Hi there, Couldn't agree more with you Tom. It's so frustrating the way our stupid CAD system works. All that 'non dangerous proximal body area injury ' cr*p etc, not to mention the classic 'unconcious patient who is concious and breathing' ?!. Makes us go 'huh?!?' alot. I attended an elderly lady who had a '?#/dislocated ankle following a fall from height (down some stairs in garden), Cat B'. We were coming from quite a distance away and passed another ambulance, on blue lights, going to where we had just driven through and they had had to drive past the job we were going to...hmm. They would've been there 15mins before us, but they were going on a higher priority call (Dr's immediate for a ?meningitis that turned out to be a 30yr old man with prickly heat.Yeesh). So we treated our poor lady, who had not fallen from height, she'd gone over on her ankle, done the damage then shuffled her way across her garden and down some steps. She'd been there for about 40mins before her hubby came home and called us, and she had a severe injury, critical skin, no pedal pulse. It all turned out ok for her, thankfully. But when I spoke to despatch about the coding of it, why didnt' they swap us and the other ambulance, they told me that a # dislocation of the ankle is only a Cat C, unless there is a qualifying factor like falling from height. As it's not life threatening etc. Call me old fashioned, but, even though it's not life threatening, I think it's probably rather nice and convenient to have both of your feet in working order and preferably connected to your legs. So that poor lady could've quite easily been waiting for rather a long time and suffered irreversible tissue damage, while we fannied about with someone with prickly heat. Grrrrrrrr. Time to remove the governments earplugs methinks... Sorry to have rambled on a bit. cesario21