COVID-19 has brought unprecedented challenges to all of our health and social care services – forcing them to find new ways of working to meet demand. Here, we look at how the Intermediate Tier Service has adapted during the pandemic. THE team provides an invaluable link between medical treatment and social care – helping residents as they transition from hospital to home and working to avoid admissions in the first place. The service includes home support reablement, bed base units and community work. Like many other services, the team has experienced staff shortages with colleagues either off sick or at home self-isolating.