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It's also possible that whatever plan he had didn't work because something happened that meant Helen didn't ingest the drug at the time he had planned her to. If you remember her mum's evidence, she had breakfast and then woke up 5 hours later at lunch time. If that was at say 1pm then she had to have had the tablet before 8am. On 11th April Helen was awake all morning, so she obviously hadn't been drugged early. So it's possible she made her own food or drink at breakfast and his plan was thwarted. Maybe he had to wait for elevenses to get her to take it.
I think he did have it planned that morning purely because he had that appointment, and he wanted that morning appointment as an alibi to say he was out of the house. It went wrong because he couldn't control Helen's morning intake of food/drink, perhaps he had planned to smother Helen, leave her in situ while he went out, then move her to the garage when he got back, so he was forced to move his appointment, and he couldn't get a new appointment to coincide with the time that Helen must have fallen into a drugged stupor, when her online activity suddenly ceased.
That makes perfect sense.
He thought the surgery would just say come on over now - so all he had to do was make a few more taps on Helen's Ipad to show her still on line right up to 11.30, when he departs the house.
Then does the moving of bodies when he gets back.