Point of care ultrasound (POCUS) is increasing in use and popularity as the technology advances and understanding deepens. For many specialities such as Acute Internal Medicine and Emergency Medicine, POCUS is now mandated in the curriculum. The benefits of POCUS have been identified in multiple settings however currently there is little literature focusing on POCUS in the acute community setting as seen in Hospital at Home (HaH) and there is no formal framework for POCUS in HaH. As a result, the development and safety of this modality is at potential risk. Through adaptation of established protocols and accreditation pathways this could easily be addressed benefiting the patients care foremost, the clinician and the National Health Service as a whole.