This kind of thing really P's me off. I am not a member of SJAB, I am ex BRCS however and so the use of the word "volunteer" as being an obscenity is a tone I am familiar with. I work for a private ambulance company and they regularly provide a static treatment post and a vehicle for Croydon town centre at the weekends. This is in support of the LAS and in co-operation with their staff for the most part. However, there have been occasions where like one, and LAS FRU Tech travelled with the crew to the recieving A&E and told the nurse, "Im with them because we didnt have a proper ambulance" Lets look at the US system, they have such a different range of EMS providers, from state funded and hospital services to private companies and volunteer corps. However, they all have the same level of training and are all registered by the NREMT to ensure that there is a benchmark for EMS care, no matter who provides it. With the NHS sure to go bust within our lifetime, it would maybe be wise for us to have a similar training, grading and certification system here in the UK, to iron out problems such as highlighted in the report, and also the issues that surround rogue elements within SJAB/BRCS and the Private Sector that pop up from time to time. Lets face it, Nurses in the private sector are no less nurses than those in the NHS - The NMC regulates them all!! Its time that we all started to work together, enough of this "old boys club" attitude re: non NHS ambulance staff.