Health minister Andy Burnham has announced that ambulance trusts will be able to apply for foundation trust status from 1 April 2009. He also announced that a medal has been created to honour NHS ambulance workers.

The Queen's Ambulance Service Medal will reward ambulance staff who have made an outstanding contribution to the national or local development of the ambulance service or demonstrated commitment beyond the call of duty when dealing with major incidents that make exceptional demands on ambulance service staff.

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