01/11/2025
Ready for an unpopular opinion?
UNPOPULAR OPINIONS #1
Why saying someone “isn’t allowed to come home from hospital” is complete nonsense.
Unless someone is an involuntary patient (under the Mental Health Act) if the patient has capacity to make the decision to go home - they can go home anytime they want.
If the patient doesn’t have capacity to make the decision, it is made by their Medical Treatment Decsion Maker (similar to what used to be called a Medical Enduring Power of Attorney). More about who this is for you if haven’t appointed one in a future edition of Unpopular Opinions!
So why do people in health services say people ‘can’t go home’ so often?
Most commonly - they aren’t saying it.
But they are implying it…. Strongly.
People working in health services see first hand when something goes wrong in the home (falls etc). So their advice will often be tailored towards ‘risk reduction’ measures and strongly worded suggestions.
“It would be much safer for your Dad to wait until you have a hospital bed before he goes home”.
Two things to think about
1. people dealing with end of life issues, don’t have the luxury of waiting until everything is completely set up at home.
2. Reducing risk is not the same as increasing quality of life.
So remember - unless you are an involuntary patient, no one can keep you in hospital.
What people in the health system are trying to say (hopefully!!) is
“We are really worried about you/your loved one going home because they need lots of care.
We would recommend that they stay here until we can get things set up a bit more so that they don’t have problems at home.
Everything we say is just advice, you don’t have to take it, but we think it might help you/your loved one be more comfortable and not need to come back to hospital “
But that takes too long. So whatever they are saying as a strongly worded suggestion often gets translated in our brains to “not allowed to go home”.
Remember if the hospital really doesn’t want someone to do home for medical reasons, they will probably make you sign an ‘against medical advice” form and they can also decline to readmit someone.
In summary - majority of people can go home whenever they like. Try to have a calm open chat with the team looking after you/your loved one to get to the reasons why they think you should stay and try to find the best balance of risk management and quality of life FOR YOU.