Hospital must develop a team of consultants and multidisciplinary team for input clearly focused on safe discharge to avoid hospital admissions and failed discharges (Health Foundation 2013b ; et al 2013 )For those requiring hospital admission, the focus should be on the early discharge date, the clear clinical criteria needed for admission to the right department and the right team for timely assessment (Royal College of Physicians 2012a; Emergency Care Intensive Support Team 2011; British Society of Geriatrics 2012b). In my case study, the patient was admitted to the specialized department only for patients with femoral neck fracture and the need to consider why he had a fall at home certainly requires some reflection. The study shows good success in safe discharge planning with an informed discharge decision will reduce hospital readmissions (Bauer et al 2009). However, a poor experience of failed discharges is cited in numerous reports ((Francis 2013). The hospital discharge team must ensure that patient and carer expectations are managed and that the discharge team is able to identify goals and concerns in a timely manner to avoid any further delay in the discharge process. The care coordinator should guide the discharge process and should be the first point of contact for families with known Alzheimer's disease to ensure that personal information is available