Continued funding from Welsh Office.  Need for focused project management.  Dr John Wynn Jones developing European Centre for Rural Health.  Developing UK Telemedicine pages on www.  Software did not orignally support sufficient colour resolution for dermatology.  Lack of academic consultant support.  In hindsight, additional academic resource was required right from the outset.  Ad hoc difficulties associated with use of video bridge for educational arm of TEAM.  Confidentiality not really an issue at this stage, but may be in future.  Duty of care shared.  Professionals could lose private income.  Cost attribution in a Telemedical Consultation.  Creates an open international market with resultant problems and challenges.