PT - JOURNAL ARTICLE AU - Joseph Wherton AU - Sara Shaw AU - Chrysanthi Papoutsi AU - Lucas Seuren AU - Trisha Greenhalgh TI - Guidance on the introduction and use of video consultations during COVID-19: important lessons from qualitative research AID - 10.1136/leader-2020-000262 DP - 2020 Sep 01 TA - BMJ Leader PG - 120--123 VI - 4 IP - 3 4099 - http://bmjleader.bmj.com/content/4/3/120.short 4100 - http://bmjleader.bmj.com/content/4/3/120.full SO - BMJ Leader2020 Sep 01; 4 AB - Background Following several years of qualitative research, we have developed evidence-based guidance on setting up and conducting remote video consultations. Drawing on emerging evidence, we have also adapted the guidance to ensure accessibility and relevance for those using video calling during and beyond the COVID-19 pandemic.Findings This article describes the research underpinning this guidance material, with a focus on three key areas: (1) IT infrastructure, (2) organisational routines and workflows, and (3) interactional work of a video consultation. Our research highlights that such change is not merely about installing and using new technology. It involves introducing and sustaining major changes to a complex system with multiple interacting components.Conclusion If remote video consultations are to be adopted at scale, implementation will need to follow a socio-technical approach, continually adjusting the technology and work processes to become better aligned.