Hundreds of people across the north west were waiting for an ambulance on Saturday night as health bosses urged the public to call 999 'for life-threatening emergencies only'.
In the face of huge pressure this week, the North West Ambulance Service (NWAS) has been giving regular updates on the state of its services.
On Saturday morning NWAS said more than 600 people were waiting for a paramedic. And the service remains 'extremely busy' heading into the evening.