In an Incident Report Form included in the judgement Mr La wrote: “As I was wheeling him back to the vehicle, we went down a small pavement slope. When the wheels hit the ground, the patient fell forward and injured his left foot and right amputation site. A porter came and assisted me in putting the patient back into the wheelchair. I offered to take him to A + E, however he refused. When we arrived at his address I cleaned his wounds and applied plasters.”