The cornerstone of this study is it’s contribution to our learning about what works for whom – and when it works best. Having personally discussed with many clients and ex-clients the changes to service provision that COVID-19 brought, the recurring main theme is the importance of patient choice and the concern that services who are still working predominantly or exclusively remotely are not offering this. We have gained a lot from digital developments during this period, which has increased access to therapy for many people; but we must not let this overshadow the preferences of others who may need other adaptations to ensure they can access services in a timely and appropriate way.