This paper from the Foundation for Assistive Technology (FAST) discusses the importance of good installation practice. It presents experiences from a project aimed to refining and develops activity monitoring service using learning from 300 installations. It shows that it takes different skills to handle the preparation and installation of an assistive system and there is no guidelines or standards to use. It also presents the results from two concurrent online surveys, one for installers and one for commissioners of telecare and telehealth. It finally wraps up arguing for more and new training and education in the sector.