Ambulance workers across the North West have voted to strike - after nurses also announced they would be walking out in December.
More than 1,500 ambulance workers have voted to strike across the region. The GMB union, which represents ambulance workers, said: "No one in the health service takes strike action lightly - today shows just how desperate they are."
Paramedics, emergency care assistants, call handlers and other staff will walk out. Workers across the ambulance service and some NHS trusts have voted to strike over the government's imposed 4% pay award.