1. Enforced change due to COVID 19 has led to positive changes in
practice. 2. Early senior triaging and review led to a reduction in
emergency clinic attendances. 3. Emergency clinics could be further
supported through protocols, departmental guidance and permanent changes
to senior cover. 4. Increased senior presence could improve teaching and
training of junior colleagues. 5. The integration of telemedicine is a
useful tool in both the elective and emergency settings.