I request urgent advise in relation to a hospital Consultantís decision to withdraw medical intervention for a MND patient . The patient is to be sedated prior to either returning home / or being admitted into a Hospice next week. The following day life support will be removed or reduced while the patient remains under sedation. The patient has to be sedated as the patient is conscious and has comprehension.

The patient returned to hospital due to a package of care folding. The patient refused to return to hospital upon arrival of the ambulance organised by Continuing Health Care. The GP had documented the specific request of the patient not to return to hospital purposefully in fear of withdrawal of treatment.

The patients has a hospital acquired infection and responds to antibiotics but as the infection is expected to return one day, the hospital Consultant and Palliative Care Team and Continuing Health Care team have decided to instigate end of life Care next week.