My thoughts on this: >95% of deliveries in low risk women proceed without a hitch, but quick transit to a hospital (as you say, not 20 minutes in a blue light service) can be urgently needed if something does go wrong. However, moving something like the Barkentine (?sp) into a hospital might simply mean that those women who went there rather than choosing to deliver in hospital stop going there, and go for a home birth/alternative location instead. My suggestion: Move to a building <5 minutes drive from a hospital. This, in addition to keeping the Barkentine separate from the hospital, should still be far enough to stop unnecessary referrals, and close enough to stop maternal/neonatal deaths and other serious complications resulting from delay. Possible enhancement to cut down on ambulance call-outs: Have a vehicle on hand specifically for the purpose of transporting someone to the hospital if they really need it, complete with emergency driver (maybe training up enough willing people from the desk staff/midwives/cleaning staff in that role if keeping someone on hand just for that purpose can't be justified).