was this allergy case in Battersea? I'd always enjoyed really good working relationships with paramedics/EMTs with mutual respect- and have recently encountered some very good friendly and very capable paramedics/EMTs since i came to London 4 years ago. However there have been occasions when despite staying with the pt/ managing them well - the attending head paramedic/EMT have been INCREDIBLY rude - just like one of those old tyrant consultants who treat colleagues like scum and want to get you to play a power game. I used to get really upset as it is so distracting from pt care. (..and if it continued would have started hiding when the crew entered the surgery i think....unless the pt was very sick...). When they'd starting arguing with the working diagnosis - it was tempting to try to contact them when it turned out they were wrong....but life's too short.. It was always a pleasure to work with paramedics/EMTs in rural areas - where you'd see the same team time after time + strike up an ongoing working relationship. I was starting to think it was one of the downsides to working in London - you get spat upon by the ambulance service + just have to take it on the chin. Happily in the past year the teams i've met have been really great - have appreciated my input + have put the pt first I totally agree with you - if GPs + primary care are not putting the pt first then there should be a way of easily reporting a 'significant event' - which is the best way of everyone learning and pts not being put at risk in the future