We do not have oxygen at our surgery, nor do we have any IV fluids.This is because we are so near to the hospital and also there is no supply available to us short of a bit of theft! The drugs we stock for emergencies go out of date. I've suggested many times that all GPs should have a central supplier so that they could have the relevant drugs etc without having to buy a whole box of each, it's such a waste. We are very polite and friendly and grateful when we have to "entertain" LAS, Dr and nurse on hand, summary printed, referral letter, x ray form and bloods taken if appropriate.Trouble is, LAS (being nearby) tend to turn up so fast we have to run around getting the bits ready only to find the ambo has already arrived! Would not dream of dumping patient in waiting room. All this amounts to common courtesy to both patient and LAS staff, you don't need a medical degree to be a)caring,b)polite.