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In Sheffield, a weekly improvement meeting with community health and social care staff sparked a discussion about assessing the ongoing support needs of frail older patients. Concerns were raised about evaluating patients in hospital settings, which differ significantly from their homes. A therapist proposed a new approach: rather than assessing patients for discharge support in the hospital, they could be discharged to their own homes and assessed there in real time. This idea was tested with the consent of a patient and their family. The following week, therapists shared their experiences and outcomes from this pilot initiative, with one therapist initially skeptical about the feasibility of the approach.