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Discharge is often treated as the finish line. For many people with complex wounds, it’s where continuity quietly breaks down. On paper, the system appears coordinated. A referral is placed. Community services are notified. Follow-up is planned. In reality, the processes designed to ensure continuity can introduce delays that quietly widen risk. I’ve cared for people whose wounds were clinically straightforward, but whose lives made healing almost impossible. People without

Much of our health system is moving toward  place-based models of care — including home-based services, neighbourhood-focused hubs, and more coordinated primary care teams. These approaches hold real promise. When people have stable housing, it becomes easier to plan visits, deliver supplies, and provide continuity of care. For people experiencing homelessness or housing instability, however, that same direction does not, on its own, resolve existing gaps. Ontario Health at H