All ambulance stations in Northamptonshire could be closed and replaced by two main hubs in Kettering and Northampton.
The East Midlands Ambulance Service (EMAS) says it will also create new parking points around the county to ensure response times are not affected. The plans will take 5 years to implement are should save £548,000 a year.
EMAS, who run services across the East Midlands, plan to replace 66 ambulance stations and 153 standby points with 13 larger hubs and 131 'tactical deployment points' (TDPs).
The TDPs will often be at site shared with other emergency services and will offer crews somewhere to get a hot drink and use the toilet.
EMAS Chief Executive Phil Milligan said: “Our plans are to deliver better performance which we know is important to patients and staff, and the changes we propose should see our response to immediately life-threatening 999 calls improve by about 5% which means we will get to more people faster, enabling us to provide better patient care.
"We know that East Midlands residents have been concerned about our response times, we now have a plan to deliver long term, sustainable performance. These plans are right for patients and right for our staff.
”The changes are clinically focused allowing us to make better use of our clinicians skills, to deliver on performance targets and quality standards, improve patient outcomes, provide more care closer to home and will help us to improve the working lives of our staff which is important to us.
“To continue to implement our quality strategy and to meet current and future performance standards, EMAS has to change."
Above: Dr James Gray, Chief Executive of East Midlands Ambulance Service