This paper considers the intersection of the material practices of fame and environmental narrative in relation to the US actor Ian Somerhalder. Somerhalder is presently starring in the internationally distributed young adult (YA) CW network television show The Vampire Diaries, and is also a prominent 'eco-celebrity'. It examines Somerhalder's active mobilisation of his Vampire Diaries celebrity in relation to environmentalism, and the answering enthusiastic participation of at least a proportion of his fan base. Somerhalder's youth engagement, in particular via Twitter, is explored. The paper considers the balance of marketing-led versus values-led communication strategies therein (which can be understood to promote smaller behaviour changes versus broader vision changes respectively) (Bortree 2012), and the potential influence of Somerhalder on mobilising participatory environmental action, politics and consciousness amongst his youthful fan demographic. The paper takes a critically optimist view of Somerhalder's co-created 'green vampire' celebrity-fan articulations, and their collaborative potential to perform material ethics, that is, to effect change with and amongst his young fans.

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Introduction The demands on healthcare are intensifying and access times are rising. The appropriateness of telemedicine amongst the physiotherapy profession remains under question. This review aimed to explore the current evidence base and highlight methods in which services can be embedded more consistently. With the push for new methods of service delivery, this project fits well with the current climate. Methods Electronic databases, MEDLINE, CINAHL and PubMed were searched using basic and combination key terms without date restriction. Ethical Approval Ethical approval was not required as the work is not considered research. Results/Discussion Physiotherapy is considered by many, a hands‐on profession and failure to meet this expectation appears to take precedent over quality of care. Staff with prior experience view telephone services more positively and engage better. Interestingly no specific training requirements have been set to aid the development of staff in this new role. Telephone services are able to manage a modest proportion of patients however care must be taken to avoid increases in consulting time and costs via mechanisms such as repeated consultations. Patient choice, staff satisfaction and wider access also impacts on acceptability of these services for patients and staff. Conclusion(s) Telephone services offer flexible, alternative options for patients and support variation and skill development for staff however appear less satisfactory than usual care. Further research into areas such as patient expectation, staff training and evaluation of costs will develop the evidence base and support the use of telephone services within the physiotherapy profession.

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