microsoft Teams with 11 GPs working in in- and out-of-hours settings across the UK.Method GPs were recruited through a convienience sampling strategy. Meetings were recorded, auto-transcribed, and checked for accuracy. A thematic analysis was performed.Results Urgent care GPs used video as an adjunct to the telephone in the initial assessment of patients and felt it helped direct patients to the right service first time. They were confident using video for a broad range of presenting conditions. They felt it created additional trust and rapport with patients and was useful for bringing third parties into the consultation. They felt that it allowed them to maximise resources and use shielded colleagues effectively. They emphasised the importance of one-to-one training and this was seen as vital for effective implementation within an organisation.Conclusion Video consulting is useful in the urgent care setting as an adjunct to telephone consulting. It is particularly helpful in the initial triage of patients. One-to-one training is needed for effective implementation.