Apart from being randomised to telephone or face-to-face consultation, routine care will be the same for patients in both groups. For instance, all patients on treatments such as azathioprine and methotrexate will continue to have relevant tests such as full blood count and liver function tests monitored regularly according to current guidelines. In our current practice, this routine monitoring does not usually take place at the routine out-patient visits but rather at the child's GP surgery, or local hospital and the results communicated to our inflammatory bowel disease nurse specialists. This practice will remain the same for all patients. It will also be emphasized that, as it is in normal practice, if a participant experiences any symptoms that cause concern at any time during the study, the parent/child should contact the IBD nurse for advice and an appropriate arrangement for assessment will be made. A relapse will not require withdrawal but the patient will be seen and treated as appropriate and will remain in the same study group.