Here's a story - a neighbour is in her 70s, has osteoporosis, Crohn's disease and a recently repaired fractured hip. She had a feeding peg fitted and has been sent home to her husband who has terminal lung cancer.
First carer turfed up to set up her night-time feed, sees the peg, says 'well I've never seen one of those before', but not to be defeated out came her Ipad and she found 'feeding peg, instructions for use' - 2 hours of trying later, she left. The feeding bag dangled all night with no effect whatsoever.
Next carer turfed up next morning and admitted to no training, but dismantled the unused overnight feed ready for the evening carer to put a new one up. Heyho, he arrived [young man, old lady] and cheered everyone up with 'I've had a training session now, and am sure I can do this'. Next morning, the carer simply didn't turn up and so my latest news is that late morning she was still wired up .....
To think that London, or anywhere else for that matter, does not belong to any one demographic