Recommendations for the use of remote consultations in neurology outpatients

<h3>Background</h3> Remote consultations have the potential to transform outpatient services. Whilst the advantages and disadvantages are evident, their optimal integration into outpatient care, ensuring both quality and efficiency, remains unclear. <h3>Aim</h3> This study aims to provide a comprehensive set of recommendations for the use of remote consultations in neurology outpatient care. <h3>Methods</h3> Free-text survey responses on the use of remote consultations from the Association of British Neurologists (n=1719), and the Neurological Alliance (n=2463) were analysed using inductive thematic analysis. This evidence base was used to generate draft recommendations in co-production workshops with people living with neurological conditions, their carers, healthcare professionals and service provider representatives. The recommendations were further refined and assessed for feasibility and acceptability using stakeholder focus groups and interviews. <h3>Results</h3> Three overarching themes emerged: choice and suitability; technology access and proficiency; and quality of care. The themes and subthemes informed the generation of a series of implementable recommendations encompassing: Choice and triage of appointment type Digital infrastructure requirements Training and support needs Risk mitigation <h3>Conclusions</h3> These recommendations serve as an evidence-based foundation for informed decision- making and policy development, supporting the implementation of remote consultations that enhance patient care and service efficiency.