Interesting...I presume the move from protocols to clinical guidelines is part of the much touted Ambulance Practitioner model we have also been hearing about? I sense there is nothing substantive in this move (at the moment) from your comments? Is there ever going to be anything substantive with this move? What has LAS or other more national UK bodies suggested will be the likely outcome? NZ will probably at some point move towards this, but with high volunteerism (>70%) and massive funding issues this is a long way off.