A council leader fears people living in Leek and the Staffordshire Moorlands will be "failed" when two community ambulances bases shut.
The ambulance hubs in Leek and Biddulph will close on Sunday, October 3, with crews operating out of Stoke, Stafford and Lichfield instead.
Staffordshire Moorlands District Council leader Cllr Sybil Ralphs said: "While I appreciate there is increasing and unprecedented demand on the NHS and ambulance services across the board. I am concerned that the people of Leek and Staffordshire Moorlands will be failed by not receiving the service they deserve."
She claims the average driving time, using blue lights, from the Stoke hub to Leek town centre is 20 to 25 minutes, and that some rural areas required an additional 25 to 45 minutes due to their remote location.
Read more top stories from across the Staffordshire Moorlands area
When the bases close, the nearest one to Leek and the Moorlands will be 12 miles away in Stoke.
These estimates, she said, assume favourable weather conditions, a vehicle ready to despatch and roads clear of congestion.
West Midlands Ambulance Service (WMAS) is to close its remaining community ambulance stations and move to central hubs, with three of these across Staffordshire – in Stoke, Stafford and Lichfield. The Stoke hub will take over the role of the bases in Leek and Biddulph.
The idea is to operate fewer ambulance stations across the region, and invest the savings from this into future service provision.
Bosses say the new hubs are more capable in terms of preparing a vehicle than the smaller bases. The move coincides with a reduction of ambulance rapid response vehicles.
A briefing report from WMAS explained there was a network of rapid response vehicles that worked from the community ambulance stations, but that these were not necessarily suitably equipped.
It said a good example of this would be a stroke patient; a rapid response vehicle would get there in under eight minutes but, in stroke cases where time was crucial what the patient actually needed was an "ambulance to take them to a hyper-acute stroke unit for immediate care – we aren’t able to transport patients by car. Doing so can make a huge difference to the life of the patient going forward."
The target response time for a cardiac arrest and other life-threatening emergencies is eight minutes, he said.
Cllr Ralphs said: “With a driving time of 20 to 25 minutes from the city this is well outside the target time and will be detrimental to patient survival.”
There is a fear that ambulances are often being held up at Royal Stoke Hospital due to delays at the patient transfer stage, and this means they are unavailable when called upon.
Staffordshire Moorlands district councillors say this unfairly disadvantages people living in the area and they believe removing a dedicated station exacerbates existing problems, she said.
WMAS figures show that almost 7,000 patients across the West Midlands waited more than an hour to be handed over in July.
The figure was 6,500 in August, and many of these had to be kept in the back of the ambulance for a number of hours.
WMAS communications director Murray MacGregor said: “Not only was this poor for patients it put an intolerable strain on our staff with many regularly finishing their shift late, often to the tune of three hours on top of a 12 hour shift.
“No other NHS staff face such situations.”
This year, the trust operated under REAP 4 (the highest level of concern) for the first time in its history.
Cllr Ralph believes if the ambulance stations stayed open and the ambulances remained in the Moorlands area, crews would be available to deal with emergencies locally.
A spokesperson for WMAS said there are spare ambulances at the hubs, but not at community ambulance station sites.
He said: "So if the crew are delayed at hospital, which happens, it means the crew that are coming on to relieve them don’t have an ambulance to use so we lose that crew for however long the delay is.
"It is not unheard for us to lose the CAS [community ambulance station] site ambulance for three hours every day, which cannot make sense. You don’t lose that with ambulances based at the hubs.
"So by closing the CAS sites we are actually increasing the amount of ambulance time available to respond in the area."
Another concern is that ambulances allocated to the Moorlands are being dispatched to calls in other areas – potentially as far afield as Shropshire, Birmingham, Coventry or Warwickshire.
Cllr Ralphs said this left the community vulnerable and worsens response times.
She said: "The trust has also decided to remove all rapid response vehicles from rural communities, these vehicles were manned by paramedics who could be despatched to all emergency calls to provide rapid interventions and lifesaving treatments to vulnerable patients."
The trust said: "Crews literally go from one emergency to the next, 24 hours a day; they are no longer sat on a station anywhere in the region waiting for a call.
"Therefore, one of the questions we are duty bound to consider is whether it is appropriate for the trust to spend precious funds on buildings that are rarely used when these could instead be spent on additional staff and vehicles; the things that save lives?"
Cllr Ralphs said: "Whilst the majority of other ambulance trusts have invested in increasing their fleet of rapid response vehicles manned by advanced paramedics as well as continuing to maintain rural outposts, West Midlands Ambulance Service has instead removed all of these community services and are now intent on closing community ambulance stations which will leave these communities particularly vulnerable."