The document discusses telehealth and remote monitoring services in Northern Ireland. It describes the benefits of telehealth for patients, including improved quality of life, independence, and involvement in their own care. It outlines the requirements and considerations for developing a large-scale remote telemonitoring service, including clinical outcomes, patient experience, staffing, and financial models. It describes the structure of the remote telemonitoring service in Northern Ireland, which monitors 3,500 patients annually using managed service providers.