Its a tricky situation isn't it. I know exactly how you feel, helpless and annoyed that someone else hasn't taken on board your concerns. I know everyone is busy with their own work, but it doesn't take too much effort to make a phone call or two. I don't have an answer for this case, however, do you not have ECPs that can make visits in cases like these, and then make the necessary calls to try and organise social services. I know I have gone round to people on "green" calls that have not required hospital treatment, but I have not been happy just leaving them, one case in point was a lady in her 90s that was not going to leave her home for anyone, a call to the ECPs had a home visit penciled in for the following morning, and then they could assess her at home and try to work out a solution that was good for her and everyone else. I know it sounds like passing the buck, but they have the contacts and resources that we don't so it comes in handy when you get that odd job that just doesn't feel right. As for the FRU managing to get the person out of the house with one sentence, its a pain when that happens isn't it, just like the patients that are really poorly, and you put a pre alert into the hospital enroute, but when you get there, there is nothing wrong with them and they are sitting up chatting with the entire team in resus, and the team are looking at you, their eyes saying... why? and you feel the need to say, well they were dying five minutes ago, honestly, I was bagging them all the way in. I don't know how I fixed them, it just happened....