The number of digital consultations has exploded during the pandemic and for some it has been fantastic, but for other is in not a suitable mode of to name a few; elderly who are not silver surfers and autistic children. Private consultations face to face are still taking place but NHS consultations in the main are digital. Regulation, standards, security of data, quality of service, patient outcomes and clinician wellbeing all need to be taken into consideration to ensure that benefits of telehealth and the efficiencies it can make are harnessed whilst the disadvantages are tackled to ensure that the mode of commination does not enhance health inequalities and isolate the vulnerable.