SIR – Worcesteshire NHS commissioners are pioneers in a scheme whereby GPs attend with paramedics on all 999 calls ensuring that 80 per cent of patients are treated by GPs and only 20 per cent admitted to A&E.

Now they are also contemplating a plan (Worceter News, September 10) in which patients arriving by other means than an ambulance at A&E in Worcester would be assessed on arrival at an urgent case centre on site.

If not acute, they would be treated by GPs.

Both schemes would greatly reduce the amount of patients being passed through A&E, thus releasing their staff for the work they are trained for.

PHIL PEGLER

Worcester