'Think beyond old solutions to problems.  Our world is changing so fast that most of yesterday's solutions are no longer the right answers today.  Don't get locked into a "but that's how we've always done it" mentality.  Yesterday's solutions are not today's solutions and they are certainly not tomorrow's solutions'. Joshua Becker


The NHS is being driven by ever growing demand from an ageing population and increasingly sophisticated, complex and costly treatments.  The NHS Five Year Forward View (5YFV) 2014, sets out a clear vision stating the contribution the NHS can make to the health of the nation and the changes (transformation) needed to meet the needs of current and future patients.  This transformation requires a range of different care models, one being telesolutions i.e. the provision of remote access to patients.  Telesolutions can mean a more efficient and effective use of scarce clinical resources.


The benefits derived from the use of technology in healthcare are definite.  To prevent health services from being entrenched in the past, a new, vigourous vision for modern NHS service delivery which is cost effective and responsive, needs to be embraced and within this vision, telesolutions certainly play an important part.  The following pages set out some information and resources you may need to consider using technology in your service delivery.


The attitude to welcoming change in service delivery is pivotal within the workforce if the NHS is to be future-focused in this digital world.  Clinicians need to rethink their ways of working to embrace new opportunities and evolve into being a mixture of clinician/IT expert/innovative entrepeneur.  In the Workplace of the Future 'people will still want to do the best job possible in the most efficient and effective manner.  However, the tools they use will have changed dramatically due to technology advances that we can confidently predict over the next 20 years'. 

Hugh Bradlow 'The Workplace of the Future:It's not where you go but what you do' September 2011, Telstra White Paper



'The challenges facing our NHS are well known.  By 2018 it is estimated that nearly three million people will be living with three or more long-term conditions.  While the demand for service rises, we know that the resources at our disposal cannot keep pace.  We therefore have to do more with what we have.  The question, then, is how can we ensure people continue to get high quality care

for the future?  One opportunity lies in the fact that people increasingly want to own and control their own healthcare.  By harnessing the power of digital technology we can help by empowering people to mange their care in a way that is right for them'.

Prof. Sir Bruce Keogh, National Medical Director, NHS England (in a letter to TECS Implementation Group, September 2014)


Examples of how Telesolutions can work for you are shown below:


  • Between professionals for a one to one discussion or multi-disciplinary team meetings (MDTs)

  • Between a clinical professional and a patient visiting a clinic or dedicated conferencing suite; a nurse, support worker or carer supporting the patient could also assist the remote clinician carrying out the examination

  • Between a clinical professional and patient at a nursing or care home, village hall or other public location

  • Between a clinical professional and patient in their own home

  • Between an on-call clinical professional in their home or public place and the patient in a hospital or clinic

  • Mobile hotspots within ambulances - the technology is currently being developed to provide another opportunity