1. To define and quantify longitudinal changes in Quality of Life (QoL) and anxiety and depression scales at the time of discharge home on Home Parenteral Nutrition and over the first year after discharge home.  2.  To prospectively document the number of visits to hospital out-patients clinics (nutrition, anticoagulation, other), the number of admissions to hospital and days in hospital during the course of the first year of treatment.  3.  To compare the results of the above in patients receiving standard care and in contact with the nutrition support team (NST) by telephone with a group using telemedicine as another means of contact.  4.  To compare patients perception of quality of care over the course of the year in the two groups.  5.  To compare results in a second year of follow up when all patients will be offered telemedicine.