This is one of a suite of case studies designed to increase awareness of schemes to move healthcare closer to home. Short-Term Assessment, Rehabilitation and Reablement Service (STARRS) provides acute-level care in the patient’s home. It avoids admissions and enables early discharge from acute hospitals by responding rapidly to referrals from GPs and identifying patients for discharge from A&E departments and inpatient wards. Important features are cross-skilled staff and integration within the acute hospital. The STARRS team includes nurses, therapists, social workers and consultants with support from the SPA (single point of access) team that manages administration.