A hospital, an insurer and a public health programme all rest on the same set of assumptions: that the clinician on the consultation is the registered clinician, that the person opening a patient record is the member of staff who signed in, and that the medicine inside the box is the medicine on the label. Each of those used to be settled by somebody being in the room.
Remote care removed the room. A consultation is now a video window, an authorisation is a voice on a phone, a qualification is a certificate attached to an email and a medicine pack is a printed code. All four can be produced convincingly enough that looking harder does not settle it, and the people asked to judge them are clinicians, pharmacists and administrators rather than investigators.
FaceOff answers the question while the answer still changes something, which is before a consultation is trusted, before a record is opened, before a prescription is dispensed and before a pack reaches a patient. Every result carries the findings behind it, written for the person making the decision and in a form that holds up later in an audit, a complaint or a court.