joko, to my knowledge, medical stuff like missed appointments and so on would be followed up by the NHS (if at all) and not by social services, it would also be more likely to be by letter, possibly by district nurse or community staff contact. In any case it wouldn't trigger such insistence on a SW visit and certainly not be passed to the police unless there was a rea serious reason to be concerned. the only time I ever took such action in more than 20 years of practice was when a very frail lady had been newly discharged from hospital and I was to visit her the next day. When i got there, there was no answer to the doorbell, the dog was kicking off, the milk was still on the step and the house still had the curtains drawn at lunchtime. In the event, the lady had gone for a mid day nap and removed her hearing aids!!