A HSE report has found the National Ambulance Service needs 750 extra staff to respond to emergencies in specified times.
The paper – seen by the Irish Times – claims an extra 250 ambulances are also required to try to meet official response targets.
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However, it says Ireland is 'too rural' to match the performance of ambulance services in countries like England.
The report was commissioned after a number of controversies over response times in rural areas and claims that it's under resourced.