A fully-integrated Planned and Urgent care Advice & Guidance platform using modern mobile and web-based technology - including synchronous and asynchronous text, voice and video, operating over mobile networks, VOIP and direct dial where signal is poor. The system can be fully integrated with the primary and secondary care clinical record as well as the backbone NHS e-Referral Service (e-RS) and CCG and Trust IT BI systems - allowing real-time operational oversight and clinical management of patients.