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ObjectivesVideo consultations (VCs) have been rapidly implemented in response to Covid-19. However, limited research has explored patient experiences of VCs in this context. This research therefore explored patient experiences of VCs during their early stages of implementation in response to Covid-19. DesignSecondary data analysis of routine patient survey responses using descriptive statistics and inductive thematic analysis. Setting and participants955 (22.6%) survey responses following a VC using Attend Anywhere in a rural, aging and outpatient care setting between June and July 2020. ResultsMost (93.2%) respondents reported having good (n=210, 22.0%), or very good (n=680, 71.2%) experiences with VCs. Most respondents accessed their VC alone (n=806, 84.4%), except for those aged 71+ (n=23/58, 39.7%). Most participants reported feeling listened to and understood (n=904, 94.7%), felt their needs had been met (n=860, 90.1%) and were able to communicate everything they wanted (n=848, 88.8%). Satisfaction with communication was very strongly associated with satisfaction with the technical performance of the VC (p<0.001). Free text responses had three key themes: i) barriers to VC use including technological difficulties, quality of patient information and accessibility or suitability concerns; ii) potential benefits including reduced stress and anxiety, enhanced accessibility, cost and time savings; and iii) patient suggested improvements including trial calls, turning music off, facilitating photo uploads, expanding written character limit and supporting other internet browsers. Most (92.1%) participants were likely to choose a VC again in the future. ConclusionsThe vast majority of respondents reported positive experiences of VCs. Identified benefits of enhanced accessibility, affordability, time, monetary and environmental savings are particularly interesting for future service delivery. Further research is needed, using rapid co-design techniques, to improve feedback methods, patient information and experience to support sustainability and to address accessibility and experience of patients excluded from this work, through lack of VC access. Article summaryO_ST_ABSStrengths and limitations of this studyC_ST_ABSO_LILarge data set of \'real world\' patient feedback during the early stages of video consultation use in response to Covid-19. C_LIO_LIFindings from this research provide important and early insights into patient experiences of video consultations following their rapid implementation in response to Covid-19. C_LIO_LIQuantitative and qualitative insight into patient experience, barriers, benefits and suggested improvements. C_LIO_LISecondary data means we are unable to identify patients providing multiple responses. C_LIO_LIFeedback was collected from patients who had successfully completed a video consultation, data may therefore contain positive bias. C_LIO_LIExperiences or barriers for individuals who have not been able to, or chosen not to use video consultations currently remain unknown. C_LI
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