If it is necessary for a pMT patient to be taken by ambulance to a hospital designated other than an MTS, Ambulance Victoria will notify ARV or PIPER of the case and ARV or PIPER will contact the primary receiving hospital within 60 minutes to determine the need for advice or support, or the need for retrieval or transfer to a MTS. If transfer to a MTS is deemed necessary, it is vital that this then occurs as soon as is practicable.