When you come out of hospital still needing care and support once you are at home. This care and support should be planned by a team of staff at the hospital where you are treated, and you should receive a copy of your care plan. This should say what your needs are, what treatment and support you will get, who is responsible for providing this, when and it will be provided, and who to contact if there is an emergency. It is unlike minimal discharge, where ongoing care and support are not needed.