Trunked Talk Groups and conventional frequencies are simulcast and/or cross patched fairly often. I know of several agencies in my area that do that on both analog and P25 trunked systems. There are a variety of ways to do it, but it's not all the difficult.
In the case of Lancaster County, it appears that there are two different dispatch points, one for fire and one for EMS. When it's an EMS dispatch, I hear it on both the TG and on 154.025. Rarely I will hear a unit reply to dispatch on the VHF frequency, but generally that doesn't happen. The call is dispatched and the responding units are given an Ops channel to work on.
Today, the FD dispatcher was a male and the EMS dispatcher was a female. They may have been in the same facility, but it seems that the EMS dispatch is simulcast on VHF.