This is one of a suite of case studies designed to increase awareness of schemes to move healthcare closer to home. The Early Supported Discharge (ESD) Service enables acute hospital patients to be discharged in a timely way by making sure care packages are in place to support their rehabilitation at home. An important feature of the service is the strong partnership with the local community trust. The team comprises nurses and therapists, including occupational therapists and physiotherapists, as well as a social care assessor. Increasing numbers of community support workers can provide care, rehabilitation and support in the patient’s home while awaiting social care packages. Staff are employed by an integrated community and acute therapy service.