Phil (I think I love you.... LOL.....) In response to this, your first paragraph..... Won't be long before only 1 Para/Tech on an ambulance and a 3rd tier person (called HDTS...yes High Dependancy Transport Service but not in the true meaning of HDU!) per ambulance. Put all your Paras on cars, send along a Tech/HDU crewed ambulance and 9 times out of ten, the Paramedic will be available again in approx. 20 mins. A couple of Paras and a couple of ECPs in a sector, apparent appropriate use of resources. A "truly flexible service" apparently! " Just to scare the living bejeezus out of you all.... We are already doing this!!!! (I have to say though not through choice!!!) Bloody worrying or what????