Telecare is growing in prominence as the solution to the challenges posed by an ageing society, yet there are still widespread difficulties with its execution. The source of these challenges can be found in the complexity of telecare, as it encompasses technological and organisational innovations, which create many obstacles to implementation. On top of that, policy makers and health officials often forget that technology, such as telecare, is embedded in a much wider context than solely the technical artefact, as it also incorporates the socio-economic aspect. Using research on potential barriers to the successful implementation of telecare, this paper seeks to find the main hindrances to its execution in order to identify where the biggest problems lie. Based on these findings it then proceeds to analyse the ingredients of success that researchers are proposing. It concludes with the idea that the most important factor that has hitherto created severe impediments to the successful implementation of telecare is the lack of enough attention being given to hearing out the actual needs of the elderly and their thoughts about telecare.