Remote consultation presents a gap in patient safety management, as confirmed by a case of a newborn dying after a remote consultation published by the BMJ. Despite the widespread implementation of telemedicine, the evidence for its safety remains weak and the safety profile is not well defined. Remote consultations can limit the exchange of information, reduce the depth of communication, and disrupt the therapeutic relationship, leading to delays in diagnosis and increased risk to the patient. This type of care is not appropriate for cases requiring physical examination, unresolved symptoms, or patients with communication barriers. There is a regulatory asymmetry – doctors have detailed and enforceable guidelines for remote consultations, while other health professionals rely on general principles. Remote consultations require adequate staffing, training and continuity of care to be safe.