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The launch of the £80m Preventative Technology Grant in 2006 has resulted in a considerable interest in telecare. Yet where in this emerging area should efforts be concentrated, and what lessons can be learnt from previous trials to aid future deployments? Based on practical experience and the work of the Housing & Telecare Learning & Improvement Networks at the Care Service Improvement Partnership (CSIP), Department of Health, this paper presents some of the common issues experienced and identified when implementing telecare. It makes a number of useful suggestions on how organisations working across housing, health and social care can make best use of telecare when planning, commissioning and delivering services.

Despite substantial investment over recent years in telehealth there appears to be little consensus regarding what a successful implementation should achieve. However, defining success is often controversial and complex due to differing views from the large number of stakeholders involved, the local environment where telehealth is deployed and the scope, or size, of any planned initiative. Nevertheless, a number of generic measures are proposed in this paper which then provides a framework for the measurement of success. The local context can then be applied to determine the exact emphasis on specific measures, but it is proposed that all of the measures should be included in the holistic measurement of success. Having considered what constitutes success, attention is then given to how success should be quantified. Robust evaluation is fundamental and there is much debate as to whether the ‘gold standard’ randomised control trial (RCT) is the most appropriate methodology for telehealth. If the intervention, technology and system, can be maintained in a stable state then the RCT may well provide the most authoritative evidence for decision‐makers. However, ensuring such stability, in what is still a novel combination of technology and service, is difficult and consequently other approaches may be more appropriate when stability is unlikely to be maintained.

This article is based on the report Using Telecare: Exploring Technologies for Independent Living for Older People, which contains the findings of a lifestyle monitoring system. The report sets the project in the context of other work in the field of care of older people in the UK and of related health and social care initiatives. The authors identify the research agenda involved in the further development of lifestyle monitoring and that surrounding telecare in general.

The fear of falling in older people can affect health, well‐being, care needs and quality of life. Fall‐monitoring equipment that can automatically raise a call for assistance is increasingly being developed, and may reduce the fear of falling. This study sought to discover the views of users and providers on technology of this type of and to quantify the impact fall detectors have on the fear of falling. The results of the study suggest that fall‐monitoring equipment is not considered routinely as part of a care package, and knowledge of devices is poor. A trial of automatic fall detectors provided indicated that they may reduce fear of falling for certain users and so should be considered in falls management, but more evidence and understanding are required to appreciate both the benefits and shortfalls of providing equipment of this sort.

This paper seeks to identify the user requirements for an Information and Communication Technology (ICT) based system to deliver care, support and information services to older people in the community.

A structured, mixed methods approach incorporating workshops, systematic literature reviews, surveys, and focus groups gathered user needs prior to a prototype being developed. This was then tested with users and their feedback used in further iterations of the product.

In total, five main user requirement themes were identified: information access; communication; self‐care; accessibility; and personalisation of services.

Details are provided of the user requirements for a health and care system to remotely deliver support. Additionally, the value of utilising a range of requirements gathering tools and prototyping is discussed.

Too often technology systems are developed which do not meet actual need. This paper reports the results of a formal user needs process and discusses the role of user requirements more generally.

The aim of this review is to explore recent literature regarding the development of fall detector technology as part of a service evaluation on the use of fall detectors across the region funded by NHS West Midlands. It also aims to explore the application and the use of products designed to detect falls and alert for help from end‐user and health and social care staff perspectives.

A comprehensive review of the literature of the last ten years was conducted, search terms were used to identify relevant literature from research databases and the main themes from the literature were summarised. This work was carried out to inform a service evaluation of the use of fall detectors across the West Midlands region and was funded by NHS West Midlands.

It was found that whilst there are a wide variety of new technologies regarding fall detectors in development, the range of technologies currently available through health and social services to users are limited. Health and social care staff appear to be less convinced of the benefits of fall detectors than end‐users. There was also a lack of robust evidence regarding different approaches to technology in the management and detection of falls. Users had mixed views regarding the use of fall detectors, with some people having concerns about privacy, lack of human contact, user‐friendliness and appropriate training, whilst others clearly identified the benefits of detecting falls and raising an alert. The implications of these findings for practice are discussed.

This paper will be of value to those working in falls services, telecare or industry partners developing fall detector technology.