The job in the Lake District looked like it was crying out for a proper SAR helo with a winch, why wasn't one of those used ? It looked like bl**dy hard work for the medics just to get to the casualty.
There are plenty of incidents like this where the air ambulance is called to an incident in the Lakes because it's based nearer so it arrives much more quickly than a SAR helo (which has to come from Boulmer, Valley or Prestwick, or occasionally Leconfield). Unfortunately any time advantage gained by the air amb arriving sooner is usually lost in walking in to the casualty and then moving the casualty to the aircraft; another disadvantage is the risk to the casualty and the stretcher carriers involved in moving the cas over difficult terrain to the air amb rather than winching them direct from where they fell/collapsed.
Frequently, it turns out that the air amb cannot actually recover the cas at all, resulting in the SAR helo being tasked long after the incident started, creating an unnecessary delay for the casualty. There seems to be no comprehension that the SAR helo can be stood down while still en route if other agencies manage to resolve the incident in the meantime, surely it would be better to ask for a SAR helo and turn it away empty-handed than wait until every other option has been explored before admitting defeat.
And yes, much effort has been expended (and wasted) on trying to pass on this message to the relevant people. Sad, but true.