The Acheeva Graduate was designed and developed in under 18 months and was delivered within budget. The bed provides the user with full support in supine (upwards), prone (on stomach), or side lying to protect body shape and respiratory function. The bed has powered height adjustment which facilitates a smoother sliding or standing transfer for nurses and carers. We redesigned the original drop down cot sides to allow them to be operated by one hand, enabling carers to keep one hand on their patient if necessary.