More than 20 people, mostly schoolchildren, were taken to hospital after the bus they were travelling in overturned down an embankment in England.
Almost 50 people were assessed and treated by ambulance crews following the accident on Holme Lacy Road in Hereford shortly after 8.20am today.
The female driver and 25 passengers, believed to be school pupils aged around 14, were taken to Hereford County Hospital to receive treatment for cuts and bruising.
A West Midlands Ambulance Service spokeswoman said: “Crews arrived to find a bus at the bottom of an embankment lying on its left-hand side. All of the passengers on board had managed to get out of the bus before the crew’s arrival.
“However, the woman driving was trapped for a period of time. With the assistance of the fire service, the woman was extricated and treated for chest and abdominal injuries. She was immobilised using a neck collar and spinal board before being conveyed to Hereford County Hospital.
“The passengers, all of whom are believed to be pupils of approximately 14 years of age, were triaged by ambulance staff at the scene. Six of them were also taken to Hereford County Hospital by ambulance.
“A second bus was sent to the scene to help transport approximately 20 uninjured pupils back to their school. A senior paramedic officer travelled on board the bus with the children.
“A further 19 patients, who had suffered a range of minor injuries such as cuts and bruising, were taken to the same hospital for further triage by other means of transport.”
The children are thought to have been travelling to Bishop of Hereford's Bluecoat School, a comprehensive secondary, and nearby St Mary's Roman Catholic High School.
Seven ambulances, a paramedic area support officer, two senior paramedic officers and the Midlands Air Ambulance from Strensham were sent to the scene.
A doctor for the Mercia Accident Rescue Service was also sent but diverted to the hospital to assist with triage of casualties as they arrived at A&E.
A spokeswoman for PW Jones Coaches, which operates the bus, said witnesses claimed that a lorry involved in the accident did not stop.
She said: “A coach that was carrying schoolchildren went off the road and the children are saying that a lorry was involved and didn’t stop.
“The coach had pulled over to stop on a grass verge and it gave way.”
The spokeswoman said the female driver was being treated in intensive care and confirmed that the majority of pupils were on their way to St Mary’s.