Is it true to say that those in populated areas are in less need of Wales Air Ambulance/EMRTS than rural areas due to increased ambulance service provision and closer proximity to hospitals? Absolutely not. Wherever you are in the country, the out-of-hospital emergency-department standard treatments only offered by Wales Air Ambulance/EMRTS, could be the difference between survival at the scene or not, even before getting to hospital, regardless of how close that hospital may be. Also, the nearest hospital may not be the most appropriate hospital for the patient’s needs. If WAA/EMRTS did not attend such an incident and a patient was conveyed to the nearest hospital, there is a possibility that a secondary transfer would be required to a more suitable healthcare facility. This could take several hours to arrange and undertake, further diminishing the chances of survival and long-term recovery. As well as the advanced critical care capabilities we bring to an incident, our medics can diagnose the underlying issues of a patient and transfer them directly to the most appropriate hospital – whether in a WAA helicopter or, if the patient is unstable or the weather is poor, in a Welsh Ambulance Service NHS Trust road ambulance. On some occasions, we may use a Search and Rescue helicopter. This ensures that the patient receives the required next level of specialist care as quickly as possible, increasing the chances of long-term survival and recovery. Therefore, Wales Air Ambulance/EMRTS attendance is equally as important in an urban setting as it is in a rural environment.