Forgive me if this is a stupid question, but what actually happens if ambulance staff fail to reach the eight minute target on a regular basis? Do you get disciplined? We have targets at work, but if we document why they were unachievable on a case by case basis we don't get any grief. It only becomes a performance issue if we have no sensible reason for not achieving a target. The previous blogs on old people and care homes make me feel sad. Some carers are great and some are awful. I have a friend with MS and he was actually scared of one of his visiting carers. She was more than neglectful, she actually bullied him.