Other air ambulances in the Midlands are straddled over several counties; Lincolnshire is the largest administrative county in central England, and the air ambulance is particularly beneficial given the width and undulating character of the Fen roads across the east of the county.
In November 2013 the service became the first in the UK to complete a first full night mission, responding to the scene and delivering the casualty to hospital in the hours of darkness with a single pilot.