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.

Through central coordination, NARU enables NHS Ambulance Trusts to work together to provide a safe and reliable response to major, complex and potentially protracted incidents.

Consistency in implementation of core deliverables is essential if ambulance trusts across the country are to remain prepared and resilient to deliver an effective national response capability at all times.
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 Recent Terrorist Attacks

Britain has been subject to three terrorist attacks in as many months.  Our thoughts are with the family and friends of all those affected.

NARU is immensely proud of the front-line Ambulance Staff that have been instrumental in providing patient care and saving lives.

We continue to work closely with Ambulance Trusts and our NHS stakeholders to ensure the specialist capabilities needed to respond to these atrocities are robust and ready to meet the needs of our patients.

The NARU Central Management Team

NARU Publications and ResourcesView all resources

NARU Annual Report 2016-17 – May 2017

AACE Annual Report 2015-16

The HART Service Specification 2016-17

NARU Motorway Incident Guide – Oct 2015

Major Incident Initial Action Cards – Oct 2015

Ambulance Service Command & Control Guidance – Oct 2015

Mass Casualty Vehicle Information Pack – July 2015

NARU HAZMAT-CBRNE Guidance – March 2014

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News story: Mini drones set to investigate hazardous scenes, announces Defence Secretary

A pocket-sized drone and a mini-detector known as Snake Eyes are amongst the new high-tech gadgets set to investigate future chemical or bio-hazards, after Defence Secretary Sir Michael Fallon announced the winners of an innovation challenge.

UK HART Resilience and Capability – 2017 assessment is now complete

NARU’s resilience and capability assessment is used to monitor and manage the psychological health of all ambulance service HART units…

Interoperable Capabilities: a summary

One of the main reasons NARU exists is to ensure the ongoing effectiveness and development of all interoperable capabilities for NHS ambulance services….