In a 14 month period 76 referrals were received, 67 of which were replied to within 48 hours.  43 referrals were dealt with without the need for a consultation, 9 with investigations and 34 without.  Neurologist's time was reduced by 38%.  Satisfaction was high for both GPs and patients managed by email.  Review of GPs records subsequent to email consultation showed good levels of initial safety.