Our ‘step-up’ service is designed to offer an affordable solution in a homely non-institutionalised environment, to ‘virtual bed’ patients that have been treated, but need more lengthy care to avoid hospitalisation. The care is designed in line with our step-down service, to stabilise and hopefully prepare for repatriation home rather than hospital, whilst maintaining constant monitoring and assessments liaising with the virtual bed team, hospital pre-assessment, social care and primary sector.