diff --git a/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_1_0/3863-hsearch-sort-doesnt-work-when-offset-greater-than-zero-specified.yaml b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_1_0/3863-hsearch-sort-doesnt-work-when-offset-greater-than-zero-specified.yaml
new file mode 100644
index 00000000000..407b63fcd3c
--- /dev/null
+++ b/hapi-fhir-docs/src/main/resources/ca/uhn/hapi/fhir/changelog/6_1_0/3863-hsearch-sort-doesnt-work-when-offset-greater-than-zero-specified.yaml
@@ -0,0 +1,6 @@
+---
+type: fix
+issue: 3863
+title: "Previously a lucene/elastic enabled sorted search including offset greater than zero was not sorting results.
+   This has now been fixed."
+
diff --git a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/FulltextSearchSvcImpl.java b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/FulltextSearchSvcImpl.java
index cb16f8f7e09..fa66b09a7a7 100644
--- a/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/FulltextSearchSvcImpl.java
+++ b/hapi-fhir-jpaserver-base/src/main/java/ca/uhn/fhir/jpa/dao/FulltextSearchSvcImpl.java
@@ -420,7 +420,7 @@ public class FulltextSearchSvcImpl implements IFulltextSearchSvc {
 				.select(this::buildResourceSelectClause)
 				.where(f -> buildWhereClause(f, theResourceType, theParams, null));
 
-		if (theParams.getSort() != null && offset == 0) {
+		if (theParams.getSort() != null) {
 			query.sort(
 				f -> myExtendedFulltextSortHelper.getSortClauses(f, theParams.getSort(), theResourceType) );
 		}
diff --git a/hapi-fhir-jpaserver-elastic-test-utilities/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SearchWithElasticSearchIT.java b/hapi-fhir-jpaserver-elastic-test-utilities/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SearchWithElasticSearchIT.java
index dc4cf72387f..c3c33256104 100644
--- a/hapi-fhir-jpaserver-elastic-test-utilities/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SearchWithElasticSearchIT.java
+++ b/hapi-fhir-jpaserver-elastic-test-utilities/src/test/java/ca/uhn/fhir/jpa/dao/r4/FhirResourceDaoR4SearchWithElasticSearchIT.java
@@ -1504,6 +1504,30 @@ public class FhirResourceDaoR4SearchWithElasticSearchIT extends BaseJpaTest impl
 					assertNotFind("when one predicate matches each object", "/Observation" +
 						"?value-quantity=0.06|" + UCUM_CODESYSTEM_URL + "|10*3/L");
 				}
+
+				@Nested
+				@Disabled // These conversions are not supported by the library we use
+				public class TemperatureUnitConversions {
+
+					@Test
+					public void celsiusToFahrenheit() {
+						withObservationWithQuantity(37.5, UCUM_CODESYSTEM_URL, "Cel" );
+
+						assertFind(		"when eq UCUM  99.5 degF", "/Observation?value-quantity=99.5|" + UCUM_CODESYSTEM_URL + "|degF");
+						assertNotFind(	"when eq UCUM 101.1 degF", "/Observation?value-quantity=101.1|" + UCUM_CODESYSTEM_URL + "|degF");
+						assertNotFind(	"when eq UCUM  97.8 degF", "/Observation?value-quantity=97.8|" + UCUM_CODESYSTEM_URL + "|degF");
+					}
+
+//					@Test
+					public void fahrenheitToCelsius() {
+						withObservationWithQuantity(99.5, UCUM_CODESYSTEM_URL, "degF" );
+
+						assertFind(		"when eq UCUM 37.5 Cel", "/Observation?value-quantity=99.5|" + UCUM_CODESYSTEM_URL + "|Cel");
+						assertNotFind(	"when eq UCUM 38.1 Cel", "/Observation?value-quantity=101.1|" + UCUM_CODESYSTEM_URL + "|Cel");
+						assertNotFind(	"when eq UCUM 36.9 Cel", "/Observation?value-quantity=97.8|" + UCUM_CODESYSTEM_URL + "|Cel");
+					}
+				}
+
 			}
 
 
@@ -2094,6 +2118,20 @@ public class FhirResourceDaoR4SearchWithElasticSearchIT extends BaseJpaTest impl
 					assertThat(getResultIds(result), contains(raId3, raId2, raId1));
 				}
 
+				@Test
+				public void sortWithOffset() {
+					String raId1 = createRiskAssessmentWithPredictionProbability(0.23).getIdPart();
+					String raId2 = createRiskAssessmentWithPredictionProbability(0.38).getIdPart();
+					String raId3 = createRiskAssessmentWithPredictionProbability(0.76).getIdPart();
+
+					myCaptureQueriesListener.clear();
+					IBundleProvider result = myTestDaoSearch.searchForBundleProvider("/RiskAssessment?_sort=-probability&_offset=1");
+
+					assertEquals(0, myCaptureQueriesListener.getSelectQueriesForCurrentThread().size(), "we build the bundle with no sql");
+					// requested profile (uri) descending so order should be id2, id1
+					assertThat(getResultIds(result), contains(raId2, raId1));
+				}
+
 			}
 
 			@Nested