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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Latest NARU Update

Revised Command and Control Guidance for the Ambulance Service will be published by NARU this month.  The new guidance will include updated action cards, the incorporation of the latest JESIP principles and other operational revisions.  This follows the recent publication of national Mutual Aid guidance and revised National Ambulance Coordination Centre guidance is due out next month.  All will be published on this website.

The Education Centre based at Winterbourne is now offering MTFA training courses for uplift staff to support local Trusts.  This follows a request from Trusts who were struggling to provide courses for smaller numbers of staff needed to fill vacancies after the initial roll out.  An independent report has also been commissioning to review the effectiveness of the Command Courses run at Winterbourne.  The report findings are extremely positive, copies of which are available on request to Trusts.  Contact Dave Bull via email for more information.

The pressure is on for local Ambulance Trusts to ensure all frontline staff have received the Initial Operational Response (IOR) familiarisation training by the revised deadline of September 2015.  In addition to easy access DVD training materials, NARU has also made additional funds available to assist Trusts with the delivery.

With the recent publication of the 2015 HART Service Specification, NARU will be drafting similar commissioning specifications for MTFA, CBRN and Mass Casualties over the next six months.  These specifications require a number of national provisions to be maintained to support interoperability and a safe system of work.  These extensive provisions are detailed in the Service Specification Architecture (available to download here).  At this month’s National HART Operations Group and National Vehicle and Equipment Group meetings, a number of sub-group will be established to develop the required provisions for HART.  Similar work will need to be undertaken in the coming months for MTFA and CBRN with Mass Casualties being covered in the early part of 2016.

NARU Publications and ResourcesView all resources

Major Incident Initial Action Cards


National Ambulance Service – Command & Control Guidance

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Mutual Aid MOU – May 2015


NARU Annual Report 2013-14


HART Service Specification 2015-16


The British nurses who survived Ebola – Video

British aid workers who risked their lives to save victims of the Ebola virus have been honoured for their efforts…

Team effort at Alton Towers response recognised at Pride of Britain Awards

It’s an oft used phrase, but in this case, “This award is for the whole team”, exactly sums up the feelings of the two doctors and a critical care paramedic who were given a Pride of Britain Award last night for their work rescuing the four people trapped in the front row of the Smiler […]

Secondment opportunity – HART Operations Advisor

An exciting opportunity has arisen for a six-month secondment within the National Ambulance Resilience Unit for a dynamic and enthusiastic ambulance manager who has extensive knowledge of HART operations and emerging threat-based responses. The successful applicant will support the NARU Capabilities Programme…