Assistive technology equipment can be an expensive purchase and there can be very significant waiting times for people in need. Domiciliary Equipment Service (DES) aims to ensure that there is a broad range of readily available items in a single pool of items that are in stock, affordable, high quality, comfortable, safe and fit-for-purpose. To achieve this the DES has invested in building a nationally leading business model based on Circular Economy principles and has demonstrated that reduced costs and wastage really can accompany meeting . Ensuring that bespoke solutions are only used when a specific need arises is essential Domiciliary Equipment Service (DES) the needs of individuals more responsively.