ObjectiveThis practical approach to the use of telehealth aims to offer clinicians a framework for video and telephone interactions with children and families accessing healthcare.DesignUsing a standardised case to illustrate how video and telephone consultations can be used during the COVID-19 pandemic.SettingThe emergence of 2019 novel coronavirus (COVID-19) is having a massive impact on society. Routine face-to-face consultations were reduced to reduce potential spread of the virus. Clinicians still need to provide ongoing safe care, particularly for more complex patients. Telehealth is the delivery of healthcare services across geographical barriers using information and communication technologies to improve health outcomes.InterventionIn this article, we describe a ‘How to’ approach to using virtual consultations based on our experience and a review of expert guidelines.ConclusionVirtual consultations can be more convenient and have the potential to improve access for patients. Many have embraced these technologies for the first time during this pandemic.