← Back to the journal

Telehealth Care Planning: Agree Goals and Next Steps

A care plan should make the next step clearer, not add a new set of rules. Telehealth can help you agree priorities, professional roles, practical actions and a time to review them.

Short answer

Start with an everyday priority that matters to you.

A patient and clinician discuss goals and next steps by video with a notebook nearby.
Telehealth care planning · Educational information, not a diagnosis.

Key points

  • Start with an everyday priority that matters to you.
  • Clarify who is responsible for each step and the limits of remote assessment.
  • Set a review point so the plan can change when your needs or circumstances change.

Review the service overview and discuss suitability before making a request.

Explore the related service

Begin with a goal that matters to you

Describe a task or outcome that would make a difference in daily life. A clinician can help turn a broad aim into an observable goal that is realistic for your circumstances. Explain why it matters and raise barriers such as pain, fatigue, work hours, cost, caregiving or internet access. NICE describes shared decision making as a collaborative process in which a person and a healthcare professional work together on care decisions. The plan should include your preferences and available options, rather than assume one approach is right for everyone. [1]

Make roles and next steps explicit

A plan may include a physiotherapist, dietetics professional, exercise physiologist or another clinician. Titles, qualifications and scopes differ by location; one professional’s plan is not a substitute for another’s assessment. With your consent, clarify what information may be shared, who will contact you and how to ask for help between visits. For each action, note what you will try, what support is available and what signs mean the plan should be paused or reviewed. APTA’s guideline supports careful implementation and shared decisions about remote physical therapy. [2]

Set a review point, not a promise

Choose a date or event for checking progress. Review whether each step was feasible, what changed and whether the plan still fits. Lack of progress is information, not a personal failure; the goal, support or assessment format may need to change. WHO activity recommendations are population guidance, not an individual prescription for every health condition. [3] Ask a qualified clinician how general guidance applies to you. Seek local urgent care for symptoms that feel sudden, severe or urgent rather than waiting for a routine review.

Build a shared telehealth care plan

  1. 01

    State your priority

    Describe one daily activity or outcome you want the plan to support.

  2. 02

    Confirm roles and limits

    Agree who will do each step and what can safely be handled remotely.

  3. 03

    Schedule a review

    Set when and how you will check whether the plan needs to change.

Before you make a request.

01

Can several professionals contribute to one plan?

They may coordinate when appropriate and with your consent, while each works within their professional scope.

02

Does a written plan guarantee an outcome?

No. It records agreed next steps; individual response and circumstances vary.

03

What if I cannot complete a planned step?

Tell the team what got in the way. The step or support may need to be adapted.

Evidence behind this guide.

  1. 01
    Shared decision making: Recommendations (NG197)

    National Institute for Health and Care Excellence · 2021

  2. 02
  3. 03
Explore online physiotherapy