"Well GP called ambulance for a patient with chest pain, ambulance then went to patient's home and did an ECG which was normal, hence dropped the patient off at the GP practice! In the end GP called another ambulance and it turned out to be an MI. Not saying this is typical behaviour, but there are increasingly frequent stories from GPs who are coming up against a lot of resistance, from people who are significantly less qualified than they are, when trying to get patients into hospital. I know of several cases of late directly. One MI and one ruptured ectopic that the ambulance crew argued with the GP that they didn't need to go into hospital. You are frankly living in cloud cuckoo land if you don't think this is a problem. The government is trying to save money by preventing people who need hospital from going to hospital." Of course these examples couldn't be indicative of an increasing arrogance of ambulance staff? could it? I have posted a response on my blog. Doctors are concerned that HCPs with less and less training are being given jobs and responsibilities beyond their means, this is very different to feeling threatened.