Remote second opinion: Telepathology proved to be of most value for discussion of difficult cases in the context of a regular scheduled meeting, but is considered too time consuming by many for routine referral. However, increased usage is likely to come with greater familiarity coupled with integration into standard work practices (including time made available on rosters). It is likely to have an increasingly important role as more sites are linked up in telemedicine programmes locally and nationally, both for consultation, and also for teaching and other meetings between different sites.