Rotherham Doncaster and South Humber NHS Foundation Trust in the United Kingdom provides a range of mental health, learning disability, substance misuse, and community healthcare services across Rotherham, Doncaster, north-east Lincolnshire, and Manchester. With a large geographical area of northern England to cover, the trust wanted to offer its patients the opportunity to receive mental health counselling in the privacy and comfort of their own homes or work places. It envisaged up to 10,000 patients using browsers anytime, anywhere to book online appointments with a nominated counsellor, then choosing communications channels including instant messaging, and audio and videoconferencing.