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In Sheffield, a weekly improvement meeting with community health and social care staff raised a concern regarding assessing frail older patients' ongoing support needs in a hospital environment that differs from their own homes. One therapist proposed a new approach: instead of planning discharge support based on hospital assessments, patients could be discharged to their own homes, with assessments conducted in real time to address their care needs after returning. The following week, a patient and their family consented to this trial. The therapists provided feedback, with one expressing initial skepticism about the new method's effectiveness.