This study attempts to capture a holistic view of the phenomenon of ageing and what kind of impact information and communication technologies can have on the quality of life in ageing society, with special focus on health care. The systemic view recognizes the different perspectives of patients, front line care providers and the health care organization. The ultimate goal is to scrutinize the value co-creation opportunities as well as the challenges and risks when innovative technology is implemented in a complex service ecosystem. The empirical material is collected through an observational study at an elderly care unit in Tokyo, Japan, where robots are used in order to facilitate different kinds of social interaction among the elderly patients. In this context, it is highly relevant to discuss what kind of innovations can be considered as both desirable and feasible – and how the decisions can best be guided by different perspectives.