West Midlands Ambulance Service fined over missed targets
14 May 2014 Last updated at 21:32 BST
West Midlands Ambulance Service (WMAS) has been fined £2.6m for failing to meet emergency response targets.
It fell short of a government requirement to reach 75% of "life-threatening" emergencies within eight minutes.
However, the service will retain a portion of the fine to invest in improving response times.
Health correspondent Michele Paduano spoke to Lee Washington from WMAS and Ray Salmon from Unison.