The purpose of the paper is to consider the overlooked field of patient engagement; and to recognise key issues related to patient engagement via social media in order to improve the quality of care given. Design/methodology/approach Based on a systematic literature review, supplemented by findings from the ongoing analysis of Patient Interaction through Social Media to Enhance Quality Treatment, the author would be in aposition to establish a classification of wider patent issues to be addressed through social media. Findings The author will try to recognise obstacles to the adoption of patient engagement practises along with some potential solutions. Practical implications The paper explores how these patient service strategies can be helpful to hospitals if their face value is followed.