About NARU


NARU’s main aim is to support the resilience objectives of NHS England, the Association of Ambulance Chief Executives (AACE) and Ambulance Commissioners, putting patients first and the safety of staff at the forefront of any planned response.

NARU works nationally on behalf of each NHS Ambulance Trust in England to provide a coordinated approach to emergency preparedness, resilience and response.
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CMT Update – October 2015

All UK Ambulance Trusts achieved the IOR (CBRN Initial Operational Response) roll out requirement at the end of September. NARU has confirmed the position as of the 1st October 2015 to NHS England and the Home Office.

NARU has received the National Capabilities Survey Report from the Cabinet Office team and we are working with local Ambulance Trust EPRR managers to support local action plans. The findings of this survey are also feeding into the specification reviews of interoperable capabilities (HART, CBRN, MTFA etc) being led by NARU.

NARU continues to support the review and revisions to current multi-agency MTFA operating principles on behalf of English Ambulance Trusts. As part of this work, we have also been asked to support (FCO) Foreign & Commonwealth Office and HO (Home Office) initiatives both at home and abroad over the next three months. 

The new safe system of work architecture for HART teams is progressing well. Drafting groups are being established for the 12 new Standard Operating Procedures. If any HART qualified staff are interested in supporting this work they should advise their HART Manager who in turn will consider nominating them on the approved form. A team lead by Marc Rainey (LAS) has managed to complete over 90 equipment data sheets in the last month representing another significant step forward.  

NARU has started work on developing NHS commissioning specifications for the national CBRN and MTFA capabilities. The first drafts should be ready for consultation by early December 2015.  

NARU Publications and ResourcesView all resources

NARU Motorway Incident Guide – Oct 2015


Major Incident Initial Action Cards – Oct 2015


Ambulance Service Command & Control Guidance – Oct 2015

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NARU HAZMAT-CBRNE Guidance – March 2014


Mutual Aid MOU – May 2015


NARU Annual Report 2013-14


The HART Service Specification 2015-16


New THINK! campaign to target those who still think it’s okay to have a couple of drinks before they drive

The government has launched a new campaign to tackle drink driving, targeting those who do not recognise that even a small number of drinks before driving can be deadly. It urges everyone to THINK! before drinking and driving. New adverts highlight how a second drink can double the chance of being in a fatal collision…

Statement from Association of Ambulance Chief Executive: AACE to support London Ambulance Service during difficult period

The Association of Ambulance Chief Executives was disappointed to learn that it was necessary for London Ambulance Service to be placed into special measures by the NHS Trust Development Authority as a result of the CQC report published today. AACE has agreed to provide significant support to help address the London Ambulance Service’s current problems…

Press release: Department of Health’s settlement at the Spending Review 2015

The Chancellor has published the results of the Spending Review, including details of DH’s budget over the course of this Parliament.