Table 1.

Enablers and pre-requisites for working from home staff.

Theme	Detail
Trainee's IT	• Availability of a fast and reliable broadband connection at home
Trust IT	• Access to hospital systems through a Virtual Private Network or other access gateway • Availability on the hospital systems of referral letters, clinic letters, results of investigations, radiology and other ancillary documentation
Management support	• Adequate NHS hardware in clinics, including webcams and computers of sufficient speed to run modern video programmes, preferably with dual-monitor setups • Support from departmental management to navigate the approvals and adjustments that are required to equip the trainee with all that they need to work from home
Supervision	• Consultants’ and trainees’ familiarity with remote video systems, including those designed for remote video clinics (such as Attend Anywhere) and those used for MDTs/other departmental meetings (such as Zoom, Microsoft Teams or Google Meet) • Clear supervisory arrangements with nominated and agreed consultant ownership of “registrar remote clinics” • Flatter hierarchies: consultants happy to discuss clinical work, for example ad hoc case discussions, clinic debriefs etc