Box 1.

Key points

The recent successful roll-out of COVID Oximetry and virtual ward services at scale has led to the opportunity to develop an integrated NHS@home monitoring service. Historical barriers to telemonitoring such as lack of coherent vision, technologically challenged staff, resistance to change, and inadequate patient education have the potential to be overcome. The cost-effectiveness, patient safety, workability at scale, and impact on health inequalities of telemonitoring for long-term conditions in a new NHS@home service would need to be carefully considered if we are to improve patient outcomes, achieve higher levels of efficiency, and extract value from health delivery systems.