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.
Read more…

CMT Update – September 2016

New Scientific Research into HART Capabilities

Physiological and psychological standards
NARU is working with Mark Rayson Consultants and the University of Chichester to undertake a comprehensive review of physiological standards required for the nationally interoperable capabilities (MTFA, HART, CBRN).  This is the first comprehensive review since the first implementation of HART teams.  At the same time, Zeal Solutions are undertaking a concurrent review of psychological standards.  This involves scientists and researchers assessing our operatives’ whist they perform key tasks for each of the high-risk capabilities. Read more about the first live trials here.

Decontamination Research Programme: Project SILUS
Led by Professor Rob Chilcott and the University of Hertfordshire, the programme was tasked with reviewing the rinse wipe rinse technique for non-ambulant decontamination process. Phase 1 – which centred on a detailed analysis of the process using manikins and simulant agent – is now complete, and resulted in a reduction from 12 mins down to 5 mins cycle.

Phase 2 will be the validation of the process with the use of live subjects, and finally Phase 3 will then consider what IOR looks like for non-ambulant causalities.

The Joint Operating Principles (JOPs) are intended to guide the response to CBRN(e) terrorism from the initial response, through transition to specialist response, aligning to pursue and onwards into recovery phase.  The principles are designed to provide a structured process to assist command of a multi-agency response, and have been developed by emergency services representatives at the National CBRN Centre alongside JESIP.  Read full details regarding the latest JOPs – and how to access them – here.

New HART Vehicles Arrive in Yorkshire
Yorkshire HART have taken delivery of the first Primary Response Vehicles under the national NARU specification.  They are based on a VW Transporter 4×4 van which has been converted specifically for HART use.  The new HART fleet has been designed by operational staff and fleet experts to meet the wide variety of specialist HART requirements.  Find out more about the vehicles and the initial staff feedback here.

Joint working between NARU and CFOA
A new programme of activities is underway to increase the effectiveness of joint working between HART teams on the ground and professionals from the Fire and Rescue Service.  Meetings are being held between NARU and CFOA representatives to look at new joint working agreements which are better aligned to the HART service specification and our revised safe system of work.

New Service Specifications
NARU is in the process of drafting new service specifications for MTFA, CBRN and Command (including JESIP).  The MTFA service specification will be heavily informed by a recent practitioner workshop held by NARU and a forthcoming capability enhancement workshop due to take place in October.
More details are available here.

Safe System of Work
A great deal of work is going into the final development phases of the standard operating procedures (SOPs) for HART.  A number of HART operatives and instructors have been involved in the development of these SOP drafts and their support has been greatly appreciated.  A new online application is being developed to host the new SOPs and supporting information (like risk assessments, equipment data sheets and training core competencies).  This application will be available for all operational staff via any internet enabled device.  They will also be available to Team Leaders at all times via the new incident ground technology for HART.  Once completed, the same process of SOP development will be rolled out for MTFA and CBRN.

The NARU Central Management Team

NARU Publications and ResourcesView all resources

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

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Mass Casualty Vehicle Information Pack – July 2015


NARU HAZMAT-CBRNE Guidance – March 2014


Mutual Aid MOU – May 2015


NARU Annual Report 2013-14

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BBC Video – Specialist paramedic: “It could be anything, anytime, anywhere”

A dementia patient with chest pain, a man with prostate cancer, a feverish baby and an alcoholic who has hit his head… all patients attended by one paramedic in one day.

Workforce Race Equality to improve across Ambulance Services as AACE commits to WRES

All NHS ambulance trusts in England have made commitments to improving indicators that cover the number of BME staff in the workforce…

Scottish Ambulance commences trial of new response system

The Scottish Ambulance Service will now trial the new system aimed at prioritising life-threatening calls such as car crashes and cardiac arrest…