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BBC News Lancashire
The North West Air Ambulance Service responded to nearly 200 incidents in Cumbria in the last year.
The service, which has helicopters in Greater Manchester and Preston, covers the south of the county - but has been as far north as Carlisle in the last 12 months.
James, who's a helicopter pilot, says the aircraft make a big difference to patients in need.
If it's an hour-and-a-half or two-hour drive, we can be there in 20 minutes and that can make a real big difference to that patient."