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In Sheffield, a weekly improvement meeting was held with community health and social care staff. During one meeting, a discussion arose about assessing ongoing support needs for frail older patients in hospital settings when they will be returning to their own homes. A therapist proposed the idea of discharging patients to their homes and assessing their needs in real-time. With the permission of a patient and their family, this new approach was tested and found to be successful, with therapists reporting positive outcomes.
