These people are not a new problem,they are the same old problem of inappropriate use of emergency services but from a different culture.I speak often with a doctor from eastern europe who used to be a paramedic there before becoming a doctor and where they operated a doctor accompanied the crew on a vehicle so they could assess the patient and refer them to the most appropriate health care provider not necessarily requiring hospital treatment/admission(serious face off now)BTW tom sounds like you need to widen the range on your Bullsh*t detector i have with mine so far it covers the west midlands LMAO you want to see the faces of my regulars that i go out to when i step out of the vehicle they go from GCS 3 to GCS 15 in a nano second and refuse hospital treatment....now i may come across as an uncaring/unsympathetic/uncompassionate kind of guy but i ,m not if like you they have a genuine illness,injury,problem then they get 100% of my knowledge and attention....i have been called out in the past and ended up making a cup of tea(for a partially sighted lady who,s fuse had tripped in the downstairs of her house and couldnt move around in the dark for fear of having an accident . sum total of help = reset switch )