In response to your article on bed-blocking (12 April) Alison Moore is right to highlight the problems of delayed transfer of care, but fails to convey the problems that patients experience.

In response to your article on bed-blocking (12 April) Alison Moore is right to highlight the problems of delayed transfer of care, but fails to convey the problems that patients experience.

Firstly, the term 'bed blockers' is insulting, and assumes that fault lies with patients rather than the need for the system to work better.

Secondly, the pressure to discharge, without adequate planning or time for recovery, is putting patients' health at risk. Who would find it acceptable to make a major decision about where to live in a matter of hours or days? Those that are rushed out of hospital are being denied the time to make major decisions at a difficult time in their life. The astonishing rise in emergency re-admissions suggests many people are discharged without having their full needs considered. This can only be achieved by health and social care services working together.-.when this doesn't happen patients suffer.

More needs to be done to focus on the needs of all patients, rather than those of organisations. Only by joining the whole system together is this possible.

Gordon Lishman, director general, Age Concern