This document proposes a randomized controlled trial to implement a nationally coordinated home health monitoring program for patients with long-term conditions using telemedicine. The objectives are to improve patient outcomes, reduce need for secondary care, and provide a more efficient model of care. The trial would include 400 participants across four regions and assess various health, quality of life, and utilization outcomes. It would also explore regulatory issues, costs, workforce impacts, and technology requirements of integrating telemedicine into care for long-term conditions.