The ambulance service in Greater Manchester is drafting in help from the Armed Forces to combat staff shortages across Greater Manchester and the North West.
North West Ambulance Service (NWAS) says it is facing "high" staffing absences due to the Omicron variant outbreak - with a quarter of its workforce affected.
The region will get some of a 150 military personnel - who will be deployed to join NWAS clinicians across the North West.
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They will be split between Greater Manchester, Cheshire, Cumbria, Merseyside, and Lancashire, and will drive ambulances.
Last year 120 soldiers were deployed to NWAS to help manage patients amid a surge in demand and staff absence during the Covid crisis.

In a statement NWAS said: "Following a successful partnership last year, military personnel are to re-join forces with North West Ambulance Service (NWAS) clinicians to support the response to some non-emergency patients in the North West region and address the current challenge of COVID-19 related staff absences.
"Around 150 personnel will partner with NWAS clinicians on the road, allowing us to make more efficient use of our emergency resources and supporting the wider NHS system.
"They will be available to respond to patients whose need is not urgent who often have longer waits when the service is busy."
The 150 will begin training on the January 11th and are expected to continue to work with NWAS for a number of weeks.
Director of Operations Ged Blezard says, “It is no secret that the ambulance service, along with the NHS as a whole, has been under extreme pressure for several months.
"Now we are also experiencing high numbers of staff absences due to confirmed COVID-19 cases and isolation, with around 25% of the workforce currently affected.
"As part of our resilience planning, we can make a request to the military for support and feel now is the right time to put the arrangements in place.
“We worked alongside the military last February and March, and it allows us to have more of our vehicles on the road, getting people the treatment they need sooner. This frees up emergency ambulances to attend to urgent, life-threatening cases.”
The military personnel will receive NWAS training in driving ambulances, manual handling, kit familiarisation and basic life support, similar to the standards of the trust’s patient transport staff who have also been supporting the emergency service throughout the pandemic.
It follows a very successful partnership last winter, when military colleagues were deployed to more than 4,600 non-life-threatening 999 incidents, including assisting with transportation of patients between healthcare sites approximately 1,700 times. Feedback from those who worked with the military personnel was overwhelmingly positive.
Ged added, “I would like to thank our NWAS team of staff and volunteers for their continued dedication over the last two years. They have been working incredibly hard to deliver the best possible service for our patients. Taking this timely intervention to increase our resources means we can carry on doing that while providing extra support for our staff and patients during another challenging period.
“As always, we are here for you in an emergency, and you can assist us by using 111 online if you need urgent care advice and only dialling 999 in a life-threatening situation.”
In a statement NWAS said: "Last month an improved system was introduced to triage more 999 patients over the phone. In the first few weeks, thousands more people were supported by specialist practitioners within our Clinical Hub, allowing them to receive more appropriate and timely care that doesn’t require an ambulance.