Improved maternity team working.  GP mediator in telemedicine is a key role.  Telemedicine must be integrated with other IT.  Need to improve technology - still too intrusive.  Need multi-site trials.  Need more industrial development.  Impact on organisation of NHS.  Need for service standards and quality control.  Lothian Health RHA have adopted remote consultation within their obs and gynae service.  This is part of a wider programme at Edinburgh to adopt telemedical techniques.  Other regional centres are being given access to the hospital WAN and other medical disciplines will be included eg:  1)   Burns Unit at Livingstone has recently come on line.  2)  Fracture clinics being trialled and teleradiology.  3)   Telepathology being investigated.