Introduction Specialist consultant services in the UK NHS provide a decision-making support service to other health professionals. There is a drive to deliver this service in a more patient-centred, cost-effective and efficient manner. Remote clinical consultations (RCC), using secure, live, super-fast internet connectivity and high-resolution, multi-channel audio-visual streaming, has the potential for the delivery of this service.

Aim To conduct a clinical service evaluation to assess the viability and efficiency of conducting a RCC for the management of primary care referrals in restorative dentistry, compared to an in-person consultation.

Design A RCC was conducted for every participating patient and immediately followed with a 'verification' in-person consultation.

Materials and method Twenty-three patients of even gender distribution participated in this study across the three specialisms of restorative dentistry. A thematic questionnaire was completed by each member of the study intervention team and the patient after each consultation.

Results In all the cases, the consultant was able to conduct an effective and safe clinical consultation, not inferior to an in-person process, regardless of gender and age. The GDP, the nurse and the patient were able to participate effectively in the process and with each other.

Conclusion This proof-of-concept study suggests that the RCC concept is a feasible way of delivering specialist consultations in restorative dentistry with high levels of patient acceptability and that it can be delivered in a practical and simple manner.

简介英国NHS的专家顾问服务为其他卫生专业人员提供决策支持服务。有一种以更以患者为中心，具有成本效益和更有效的方式提供此服务的动力。使用安全，实时，超快速的互联网连接以及高分辨率，多通道视听流媒体进行的远程临床咨询（RCC）具有提供此项服务的潜力。

目的进行临床服务评估，以评估与亲自咨询相比，进行RCC来管理修复牙科基层医疗转诊的可行性和效率。

设计为每位参与的患者进行了一次RCC，并立即进行了“验证”的现场咨询。

材料和方法二十三个性别分布均匀的患者参加了这项研究，涉及了修复牙科的三个专业。每次咨询后，研究干预小组的每个成员和患者都要完成一份主题问卷。

结果在所有情况下，无论性别和年龄如何，顾问都可以进行有效且安全的临床咨询，且不逊于亲自面对面。GDP，护士和患者能够有效地参与过程，并且彼此参与。

结论该概念验证研究表明，RCC概念是在修复性牙科中提供专家咨询的可行方法，患者接受程度很高，并且可以以实用且简单的方式进行。