Will it be possible to my MS patients to access secondary care outpatients remotely via video consultations for example? In primary care, we are delivering many more consultations via telephone and video and I wondered whether secondary care has access to technology to allow new ways of working such as video consulting? It would be interesting to hear if any specialist clinics are moving towards this type of working and how you will address the issue of prescribing where drugs cannot be issued in the community for example.