What do you think of the idea of charging, say, £15 for each ambulance call. Not payable at the time. Small enough not to deter anybody genuinely needing an ambulance, and possibly even excluding children and OAPs (who i suspect aren't the problem) My own view is that until we start charging something to people they will continue taking this service for granted and abusing it. As an ex A&E nurse I'd certainly charge time wasters for wasting our time)