It's not about patients needs, but about patients wants. the service cannot manage to cover patients wants at all times. one patient's wants may well impact on another patient's needs. In reality the vast majority of patients well enough that they would be registered away from their geographic area really shouldn't need a home visit anyway. If this group of patients are genuinely unwell enough to need one they are probably verging on admission as a likely outcome anyway. What we object to is no real planning or realistic provision to allow for this and expecting us to drop our usual caseload who need us and we know, to potentially less safely manage someone we have no idea about, and do so for a pittance. It's grossly unfair to us and to them and is just another indicator of how undervalued we are.