This is a case of an elderly gentleman who sufferedna sudden intracranial haemorrhage, rendering himnseverely disabled and dependent with high care needs. The attending family physician in the community hospital coordinated multidisciplinary support and facilitated discharge care planning. He also managed venous thromboembolism and enteral feeding and formulated care plans for subsequent medical crises. This illustrates the importance of good generalist care in supporting such patients, their family, and caregivers in the transition from hospital to home and sustaining them in the community.