An ambulance from Mowbray did a 400-kilometre round trip to Bridgewater because of "under-staffing and under-resourcing", Parliament has been told.
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Labor leader Rebecca White asked Health Minister Sarah Courtney how many times this year an ambulance crew from the North had been sent to the South to cover shifts.
"There are just four ambulance crews in Launceston. That means that one-quarter of the resource was sent south to cover shifts that were vacant, which left the North of the state without adequate coverage," Ms White said.
"At the same time, ambulance ramping at the Launceston General Hospital has been severe, with crews sent from the North-West to cover shifts there due to under-resourcing."
Ms Courtney defended the ambulance trip from Mowbray which happened on July 7.
"As the Leader of the Opposition would know, operational matters of the distribution and allocation of ambulances are led from a clinical response to make sure we obtain the best outcomes for patients," Ms Courtney said.
"The government is not going to stand back from that.
"We will support Ambulance Tasmania and the people who work in the operation centre to make the right decisions that are right for the Tasmanian people and put the health of Tasmanians first."
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Ms White also quizzed Ms Courtney on how many of the extra 42 regional paramedics promised in February had been recruited by the government.
"Is it not true that after 16 months and countless examples of ramped ambulances and exhausted paramedics, only one - just one - extra regional paramedic has been employed?" she asked.
Ms Courtney said the Liberals were investing $125 million more into ambulance services "to make sure we are reinvesting into the health system that was wrecked under those opposite".
"It is this side that is investing more in health - 32 per cent of our budget, up from 25 per cent a decade ago," she said.
Health and Community Services Union assistant secretary Robbie Moore said staff from the North were often travelling to take on extra shifts in the South.
"Northern staff are being employed to cover shifts in the South," Mr Moore said.
"This is leading to them getting fatigued."