Thanks Bertie.
An interesting read. If this is the document to which 206 refers, then I dont read it the same way as him.
Whilst it suggests that a doctor-paramedic crew 'stastically' improves patient survival rates and perhaps in an ideal world it would be nice to have more drs onboard it also clearly states that the paramedic-paramedic model is used on 80% of AA and doesn't imply this must change.
Obviously in places like London having a dr within the crew makes sense but this framework document does not in my eyes leave 'little wiggle room' for other operators to have to follow suit. As with everything cost will be a major factor.
I accept 206, you have greater involvement with AA than me but are you referring more to urban based AA?
Regards - SW