If I had the solution don't you think I'd patent it and make tonnes of money? The point is one to the government explaining why I don't think that this idea will work, and highlighting perhaps the (financial) reasons why they would want it to work. The problem is that ECPs won't make a huge difference, not the 40% of non-travellers that the government wants. We aren't stupid and won't put our jobs on the line just to help government targets. Education is what is needed. We need to find out how it became acceptable to call an ambulance for 'crap' and change that social thinking. I'm working on a post where I propose some solutions. But yes, a fairly negative post, but then it's my opinion and I'd love to be proved wrong - just that working in EC I _really_ can't see it working, esp. when ECPs take just as long writing up their notes as we do taking people to hospital. And there wasn't enough swearing to be a BWTS post...