NHS Boards have mobilised their activity including protecting critical neurological services and establishing mechanisms to support their local population including the use of telephone and video consultations to minimise face to face contact unless absolutely necessary. The Scottish Centre of Technology for the Communication Impaired (SCTCI) is one way the services have adapted, SCTCI delivers an Augmentative and Alternative Communication (AAC) tertiary service across 11 NHS Boards, which includes NHS Greater Glasgow & Clyde service have continued to operate their open referral system throughout the pandemic and have adapted their service delivery methods to ensure compliance with national and local restrictions while continuing to establish and maintain contact with those who need support.