In EMAS we have people (like me ) who go on a course and learn to examine a patient in great detail then make a differential and a working diagnosis . After that we (I) make a decision as to the most appropriate course of action for that person . They may be referred to care teams or other agencies or told that there is nothing wrong and they should stay at home and not drink so much! All the examination and findings are documented in great detail and , here is the "safety net" you write on the form "If you are very concerned about your problem later you should contact NHSDirect, Out of hours GP or call 999". Our Service is committed to reducing inappropriate A&E attendances br 25% also as an FRU if a person needs to go to hospital and I know that they will sit in an ambo , they go in my car, the whole point is to keep crews free.