Accessibility in rural communities to accurate and personalised information on health is not just a problem for patients but also for clinicians who may feel profession-ally isolated. clinicians in rural communities routinely use telemedicine to support cancer services and this may also offer a way forward in terms of managing osteoporosis. telephone support has been show to be a cost-effective way of promoting health. we offer a telephone helpline that is used not only by patients but also the public,health professionals and social services staff.