Abstract
John is 92. I’m visiting him as the out-of-hours GP at 10 pm on a Friday night. The phone triaging doctor has done their best but a home visit is unavoidable as there is no clear solution. He was in hospital for months after a stroke, then a downstream bed. He was advised to move to a nursing home as his swallowing is poor, and, although he can stumble to the toilet, he often falls. He wanted to return to his sheltered accommodation, and I’m told by the exhausted warden of the sheltered housing that he was deemed to have capacity to make this choice. Really? Did he really appreciate, understand, and repeat the inevitable crisis we are now in? If so, how responsible is he versus society for what happens next? How far should professionals go to put a contingency plan in place? He’s been home …
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