Fears have been expressed that essential rapid response emergency ambulance services could be discontinued in Clare.
The National Ambulance Service has confirmed that it is reviewing the provision of Rapid Response Vehicles in both Clare and Tipperary.
The RRV service, which is staffed by specially trained advanced paramedics, was introduced in the mid-west in 2009.
The move was a part of a HSE's reconfiguration of hospital services, which also saw the A&E departments at Ennis and Nenagh hospitals close at night.
A HSE spokesman has confirmed that a review is now underway and will include the provision of Rapid Response Vehicles operated by Advanced Paramedics in Clare and North Tipperary.
The HSE has said the review is part of its "continuous assessment of operational performance to improve patient care service provision".
But a spokesman for the HSE has said that "as the review has only recently commenced, no decision will be made until all aspects of the Mid West review are finalised.
