With younger generations preferring Social Media messaging Apps, conversations need to adapt. What application the Patient chooses, from what device they prefer to communicate from and often the time they wish to begin a conversation allows a Surgery to select the most appropriate media. Different media has associated response times so whilst Apps, like Web Chat, may be common, are they appropriate within a surgery due to the need for an instant response? Other Apps like Twitter, Facebook Messenger and WhatsApp can also experience delayed replies, as they are often viewed within their own silos The Multi-Media Manager allows staff to see a simple conversation within their PC App or browser, irrespective of how it was originated.