I don't know how it works in London, but up here in the midlands if a patient is admitted with little wrong with them besides their housing/living situation, we have to keen them in until they have been assessed by everybody under the sun. I am in the middle of doing an assignment using the SAP documents, and I am having to refer my little old lady to some local services that provide hair dressing for the elderly, all part of the holistic care and all that. It does annoy me that when I am on placement, I work my ass of to make sure discharges are liaised correctly and that the patient isn't discharged until they are ready to be discharged, yet some staff nurses/sisters/matrons/bed managers just drop kick them out the door......