I've noticed that you bloggers who work for the LAS have a tendency to take people to hospital if they want to, even if their reasons seem a bit dodgy and often wondered about it-I didn't like to ask in case someone thought I was criticising, but obviously you guys have your instructions. I work for South Western and feel happy to tell people that they don't need to go to hospital. In fact I went to a similar job though not in a nursing home, in warden controlled flats, where the warden called us when a patient who had been given strong sleeping pills that day mysteriously fell asleep at about 11pm. Of course I should possibly not like to find out how supportive my trust would be if the patients I leave at home should deteriate, but they do tend to be jobs like "I scratched my finger on a beer can". Plus given the journey time to hospital (can be around an hour) control are often please when the ambulance clears ready to be sent to another classy job!