Pressure ulcers are distressing, frequently occur in immobile and malnourished patients and the cost to patients in terms of pain and anguish must be a prime consideration. There is little information on the incidence and prevalence of pressure ulcer development within the independent sector, as this is difficult to obtain. However, with advances in treatment and technology, combined with more people with complex and multiple needs being cared for at home, the requirement for specialist pressure-relieving support surfaces in the community is increasing. This article reviews the need for clinical and cost-effective pressure-relieving surface solutions in the community and introduces the concept of the Russka pressure-relieving low air-loss system.