Paramedics working for the South West Ambulance Trust have been given a number of options to avoid redundancies. Paramedics across the South West have been told that they could face pay cuts, work a day for free or see their holiday's reduced. Workers were told by a "Change to Protect" letter which was sent to the 2000 paramedics that work for the trust. The ambulance service has said that the suggestions were in a bid to save 4 million pounds, and if one of the options can't be agreed then jobs may have to be axed. The news has sparked angry responses as there are already concerns about pension reforms.