This paper sets out to describe challenges concerning the design of a new best practice using video conferencing indischarge planning sessions. A Participatory Action Research approach was used in the study. Data collection and analysiswere carried out through workshop discussions with professionals responsible for discharge planning in hospital and inhomecare. The results indicate challenges consisting of two main categories; need of knowledge and competence and needof support, that is of importance in developing new work practices for making the discharge planning session work outusing video conferencing in the planning session.