Telemedicine, including video consulting, has been available for decades and its widespread adoption accelerated dramatically during the COVID-19 pandemic.1 This surge was driven by the need to ensure continued access to health care while minimising the risk of viral transmission. There is a growing body of evidence regarding video consultations, but much of the research focuses on secondary care settings and specific sub-populations, such as those with diabetes.2 Despite studies from Denmark,3 Norway,4 Sweden,5 and the UK,6 a lack of evidence remains regarding the use of video in primary care, particularly outside office hours for patients seeking urgent care.7,8

As life returns to a new normal after COVID-19, the momentum behind video consultations in general practice appears to have waned.3,6 This decline can be attributed to concerns regarding the lack of face-to-face interaction, technical challenges, and challenges conducting physical examinations remotely.7 Consequently, video consultations are now rarely used in routine general practice.6 However, there is growing appreciation that video consultations can complement telephone consultations in the out-of-hours primary care setting. Many organisational models exist, using a …