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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Paul Farrelly, the Labour MP for Newcastle-under-Lyme, told ITV Central's political programme Central Lobby.