OBJECTIVES: NHS North Yorkshire and York commissioned York Health Economics Consortium to carry out an evaluation of their recent Telehealth pilot involving patients with long-term conditions.  The findings from the evaluation will be used to inform plans for the further rollout of Telehealth in North Yorkshire. METHODS: Three approaches were employed: A questionnaire was used to obtain details about the Telehealth experiences of users and their carers; Case Managers and Community Matrons with Telehealth patients on their caseloads were interviewed about referral criteria and the impact of Telehealth on their role and patient care; Healthcare resource use data were analysed.  Some caution should be used when generalising findings due to the small sample size and the specific characteristics of pilot Telehealth recipients.  RESULTS: Forty-eight questionnaires were handed out and twenty returned (42%).  Overall, respondents were happy with Telehealth (90%).  Results showed that the installation process had been smooth (75%); individuals had received sufficient tuition (95%); they were confident using the equipment (95%); and were happy with the service received from the monitoring centre (95%).  Telehealth gave users peace of mind and helped them to manage their own health condition.  However, a number of users had experienced technical issues (during installation and when taking daily measurements).  Although there had been some teething problems, mainly in relation to the installation process and the monitoring system, clinicians were broadly supportive of Telehealth.  There was a repeated view that individual patient characteristics needed to be taken into account when identifying patients who would benefit from Telehealth.  The impact of Telehealth on healthcare resource use was difficult to determine within the eight month timescale of the pilot.  CONCLUSIONS: Telehealth gives users peace of mind and helps them manage their health; however, its impact on healthcare resource use is still unclear.