*Scenario:* Went to see a participant today & he really isn’t suitable for OEP – he fell asleep during the warm up!! BUT he’s just so lovely & his wife is desperate. He’s got Parkinsons (just got to the point where the meds aren’t really working any more), frozen shoulder, gout in both feet, severe OA knees and hands (to the point where he cant put any pressure on them). I’ve given him the warm up and 2 strength exercises but what do you want me to do? Am happy to continue if you think its appropriate. *Response:* If you feel comfortable about keeping going, it sounds as if the participant and his wife are keen for some input as well. The warm up & some strength may help – we suggest you have a go at keeping him on, but if at follow-up, it doesn't seem to be working, then withdraw him & refer to GP. He is obviously on the GPs radar anyway if on various meds etc.