In the LAS, it is a bit 'dodgy' to leave people at home, even if there is nothing wrong with them if they *want* to go to hospital then we can't really refuse. The nurses *wanted* him to go to hospital and while I tried persuading them otherwise, they wouldn't hear otherwise. Remember - they are *supposedly* better trained than me... ...of course it helps that I used to be a nurse myself. So yes, while we can try alternate care pathways - it's only with the agreement of the patient/carer. (And I think that part of this comes down to the 'culture' of the LAS).