Chronic Lymphocytic Leukaemia is a haematological disorder usually identified on routine blood test. It often does not require treatment for a prolonged period, if at all. With the increasing use of blood tests as a diagnostic aid and an aging population, there has been an increase in referrals to outpatient services and long term monitoring of patients in secondary care, increasing pressure on outpatient services. A pilot took place in Nevill Hall Hospital with suitable patients attending clinic identified by consultants. Blood forms are sent to patients followed by a telephone questionnaire. Results of questionnaires and blood results are reviewed by a Consultant. If the patient is stable with no concerns, remote monitoring continues. If the disease is progressing or there are concerns, clinic review is arranged. Significant cost savings have been achieved and appointment slots freed up for other patients.