A pilot study of tele-oncology linking a cancer centre with a rural di
strict general hospital was carried out; it involved patients, physici
ans, surgeons, radiologists and nursing staff. Its purpose was to comp
lement the existing on-site outpatient services, providing oncological
advice on non-clinic days. During the six months of the trial, 18 vid
eoconferences were conducted. Their median duration was 17 min (range
7-40). Eight videoconferences involved patients directly. Acceptabilit
y of videoconferencing to doctors, nurses and patients was assessed by
a questionnaire. Patients and staff found the technique acceptable an
d were satisfied with the results. The addition of a teleradiology sys
tem to teleconsultations was found to be important when decisions on p
atient management were taken. Following the success of this pilot tria
l, larger studies of tele-oncology in the UK with measures of cost-eff
ectiveness are needed.