Participation and the contribution of participatory design methods and techniques are explored in the context of a Scandinavian Home Healthcare project. The project was undertaken during 2004-2005. Its aim was to introduce mobile ICT equipment to health care workers in order to improve planning, including quality and precision of information exchange. The study was designed according to Participatory Action Research and Participatory Design principles. Methods employed in the project were observations, interviews, future workshops, and story boards to actively involve different stakeholders. The experience of the project indicates that, although the rhetoric was that of a participatory design and research project, participants are not equally regarded in terms of experiences and knowledge of the actual practice. Assumptions about technology influence development and implementation at the expense of the actual care activity. Further, participation and participatory design techniques used in the project demonstrate the complexity of home healthcare and the necessity to involve all the different occupational groups involved in the care of the client. However, organisational boundaries reinforced shortcomings in cross-functional and cross organisational cooperation. A final conclusion is that time for collaborative and collegial reflections is a necessity to support the learning process.