Transmission of digitised radiological images via the teleradiology system was an integral part of 116 teleconsultations.  The majority of transmitted images were felt to be of adequate diagnostic quality.  The A&E consultants have placed a high emphasis on the use of teleradiology within the teleconsultations.  Videoconferencing formed a part of 76 teleconsultations and was deemed to be very useful and appropriately used for patient case discussion and patient examination.  General practitioners appear to have gained reassurance that through the use of videoconferencing and teleradiolgy, the consultant has been provided with the  complete clinical picture.  Telepresence was used in only 4 teleconsultations, and was criticised by general practitioners for its difficulty in use.  Within the 4 cases in which it was used, telepresence appeared highly successful and beneficial in the outcome of the teleconsultation.