As an initial step, you must ensure you can assess a patient's capacity. If a patient lacks capacity to understand the information relevant to the decision, retain that information and use that information as part of the process of making a decision, then consider whether remote consultation is appropriate.
It is then important to take all the necessary steps to help the patient deciding in his best interest. This means that the way the relevant information is presented and communicated should be clear and easy to understand and not impeded by technological constraints (for example, by using simple language or visual aids).
Take reasonable steps to ensure privacy, in the same way you would do for a face to face consultation:
If you plan to record the consultation, you must inform the patient in advance and obtain consent. The patient should be told the reasons why you are recording the consultation, how it will be stored and for how long. Record details of patient consent in the records and remember the recording will form part of the patient’s medical record, and should be treated in the same way as other medical records.