Anna, in bed at home: ‘Is this a hospital here?’
I am reassuring. ‘It’s your own bed. Warm,comfortable.’
‘Yes, if it is that. So this is home?’
Then she adds: ‘Obviously, if we can.’
She is astute, this demented person. She has just summarised the issues we are working with, testing the combined talents and resources of the local authority and the primary care trust, and ourselves of course.

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