As paramedics renew a push for better staffing levels in regional areas, some of their concerns are being echoed in the Riverina.
NSW president of the Australian Paramedics Association Chris Kastelan has raised concerns about "flimsy resourcing levels" after an incident in the Hunter.
At the same time, the latest Bureau of Health Information report has shown a drop in the number of NSW patients whose care was transferred from paramedics to hospital staff within 30 minutes.
Although still high at 88.8 per cent, figures for the January to March quarter are down 3.3 per cent.
Mr Kastelan told reporters ambulance resources should be boosted beyond the 700 paramedics and support staff the government announced last year.
"The difference between life and death in these situations is only minutes," he said. "Paramedics never want to feel as though the community has been let down, and the professionalism and clinical competence of paramedics is at an all time high. APA NSW believes the community wouldn't be amused if it knew ... the delays that may be experienced by a threadbare fleet of operational paramedics and how often in fact these situations do arise but receive no publicity."
Geoff Pritchard, a retired doctor and Snowy Valleys councillor, is concerned that a lack of GPs in smaller communities will push more people to regional hospitals, meaning more paramedics will be on the roads in more ambulance vehicles for longer periods.
Dr Pritchard gave the example of a recent two-car crash in the Tumut area. Although not horrific, the crash still resulted in five people needing hospital treatment.
All five were taken to Wagga in two ambulances, leaving Dr Pritchard concerned about what could have happened if there had been another medical emergency in Tumut during this time.
However, in other Riverina communities, there are fewer concerns.
Temora mayor Rick Firman has not heard more than the occasional complaint about delays in waiting times for an ambulance in his shire, but warned that any attempts to reduce or delete services would be met with a fight from the community.
Likewise, Coolamon mayor John Seymour believes his community has few, if any, complaints about ambulance services.
Steph Cooke, the Member for Cootamundra, said she has not heard from unhappy patients eithert.
"My office has not been made aware of any issues with ambulance delays," Ms Cooke said.
"But my door is always open and I am always happy to hear constituents' concerns should they have any."