The ePerSpace project has created a distributed service management platform with wide ranging applications at home and globally anywhere else outside home. The project has created an open and trusted home platform where home devices can seamlessly work together providing personalised services, provisioning content adaptation, and managing a variety of services via a residential gateway. Using the personalisation information the system can recognise and form specific user communities towards which specific services such as health care can be directed. This paper presents the main concept and components of the ePerSpace Service Management and discusses its potential in health care applications.