Twenty people have been injured as a minibus and car crashed in the East of England county of Cambridgeshire.
Paramedics and fire fighters were at the scene of the two-vehicle smash in Somersham Road, near the villages of Woodhurst and Bluntisham.
Dramatic images showed a minibus rolled onto its side and a car with its frontage completely wrecked.
The East of England Ambulance Service (EEAST) said it was treating about 20 patients following the collision on Thursday evening.
Police said some were seriously injured in the crash, which happened at the junction with Bluntisham Heath Road at about 4.50pm.
More than 20 firefighters are also at the scene, according to Cambridgeshire Fire and Rescue Service.
A police spokesman said: "Multiple people are involved and some are seriously injured.
"The roads going in either direction at the junction have been closed and motorists are advised to avoid the area."
Casualties are being taken to Addenbrooke's and Hinchingbrooke hospitals, a spokeswoman from EEAST said.
Anyone who witnessed the collision is asked to contact the road policing unit on 101 or visit www.cambs.police.uk/report.