Our first contact with Mseleni Hospital took place when we offered assistance on a CP course hosted at the site in 2013. Following this, our first outreach visit took place in 2015. Tucked away in a remote northern part of KwaZulu Natal, Mseleni Hospital has a well-established rehabilitation team who have had the privilege of retaining their passionate Chief OT for 20 years. The resulting quality of their CP service provides a window into what can be achieved in under-resourced rural areas.