The East of England Ambulance Service has announced it's localising its leadership, by creating three new management positions which will control different parts of the Anglia region.
It comes in the week its chair woman Maria Bull resigned following a critical report from the Care Quality Commission. The ambulance service says the changes will "empower frontline staff to make changes at a local level".
The head of the East Anglian Ambulance Trust has announced he is taking early retirement.
Hayden Newton is a former paramedic who took over as Chief Executive five years ago.
The trust has been criticised recently over plans to save £50m in five years which the unions say will put patients' lives at risk.