Plans to close ambulance stations across the East Midlands - including Ilkeston - were approved by board members this week.
East Midlands Ambulance Service’s trust board gave plans to make radical changes to the way the trust operates the go ahead at a meeting on Monday.
A draft plan released by EMAS earlier this year said that all ambulance stations were under review when health bosses said keeping stations open was costing EMAS money.
Paramedics will now be based at a series of tactical deployment spots and will respond to 999 calls from strategic sites chosen to suit demand.
An EMAS spokesman said: “Members were reminded at the meeting that the prime aim of the proposal was to ensure EMAS delivers the best possible quality of patient care and safety to all the communities we serve, both urban and rural.
“It was noted that ambulance stations are where staff start their shift and that they remain empty buildings for the majority of the time.
“Potential savings from estates can be directly invested on buildings, staff and vehicles to deliver better response times for all areas.”
Members of the public and ambulance staff will now be asked their views when a consultation starts in September and final plans will be announced early next year.