Common presentations to general practice can be complicated if you are unable to examine a patient due to the Covid-19 pandemic. A typical example is a urine tract infection with back pain. Without being able to assess a patient’s blood pressure, temperature and pulse, we run the risk of unnecessary admissions to secondary care. Patient observations are needed to ensure that we are not missing pyelonephritis. As GPs we are skilled at managing risk. In order to safely assess risk, we use the tools available to us. So when those tools aren’t available, for example in a remote consultation, it can lead to increased anxiety and potentially inappropriate referrals. With Arc, the patient can be examined remotely, giving both doctor and patient confidence in the management plan.