Table 1
StakeholderWhen to favour virtual visits
All stakeholders/society
  • When face-to-face is not essential; to fit COVID-19 ‘social distancing’/lockdown rules; a virtual visit eliminates infection risks/COVID-19 fears for all stakeholders; patients/family, staff member/their family and colleagues, subsequent patients and the public.

  • More responsive; when an urgent ‘immediate’ review/decision is warranted, for example, Advanced Care Planningincluding Cardiopulmonary Resucitation/Do-Not Attempt Cardiopulmonary Resuscitationif it feels less appropriate to do by phone, and would introduce a delay/require more time to visit in person.

  • When input is needed from people who can help inform/provide support, but are unable to be there in person in the home (because of COVID-19 social distancing, because at work, or not local/live abroad):

    • Relatives/friends.

    • Other relevant Health care professionals.

  • When more control over timing is wanted that is, any contributor can instantly end the video-call at any point—by contrast, not always as easy to leave/get staff member out of house, and there are fewer unpredictable delays, for example, professionals stuck in traffic on way to face to face visits.

  • To prevent unnecessary use of Personal Protective Equipment (COVID-19).

Patients/families
  • Personal choice; when a virtual visit is ‘preferred’ to face to face—for any or no reason.

  • When the convenience of a virtual visit is preferred, for example, over travelling to/waiting at an Out Patient Department assessment or when do not want to get house ready for visitors.

  • When would prefer the privacy, that is, no visitors in home.

  • In place of phone assessments, for more sensitive conservations/situations and to build rapport, when predictably need the enhanced communication from staff member’s facial, non-verbal cues.

  • For lip-reading patients to alleviate need of a mask/when phone will not work.

  • When ‘unhappy’ for any additional infective risk for themselves or their household, despite staff being ‘allowed’ within guidelines to visit.

  • When happy to put in more effort than would be required for a phone assessment (eg, prepare house shown on video, and own physical/body image).