Telehealth technologies harbour the premise of transforming care practices and delivering person centred care closer to home. The care at home project was set to explore remote support and care for children with palliative and complex care needs. Aim: To articulate clinicians’ perspectives on and experiences of embedding telehealth to professional practice in different settings. Design: Descriptive qualitative evaluation using focus groups and semi structured interviews. Setting/participants: The study was conducted in four locations across Scotland and included staff from the National Health Service and a Third Sector organisation. Participants were mainly clinicians involved in the delivery of specialist paediatric palliative care and continence specialists. Results: Significant differences were found between the way telehealth was explored and used within the public and voluntary sectors. Clinicians see clear benefits in and potential risks of telehealth to their patients and own practice. Conclusion: A strong strategic steer towards a culture of innovation is needed to support effective use of telehealth. Senior managers in the NHS should facilitate and support staff and ‘unleash’ the good will of professionals who are eager to exploit innovation in clinical practice.