Re: WTF He *did* say he resisted the temptation so it's a little churlish to pick on his language when he didn't use it. In fairness, the question he's responding to could be better worded; "is there a medical need" does tend to elicit the "Doh!" response until you made it clear what the question really was intended to be. Re: AMPDS It really IS stupid to have an alternative route into the system for doctors and then make them trawl through a script intended for laymen. Hell, I get frustrated when I get dragged through the script if I call in because of my asthma when I could sum up the whole thing in 20 (very breathless) words; for an experienced doctor it must qualify as some sort of torture. What I find notable is that there apparently isn't a doctor/specialist path though AMPDS but it contains a question like "is there a medical need for an ambulance" which implicitly calls for a medical judgement. Re: blues and twos It's frankly irresponsible to have a system that can't take account of the assessment of a doctor on the scene to grade a call into anything other than "blues and twos" response or "whenever". Generating a blues and twos response puts other road users and ambulance crews at risk. This is acceptable when life is, or might, be at immediate risk, but when a doctor says "it's urgent but not that urgent" there ought to be a way of grading the response appropriately.