Wales Ambulance Service's 'fundamental flaws'
29 April 2013 Last updated at 19:48 BST
Major changes are needed in the running of the Welsh Ambulance Service, according to a review commissioned by the Welsh government.
The review also calls for paramedics to be given more training to make decisions about patient care and calls for a revamp of performance targets.
The service failed to meet targets for life-threatening call responses in every local authority area last month.
The ambulance service said it had faced extra pressures with adverse weather.
Health correspondent Owain Clarke told Jamie Owen on Wales Today that the report identifies 'fundamental flaws' in the way the ambulance service is run.