Purpose This paper reports on a small telehealth pilot in local authority sheltered housing in NE England. This explored the training and capacity building needed to develop a workforce /older person, telehealth partnership and service that is integratedwithin existing health, social care and housing services. Design/methodology/approach A qualitative case study approach on the implementation and deployment of a pilot telehealth service, supporting sheltered housing tenants with COPD (n=4). Findings Telehealth training and capacity building, needs to develop from within the workforce/older person partnership, if a usable and acceptable telehealth service is to be developed and integrated within existing health, care and housing services. To be adaptable to changing circumstances and individual need, flexible monitoring is also required. Practical implications Service users and workforces, need to work together to provide flexible telehealth monitoring, that in the longer term, may improve service user, quality of life. Originality/value The pilot explored a workforce/older person partnership to consider how to add and implement telehealth services, into existing health and housing services.