We have a system where if there is nothing acutely wrong with a patient, it's more a concern for welfare, we can contact a rapid response nurse who will come out, usually within an hour, and assess the patients needs. They are in direct contact with social services but if they feel the patient would be better in hospital they can arrange an urgent rather than 999. For example, if a patient has fallen over due to general weakness following a steady decline but we feel they don't need to go to hospital, we will contact the rapid response nurse or GP (who does occasionally come out!). The nurses will assess mobility and ability to care for themselves and set in motion plans to aid the patient and their family.