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However, UNISON said reducing on traditional two-person ambulances would affect the way sufferers were treated and could place both them and paramedics at risk. This is a fundamental shift in the manner the ambulance support responds to emergency calls, said nationwide ambulance officer Sam Oestreicher. We are worried that it might become as well easy to send a single responder when what is needed is a fully equipped ambulance to treat the patient at the picture and then have them properly to A&E. The scheme should be rigorously controlled to make sure that there is absolutely no detriment to sufferers, he said. Mr Oestreicher warned that functioning alone placed paramedics in better threat of being attacked. Personnel already suffer an unacceptably higher level of violence and misuse, so we need robust lone worker plans in place to ensure this does not worsen, he said.