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  'Mabel is too frail to return home from hospital, but has no acute medical problem after her UTI was treated for 3 days. She has been sitting in a hospital bed for 5 weeks waiting for a care home placement. She feels awful about taking up a bed.
  
  The hospital is under immense and all too familiar pressures, just like in 2024. Patients line corridors. Ambulances queue for hours to offload patients to A&E. Every bed is precious.
  
  But there are so many Mabels.
  
  After the third discharge plan for Mabel has failed, a manager asks the ward doctor: "How frail is Mabel? Is she in the last 6 months of life?"
  
  "Possibly..."
  
  "Has anyone spoken to her about all her options?"
  
  "What do you mean?"
  
  "Well, has anyone asked if she is suffering unbearably? It's important she knows all the options open to her. It's important she has real choice."
  
  That's how this will go.
  
  Little conversations like this.
  Throughout the NHS.
  For every Mabel.'

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