Extending care beyond discharge — so recovery at home feels joined-up and supported

Sarafimo helps care teams extend their recovery plans into everyday life at home, in a person-centred way. During the weeks after discharge, Sarafimo supports continuity of care by giving patients a simple way to share how recovery is going — and ensuring that when something needs attention, it reaches the right team through existing workflows.

Recovery continues at home

Across hospitals, community services, home care agencies and private clinics, teams put careful recovery plans in place: medication changes, routines, exercises, follow-ups and support at home.

Once someone returns home, recovery becomes part of daily life. Maintaining a clear connection between the plan, the patient's lived experience, and the teams responsible for care is essential — and not always easy.

Small issues don't always surface early

In the weeks after discharge, recovery can drift in practical ways: a visit that didn't happen as expected, uncertainty about medication or exercises, side-effects, pain, fatigue, or growing difficulty with routines.

These are common realities of recovery at home. But without a simple, structured way for patients to share what's happening, some issues only come to light once they require urgent attention.

Sarafimo extends the care team's reach into the home

Sarafimo provides short, structured check-ins aligned to each person's recovery plan, giving patients a clear and dignified way to share how recovery is progressing, flag when something hasn't gone as planned, and ask questions about medication, exercises, or support.

Sarafimo does not create background noise or extra admin. Only when something is flagged does it generate a concise summary and pass it through existing systems and escalation routes, supporting timely prioritisation by the appropriate team.

Care that feels present — without being intrusive

Sarafimo is designed to feel like a natural extension of the care already in place. Patients experience regular, respectful check-ins that reflect their recovery plan, helping them feel looked after and supported between visits.

For teams, Sarafimo supports follow-through without replacing judgement or relationships — helping ensure care is delivered as intended, and attention is focused where it's needed most.

How Sarafimo fits into existing care

  • Recovery plan agreed

  • Light-touch check-ins at home

  • Patient-led flagging when something needs attention

  • Concise summaries via familiar routes

  • Human decision-making throughout

Built for organisations responsible for recovery at home

  • Home care and reablement providers

  • NHS discharge-to-home and community teams

  • Private clinics and hospitals supporting post-acute recovery

Exploring better continuity after discharge?

We work with care teams to map recovery plans, escalation routes and success measures — then run focused pilots that support person-centred recovery and better outcomes.