Monthly genetics clinics have been set up between GOSH and Southend Hospital to provide Cancer genetics counselling. The GOSH Cancer Geneticist has access to a Video-conferencing facility which has been booked at an adjacent Trust. Southend has a VC facility in a Seminar room within the Oncology Department. It has been agreed that this can be used by patients receiving genetics counselling. The patient is supported by a nurse specialist during the consultation.  UPDATE AUGUST 2003:  Users need induction and training in the basic technical aspects and adjusting to working in a different way, eg, developing a 'script' to manage interaction.  Sometimes difficult to end a session as usual physical cues absent.  Counselling more than one family member in the same session did not present any particular problems but giving results of genetic tests to more than one family member required additional preparation and clarification of how the family wanted to be told.