[for example] today, we’ve been able to, instead of having to phone someone, we’ve got medication here, we can use what we’ve got, … before having to call out a doctor to say this is happening or, God forbid, having to send someone in to hospital who is end of life … and I mean that is one of our fears, sending someone in [to hospital] who doesn’t [want to go]. There’s nothing they can do in hospital that we can’t do, and then having them pass away on a trolley in a busy A&E department … that’s not the type of environment the families want. (Nursing home nurse, 9 December 2011)