Drs MacKenzie and Bevan are to be congratulated for producing a thoughtful and thought provoking article. They present a very strong case for further strengthening training and quality assurance of training in pre-hospital and retrieval medicine.

The Faculty of Accident and Emergency Medicine fully accepts the need for ongoing improvement in this area and would be very glad of the opportunity to work together with other relevant bodies to this end.

We are in a time of substantial change in the provision of healthcare in the UK. The paper …