For someone who has spent a long period in hospital, progress might begin with attending an activity, leaving the ward, trying something new or taking on a little more responsibility. Over time, these small steps can become meaningful changes in confidence, independence, physical health and quality of life. At Tiptree ward in Essex, rehabilitation focuses on helping patients identify what matters to them, develop the skills they need and gradually put those skills into practice. Two patients' experiences in this article show what this can look like.