The project aims to contribute both to dementia care provision and to the growing field of ‘Elder Clown’ practices.  It attempts to establish some principles for offering bespoke performance in collaborations with people living with the early stages of dementia, with caregivers and senior clown performers. Reflecting on game design and digital tele-health We are looking at ways to supplement social and medical care, that can be applied in people’s own homes, and community centres, as a supplement to hospital and care home provisions. We are calling this Telly Service.