@pre_hospital where are you based? it is compulsory in the UK

@consultantpara RRVs, only send them to jobs that aren't likely to need transport - DSAs only to catA calls, right resource, right place.

@consultantpara Or response times. 8 min and 1 second and the patient lives is a success, whatever government targets say!

@consultantpara Put @ParamedicsUK member as essential criteria into ambulance service #paramedic job descriptions.

@consultantpara - c elephant in room AMPDS / pathways. Clinicians take call & have power of dispatch. Hi upfront cost huge long term gain.

@consultantpara I would base our APs in the ED!

@consultantpara make all frontline vehicles nationally identical, loaded with same kit, ie manger elk, EZIO. Pt care shouldn't be lottery..

@consultantpara ..based on postcode. Huge cost savings if all trusts bought vehicles from one manufacturer and same for equipment

@consultantpara @ParamedicABC allowing the system to be striped of resources in order to take people back to assisted living facilities.

@flobach @consultantpara granted. Think the octavia 4x4 is a great car for RRV duties. My trust currently has fwd mondeos

@Melph Think you're right. I can see us slowly going the way the AA went 10+ years ago. Went from 7 ops centres to 3, now 1.

@Melph not that I think an emergency service going to 1 ops centre would be a good idea but you get the idea.

@Melph just in SE and London, we have 7 EOC's at the moment. Too many?