To meet rising patient expectations for Ambulance Services - To meet increasing demand for services -  To improve the Ambulance Service's efficiency - To improve working lives - To modernise and improve training for Ambulance crews - To support the "zero tolerance" attitude towards violence against staff by ensuring access to patient records and by having if required a video tape of the ambulance saloon when violence is threatened - To reduce pressure on Accident and Emergency Departments - To reduce waiting times - To develop and implement information technologies - To contribute to the development of an Electronic Health Record - support Social Services in developing and delivering independence at home for patients. - To support the development of new public-private partnerships in health care systems.