Initially take up of the software was slow. However now approximately 50% of referrals have images on our telemedicine system. The software is popular with both referring staff and receiving clinicians as being easy to use with non-threatening equipment and improving communication between sites. Uptake is especially high within QVH where images are taken if Doctors are unavailable enabling the nurses to redress the wound rapidly thus minimising infection risk. Children are also subjected to less redressing of their wounds, which can be very traumatising for them. Early analysis of the results shows that the system is used more for certain types of injury. 