This journal selects subjects for its editorials from various sources and tries to find something that will be of interest to our readership, is topical and may stimulate debate and conversation in the workplace. This month is no different. The publication in question, Critical Care Paramedics (CCPs)—delivering enhanced pre-hospital trauma and resuscitation care: a cost-effective approach1 was brought to our attention by readers (from both the medical and ambulance professions) concerned about its message and the potentially negative impact in their specialist area of pre-hospital care.

CCPs is 16 pages and is published under the banner of the Ambulance Service Network section of the NHS Confederation. It was written by Dr Ashok Jashapara, who is a senior lecturer in knowledge management at Royal Holloway, University of London.

The NHS Confederation is the only independent membership body for organisations that make up the NHS, …