Police forces, ambulance crews and hospitals across the Midlands are preparing for their busiest time of year.
West Midlands Ambulance service says it had three thousand emergency calls on Friday night alone.
Alcohol-related violence and cases of anti-social behaviour increase over the festive season, which paramedics and police have to deal with.
Our reporter Chris Halpin spent Saturday night with the region's largest police force, to see how its officers keep things in order.
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ITV News spent a day with a West Midlands ambulance crew to see first-hand the pressure they are under.