Good analogy, marmite.... I think this must be a country wide thing with regard to GPs, we have several in our patch that are brilliant, they have everything ready, they are with the patient, I have even heard of a GP on a home visit, calling us and then stating to the patient and family that "in an emergency never call a GP, call an ambo because they know what they are doing" Apparently she was visibly relieved to see the crew too. And then you get the "waiting room" GPs, who put the patient out in the waiting room on their own with chest pain. Or on more than one occasion from the same surgery, a chest pain at 14.00hrs, when we arrive the patient is pain free, on further questioning they had pain about a week ago and haven't had it since, it just took that long to get to see the GP. Am I cynical to think that the time of the surgery closing for lunch had anything to do with these very similar jobs? And then you have the "others" who look down their nose at you, now I know that I have not had the training that they have, but then I didn't want to be a doctor. They then say "well they will need a chair obviously".... well chappie, we are not about to come into your surgery with the entire contents of the ambulance just on the off chance the patient might need it, we are medically trained, we can assess patients for ourselves, we will do this, we will do our own obs and then we will work out the best course of action, we might feel that the patient needs a trolley not a chair. Sorry as you might have guessed I met said GP yesterday and I am still a little warm under the collar about it....