Hey Paul,
Is that your personal Surface Pro with no 3rd party antivirus tools installed? All clean and original latest W10 20H2?
Or this is your corporate Surface Pro where tons of 3rd party security tools installed (McAfee, FireEye etc.)?
You said Skype as well - do you mean Skype personal or Skype for Business? When slow how is CPU/RAM usage?
You see, if we want to find a cause - we need some details. Can you try turn off camera - is that any better?
Is that issue consistent - meaning can you re-create it every single time? Do you use VPN when you connect?
Share more details. Devil is in the details. To find out we need to see some details... So please share!