Background The COVID-19 pandemic has changed delivery of care worldwide where face to face clinics had to adapt to telephone consultations. Management of neurological symptoms have traditionally relied on detailed physical assessments which poses challenges for remote consultations.

Aim To evaluate patient-reported experience of acute neurology telephone clinics to better understand areas for improvement of this ongoing service.

Method We formulated a voluntary, confidential, thirteen-question survey on patient experience. The questionnaire was devised based on the previously published King’s Patient Experience Measure in Neuro- oncology Questionnaire (Ashkan et al, 2021). Four domains were measured: clinic environment, patients’ questions/queries, follow-up and feedback.

Results Our data showed that telephone clinics can achieve a high-degree of satisfaction, efficiency in communication and engagement (100%), addressing patients’ concerns (100%) with clear clinical outcomes (100%) and over 95% of patients feeling satisfied with the care they have received. Despite this, over 35% of patients would prefer a face to face consultation. Feedback suggested patients would be open to a blended model of face to face and telephone consultations.

Discussion Incorporating telephone consultations as part of a new model of care can improve equity of access for patients, in line with the NHS Long Term Plan. It is an efficient way of bringing care closer to the patient, which would be well suited in the new Integrated Care System.