Senior patient having a video consultation with their GP using a tablet at home
Published on April 18, 2024

In summary:

  • Video consultations are not just for convenience; they can be highly effective for managing chronic conditions when you are an active, prepared participant.
  • Mastering your technology (tablet settings, camera angles, lighting) is crucial for showing your GP clear physical symptoms.
  • Comparing NHS and private digital services involves a trade-off between speed and the vital continuity of care from your local practice.
  • A structured weekly routine of self-monitoring can transform your video call from a simple chat into a data-rich clinical review.

For many seniors with mobility difficulties, the prospect of travelling to the GP surgery can be a significant barrier to accessing care. The journey itself, involving stairs, public transport, and waiting rooms, can be exhausting and stressful. In recent years, video consultations have emerged as a seemingly perfect solution, promising healthcare from the comfort of your own home. The common advice often stops here: it’s convenient, it saves time, and it’s good for simple issues like repeat prescriptions. But this view barely scratches the surface of what’s possible.

What if the true potential of telemedicine isn’t just about convenience, but about enhancing the quality of your care? The key is to shift your mindset from being a passive recipient of a remote service to becoming an active partner in a clinical collaboration. A successful video consultation isn’t something that just happens; it’s something you prepare for. By understanding the technology, mastering how you present information, and creating a routine of proactive self-monitoring, you can dramatically increase the “information density” of your appointment, giving your GP a far clearer picture of your health than a simple phone call ever could.

This guide moves beyond the basics. We will explore the decision-making framework that GPs use to determine the right type of appointment, provide a step-by-step plan to prepare your technology and yourself, and show you how to build a health routine that makes every video call more effective. The goal is to empower you to take control, ensuring that distance doesn’t mean a compromise in the quality of your healthcare.

To help you navigate these new possibilities, this article is structured to walk you through every step of the process, from understanding the system to mastering the practical skills needed for a successful video consultation. Explore the sections below to build your confidence and make technology work for your health.

Why Can GPs Diagnose Some Conditions by Video but Not Others?

The decision to use video, phone, or a face-to-face appointment isn’t arbitrary; it’s a clinical judgment based on a principle of “shared decision-making.” The core question a GP practice considers is: what mode of consultation will provide the best health outcome for this specific issue? While video calls offer incredible flexibility, their effectiveness varies. In fact, only 46% of GPs felt they could be highly efficient via video, compared to 90% in person. This highlights that video is a tool with specific strengths and weaknesses.

Video consultations excel for conditions where visual information is helpful but a physical examination isn’t strictly necessary. This includes many skin conditions like rashes or eczema, monitoring swelling, assessing the range of motion in a joint, or for mental health check-ins where seeing facial expressions adds valuable context. They are also highly effective for medication reviews and discussing results that don’t require immediate physical action. For example, discussing a sick note for a known condition can often be handled efficiently this way.

However, their limitations are clear. Any condition that requires a hands-on physical assessment, such as listening to your chest with a stethoscope, feeling your abdomen, or using specialised equipment like an otoscope to look inside your ear, will always necessitate an in-person visit. Similarly, symptoms that are vague, complex, or new often require a physical examination to rule out serious underlying causes. The Royal College of General Practitioners emphasizes that the choice of consultation should balance convenience with the importance of relational care, ensuring no patient is disadvantaged. This clinical partnership approach means the decision is a dialogue between you and your practice.

How to Set Up Your Tablet for Clear GP Video Calls Without Technical Glitches?

A successful video consultation starts long before you click “join call.” Ensuring your tablet is properly configured can be the difference between a frustrating, glitchy experience and a clear, productive conversation with your GP. The goal is to remove any technological barriers so you can focus entirely on your health. With 59% of seniors now owning tablets, many are using them for health management, and a few simple adjustments can make a world of difference.

Start by diving into your tablet’s accessibility settings. These features are designed specifically to make devices easier to see, hear, and use. Increasing the text size, for example, can make reading appointment details or on-screen instructions much less of a strain. Activating voice assistance like Siri or Google Assistant allows you to open apps and start the call without navigating small icons. For those with hearing loss in one ear, enabling ‘Mono Audio’ combines stereo channels so you don’t miss any of your GP’s words.

Beyond the settings, remember that you are not alone in this digital transition. Organisations like Age UK run dedicated programmes to help older people build digital skills. Their Digital Champion Programme provides free support, and their evaluations show that such schemes are highly effective, with 71% of participants in a recent initiative reporting that the associated Technology Loan Scheme met their needs. Don’t hesitate to reach out to local charities or even ask a family member to help you run a test call before your actual appointment. A little practice goes a long way in building confidence.

Your Pre-Call Checklist: Mastering Tablet Accessibility

  1. Enable adjustable text size: Navigate to Settings > Display > Font Size and increase to Large or Extra Large for easier reading.
  2. Activate voice assistance: Enable Siri (iPad) or Google Assistant (Android) by going to Settings > Accessibility > Voice Control for hands-free operation.
  3. Adjust audio for clarity: Go to Settings > Accessibility > Audio/Visual and enable Mono Audio if you have hearing loss in one ear.
  4. Turn on screen magnification: Enable the Zoom feature in Settings > Accessibility > Zoom to magnify any part of the screen with a three-finger tap.
  5. Increase button contrast: Activate Button Shapes in Settings > Accessibility > Display to make interactive elements more visible and distinct.

NHS Video Consultations vs Babylon GP: Which Provides Faster Access for Chronic Conditions?

When considering digital healthcare, patients in the UK are often faced with a choice between using the video services offered by their registered NHS GP practice and signing up for a private digital-first provider like Babylon (rebranded as eMed). While private services often advertise faster, on-demand access, it’s crucial for seniors managing chronic conditions to understand the significant trade-offs, particularly concerning continuity of care. The proportion of GP appointments via video or online is growing steadily, making this choice increasingly relevant.

The primary advantage of sticking with your NHS GP is the established relationship and access to your complete medical history. Your GP knows you, understands the history of your conditions, and is connected to a local network of community services like district nurses, physiotherapists, and social care. A private digital GP, in contrast, may only have a few minutes to review your notes, leading to a more transactional and less holistic consultation. A critical point often overlooked is that registering with many private digital-first services requires you to de-register from your local NHS practice, severing those vital local ties.

The following table, based on an analysis of different digital GP models, breaks down the key differences for patients managing long-term health issues.

NHS vs. Private Digital GP Services for Chronic Condition Management
Factor NHS Video Consultations Private Digital GP Services (e.g., eMed/Babylon)
Continuity of Care Access to GP with full medical history and long-term patient relationship Different GP each consultation with limited access to historical context (5 minutes to review notes)
Registration Impact Maintains registration with local practice and links to community services Requires de-registration from local GP, severing ties to geographically-linked services (district nurses, local physio, social care referrals)
Prescription Process NHS Electronic Prescription Service sent directly to chosen local pharmacy Potential reliance on mail order prescriptions or limited pharmacy network
Specialist Referrals Established pathways within local NHS trust networks Referrals through private networks which may have different waiting times and geographic constraints
Appointment Availability Variable wait times, typically longer for routine appointments Often same-day or next-day availability for on-demand consultations

For someone with a complex or chronic condition, the value of a GP who knows your history and can coordinate with local services often outweighs the benefit of a slightly faster appointment. The decision should therefore be based on your personal health needs, prioritising continuity and integrated care over pure speed.

The Camera Angle Mistake That Hides Symptoms from Your Video GP

In a video consultation, your tablet’s camera is your GP’s eyes. How you use it can dramatically affect their ability to make an accurate assessment. Many patients make the simple mistake of holding the device too low or sitting in a poorly lit room, casting shadows that obscure the very symptoms they need to show. To make your consultation as effective as possible, you need to think like a clinical photographer, focusing on clarity, scale, and stability.

The single most important factor is lighting. Always position yourself facing a source of natural light, like a window. This front lighting illuminates your face and body evenly, eliminating shadows and allowing the GP to see your skin tone and any visual symptoms clearly. Avoid sitting with a window behind you, as this will turn you into a silhouette. Good lighting ensures what the GP sees on their screen is a true representation.

Next, consider stability and framing. Instead of holding the tablet, prop it up on a stack of books or use a stand. This frees up both of your hands, allowing you to point to areas of concern or, crucially, demonstrate functional limitations. For example, instead of just saying “my shoulder is stiff,” you can show the GP the difference in range of motion between your affected and unaffected sides. Ensure your upper body is in the frame so the GP has context. This active demonstration provides far more clinical information than words alone.

Your Pre-Call Checklist: Ensuring Optimal Symptom Visibility

  1. Position yourself facing a window: Use natural front lighting to reduce shadows and provide clear visibility of facial features and skin tone for the GP.
  2. Use the ‘rule of coins’ for scale: Place a common reference object like a 10p coin next to any skin lesion, rash, or swelling to help the GP gauge its actual size.
  3. Prop your tablet at eye level: Use books or a stand to free both hands for demonstrating range of motion or pointing to affected areas.
  4. Prepare supplementary photos: Take clear, well-lit photos of your symptoms beforehand and ask your surgery for a secure link (like AccuRx) to upload them before your appointment.
  5. Demonstrate functional limitations actively: Instead of just describing stiffness, show the GP by moving the affected joint through its range compared to the other side.

When Should You Request a Video Rather Than Phone GP Appointment?

With GPs offering both telephone and video consultations, choosing the right format can feel confusing. While a phone call is quick and requires no special technology, a video call offers distinct advantages in certain situations. The key is to ask yourself one simple question: “Is there something visual that would help my GP understand my problem?” If the answer is yes, a video appointment is almost always the better choice.

According to NHS England guidance, video consultations are ideal when there are visual cues to observe. This is obvious for skin conditions like a new rash or mole, or for visible issues like a swollen ankle. But it also applies to more subtle cues. Seeing your facial expressions can help a GP gauge your mood during a mental health check-in, providing a sense of connection that a phone call lacks. Demonstrating a functional problem, such as difficulty with fine motor skills or a limited range of motion in a joint, is vastly more informative on video than trying to describe it over the phone.

A good strategy is to adopt a “triage-first” approach. You can request an initial phone consultation with the specific goal of discussing with the GP or practice nurse whether your issue would be better assessed via video or requires an in-person visit. This makes you a partner in the decision-making process. For many patients, simply seeing their GP’s face provides reassurance and helps them feel more heard and understood, which is a valid reason in itself to request a video call for an important discussion.

How to Perform a 5-Minute Daily Health Check Without Medical Training?

One of the most powerful ways to maximise the value of a 10-minute video GP appointment is to arrive with clear, structured data about your health. Vague descriptions like “I’ve been feeling a bit off” are difficult for a doctor to interpret remotely. By performing a simple, 5-minute daily health check, you can track patterns and present your GP with concrete information, transforming the quality of the consultation. A simple framework to use is B.A.S.E.

This framework requires no medical equipment beyond a watch with a second hand and a notebook. It focuses on four key indicators that you can easily monitor yourself:

  1. B – Breathing: While resting, count your number of breaths for 30 seconds. A normal rate for an adult is between 6 and 10 breaths in this period (12-20 per minute). Note any significant changes from your usual baseline or any feelings of breathlessness during simple activities.
  2. A – Appetite: On a simple scale of 1 to 5, where 5 is your normal, healthy appetite, rate your desire to eat each day. A sudden or persistent drop in appetite can be an important early warning sign.
  3. S – Skin: Take a moment to check your skin, especially your feet and common pressure points like heels and elbows, for any redness, breaks, or sores. Also, look for any new or unusual bruises, rashes, or areas of swelling.
  4. E – Energy: Similar to appetite, rate your overall energy level on a 1-5 scale, with 5 being your normal. Tracking this over a week can help you identify if you’re just having an ‘off day’ or if there’s a developing trend of fatigue.

Recording these four simple data points in a notebook each day takes less than five minutes. When you have your video appointment, you can then present a week’s worth of data, saying, “Doctor, for the past five days my energy has been a 2 out of 5 and my appetite has dropped to a 2.” This provides your GP with a wealth of clinical insight, making your video consultation far more productive and targeted.

How to Use the TfL Journey Planner to Avoid Stairs Completely?

While mastering video consultations can reduce the need to travel, some appointments will always require an in-person visit. For seniors with mobility challenges living in or visiting London, navigating the public transport system can be daunting. Fortunately, Transport for London (TfL) provides excellent digital tools that allow you to plan a journey from start to finish entirely avoiding stairs.

The most user-friendly tool is the TfL Go app, which is free to download on any tablet or smartphone. If you prefer not to download an app, the same functionality is available on the TfL website. The key is to look for the ‘Preferences’ or ‘Accessibility’ options before you search for your route. This is where you can customise the journey to meet your specific needs.

By selecting the ‘Step-free access’ option, the journey planner will filter out any routes that involve stairs. It will only show you journeys using stations with lifts, ramps, or level access from the street to the platform. This removes the anxiety of arriving at a station only to be faced with an unexpected flight of stairs. For regular trips, such as to a hospital or GP surgery, you can save your planned step-free route as a ‘Favourite’ for quick and easy access in the future. This simple use of technology can make essential travel significantly less stressful and more manageable.

  1. Download the TfL Go app or visit tfl.gov.uk/plan-a-journey.
  2. Enter your start and end points for the journey.
  3. Tap the ‘Preferences’ or ‘Options’ button before searching.
  4. Find and enable the ‘Step-free access only’ or ‘Avoid stairs’ setting.
  5. Review the stair-free route options provided by the planner.
  6. Save frequent journeys to your GP or hospital for quick future reference.

Key takeaways

  • Prepare your technology in advance by adjusting accessibility settings on your tablet to ensure you can see and hear clearly.
  • Become an active partner in your diagnosis by mastering lighting and camera angles to give your GP the best possible view of your symptoms.
  • Adopt a simple daily self-monitoring routine (like the B.A.S.E. check) to provide your GP with valuable data during your video call.

How to Create a Weekly Health Routine That Keeps You Out of A&E?

The ultimate goal of leveraging technology like video consultations is not just convenience; it’s proactive health management to prevent small issues from becoming emergencies. By creating a structured weekly routine, you can stay on top of your health, identify problems early, and use your GP appointments more effectively. A simple yet powerful framework is the “3 M’s”: Medication, Movement, and Monitoring. This routine helps to formalise your health management into predictable, manageable tasks.

The high rate of digital engagement with the NHS, where some practices receive nearly 80 online submissions per 1,000 patients monthly, shows that people are increasingly using digital tools to manage their health. Integrating your efforts into a weekly schedule makes this even more powerful.

Here is how the “3 M’s” framework can be structured:

  • Medication Monday: Dedicate a few minutes each Monday to manage your prescriptions. Check that your weekly pill organiser is filled correctly. Verify you have at least two weeks of supply left for all medications. If you’re running low, use the NHS App to order repeat prescriptions electronically. Finally, make a note of any side effects to discuss at your next GP appointment.
  • Movement Wednesday: Mid-week is a great time to focus on physical well-being. Complete any prescribed physiotherapy exercises. Even simple chair-based exercises like seated marching or arm raises can make a difference. Importantly, log any new pain or changes in your mobility in your health diary.
  • Monitoring Friday: Use Friday to consolidate your health data for the week. Take your weekly weigh-in and blood pressure reading at the same time for consistency. Perform your B.A.S.E. check and review your diary for any patterns you’ve noticed. This review prepares you for any upcoming GP calls.

By scheduling a proactive video GP appointment every few months to review these trends, you and your doctor can adjust treatment plans long before a problem escalates. This routine transforms you from a reactive patient into the proactive manager of your own health, helping you stay well and out of A&E.

The next logical step is to begin implementing this weekly health routine. Start small, perhaps with just ‘Medication Monday’, and build from there. Taking these proactive steps is the most effective way to partner with your GP and manage your health from home.

Frequently Asked Questions About GP Video Consultations

When is a video consultation more appropriate than a phone call?

Video consultations are ideal when there is something visual to show (skin conditions, swelling, range of motion limitations), when you need to demonstrate functional problems, or when non-verbal cues and seeing your GP’s face would provide reassurance and help you feel more connected and heard.

What are the advantages of video over telephone consultations according to NHS guidance?

NHS England identifies key advantages including noticing visual cues unavailable over the telephone, improving access for patient groups who struggle with face-to-face consultations but want a more personal approach beyond telephony, and helping to pick up extra information during the consultation process.

Should I request a phone call first to discuss whether I need video or in-person?

Yes, the triage-first strategy is recommended. You can request an initial phone consultation with the specific aim of discussing with the GP whether your issue warrants a follow-up via video or requires an in-person visit, making you a partner in the decision-making process rather than a passive recipient of care.

Written by Sarah Jenkins, Sarah Jenkins is an Advanced Nurse Practitioner specializing in care for the elderly, with over 20 years of service in the NHS. She holds a master's degree in Advanced Clinical Practice and has led community nursing teams across the UK. Her expertise lies in chronic disease management, medication safety, and navigating NHS pathways.