The pilot study (McLaren et al 1999) showed the potential for IATV to improve communication between primary and secondary mental health services.  This study was a six month follow up to monitor the effectiveness of IATV in consultation of patients with complex mental health problems.  We looked at the use of a video link between a communicty mental health centre, the Speedwwll Centre, and the Grove Medical Centre, both in Deptford, south-east London.