As a consultant(surgery), I feel that virtual care cannot meet the necessary requirements for referral of a patient who has a medical issue(e.g. a hernia) that requires a physical examination for diagnosis. As a result our group is sending back virtual medicine referrals that do not fulfill this requirement. These patients must be examined by a physician in person in order to make an appropriate referral. Anything less than this is inappropriate and in no better that healthlink and algorithmic triage.