Patients needing an ambulance to deal with their emergency will benefit from more frontline staff and vehicles being introduced by East Midlands Ambulance Service (EMAS).
The service is investing in the changes to improve response times and the working lives of staff.
Over £2.8 million is being spent to bring 140 emergency care assistants into the service by the end of the summer.
They will support the work of paramedics and ensure the most skilled clinicians are available to respond to the most serious calls.
EMAS has also made changes to staffing in its two emergency operations centres (control), investing in more clinical assessors to deal with the many non life-threatening calls received.
Two additional appointments to the clinical assessment team will bring staff numbers to a total of 29, compared to 12 in 2010.
The qualified nurses or paramedics can support callers to manage their symptoms at home or direct them to the right NHS service while also offering call-backs to check how patients are doing if an ambulance is required but not under emergency conditions.
Investment in staffing is backed by EMAS’ spending of more than £1.2 million in vehicles during 2012/13. By the end of April EMAS will have replaced or upgraded 55 vehicles.
Phil Milligan, Chief Executive of EMAS, said: “These developments support our aim to deliver a modern, fit-for-purpose service.”