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 (HPN) and over the first year after discharge home. To prospectively document the number of visits to hospital out-patient clinics (nutrition, anticoagulation, other), the number of admissions to hospital and days in hospital during the course of the first year. To compare the results of the above in patients receiving standard care and those in contact with a Nutrition Nurse Specialist (NNS) via telemedicine. To compare the results in a second year of follow up when all patients will be offered telemedicine.