Wow, drive by ambulancing. I never knew you could help people merely by being within 200 metres. I'm very impressed. Mind you probably most of your "patients" don't actually need anything more than that in fact! I wonder what planet the people who come up with these targets come from. I can't help thinking it would be much better to simply record the number of "successful outcomes". Ie the number of times where you attend, where an intervention is required, and where that intervention succeeds. Those three numbers would be more meaningful I'd have thought. Clearly you'd never get 100%, but it would be a more useful thing to minimise the number of trips where no intervention was needed, and maximise the number where the intervention is successful. I'm frustrated by the stupidity on your behalf!