SIXTEEN ambulance stations in Derbyshire are under review.
East Midlands Ambulance Service has drawn up radical plans to change the way it operates.
Ambulance stations could be closed or refurbished, more vehicles parked in public places awaiting 999 calls and managerial posts cut over the next five years.
A spokeswoman said: “Many people think that we respond to 999 calls from our ambulance stations. That used to be the case but for the last ten years or so we have seen a significant increase in the number of emergency calls we receive and this has resulted in most being responded to by ambulance crews already out on the road. For the majority of the day our stations are empty.
“In light of this we are looking at having fewer ambulance stations.”
Stations under review include Alfreton, Bakewell, Chesterfield, Matlock and Ripley.
The final strategy, with details of affected stations, will be completed at the end of July.
Since 2009, the service has been struggling to meet Government targets for reaching patients quickly and was fined £5m last year.
As part of the review 46 management posts could be lost as the number of divisions in the region is reduced from five to three and Derbyshire and Nottinghamshire would form the north section.