She needed a syringe driver – a pump that allows for small quantities of powerful medicines to be given via a small needle placed just under the skin. This isn’

She needed a syringe driver – a pump that allows for small quantities of powerful medicines to be given via a small needle placed just under the skin. This isn’t something that GPs carry, and even if we did, we wouldn’t have the medicines to put into it. When I started out as a GP, my doctor’s bag contained ampules of morphine, pethidine and other painkillers I might need on my visits. But the days of carrying strong medication are long gone, since the restrictions imposed after the murderous actions of Harold Shipman. I felt angry. Why had the hospital not arranged care before discharging her? Covid had meant that many patients were discharged as quickly as possible to clear beds for the expected surge but without, it seems, a thought as to what provision they needed in the coming days. That evening, I was all there was. My only option was to suggest a transfer back to hospital, to a busy accident and emergency department. I, but more importantly the system, had failed her in her final hours of need. My deep shame was hidden behind my mask. I don't understand - is a home-visiting GP not authorized or able to give a painkiller prescription, or place a syringe driver? Why was her only option a hospital transfer?