Traditional method	Developing methods
GP calls SHO on call	GP consults pocket decision support tool
SHO: “Send him in...”	GP phones hospital support service
Ambulance arrives	Hospital support service advises “Watchful waiting” and shares the risk
Patient arrives at hospital	Social services consulted by GP
Patient admitted	Telephone message to GP
Some weekend investigations	Midnight: paramedic drops in
Monday morning ward round	Night sitting service arranged
More investigations	Saturday morning visit from local nurse practitioner and social services
Wife can’t visit	Quick visit to hospital and back
Social support crumbles	Own GP visits
Challenging discharge