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It may just be a slightly cynical thought but will more ECP's going out to the home actually save money? As we have seen with NHS direct/ WIC etc it tends to increase demand without any real proof of impacting on A&E services. A "medic" coming to your house may be an attractive option for many people, but it may turn out to cost more. People who previously would have gone to a WIC/MIU will instead call 999 to wait for their ECP to turn up in their shiny MPV. GP's have moved away from doing house visits as far as possible because it takes more time to drive from house to house compared to seeing significantly more patients in the GP-COOP centre. There are also the issues of seeing patients in an inadequate household setting and the security issues of working on their own. Perhaps it would be more cost effective to hire a driver to pick up patients in an MPV to deliver to a GP COOP or A&E department. If the ambulance control had misclassified the call they could dial 999 to get a 8 minute response.