Telecare services are developing quickly in Scotland but there are significant variations across the 24 telecare alarm handling centres currently employed. this report offers some ideas on how they might cope with the likely demand for such services and the cost of servicing these needs. It concludes that: staffing models will need to change; the quality agenda will demand more staff capable of providing more added value services; training will become an increasing burden; and more specialist roles (such as alarm handler, installer and emergency responder) will emerge.