Ambulances responding to 999 calls should become "mobile urgent treatment services, not just urgent transport services", NHS Director Sir Bruce Keogh said today.
Announcing his findings of a major review into how to ease pressure on services and improve A&E care he said ambulances could treat people inside the vehicle, instead of bringing them to hospital.
He suggested more training for paramedics so the vehicles could operate safely as urgent treatment centres, and said closer links need established between the ambulance service and GPs and community health teams.
More top news
A protest against Black Friday sales, urging people to buy nothing at all instead, has attracted tens of thousands of supporters in the UK.
Republican presidential contender Donald Trump has been heavily criticised after appearing to mock a disabled reporter at a rally.
We currently have mild air for late November, but some cold air is on the horizon.