Useful Documents

Our publications

NARU publishes a range of training aids and operational publications that are used daily by thousands of ambulance staff

Use the left to right slider to view NARU-developed documentation. The table below that features a wider range of documents produced by our wider ambulance partners and stakeholders.

All Documents

AACE Annual Report 2022-23 – September 2023

Annual Report from the Association of Ambulance Chief Executives.

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Clinical Guidelines for Major Incidents & Mass Casualty Events v2 – NHS England, September 2020

Clinical guidelines for use in a trauma major incident or mass casualty event.

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Commander Assessment Tool – Operational Commander

NARU Commander Assessment Tool for Operational Commanders

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EPRR Guide Ambulance Commissioners – March 2013

Emergency preparedness, resilience and response – A guide for ambulance commissioners by The NHS Confederation

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Initial Operational Response (IOR) to Incidents Suspected to Involve Hazardous Substances or CBRN Materials – JESIP, June 2024, v 1.1 [PDF]

This new guidance, Initial Operational Response to Incidents Suspected to Involve Hazardous Substances or CBRN Materials (June 2024 v 1.1), recognises the majority of potential, or suspected CBRN incidents are not easily categorised at an early stage.

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Joining HART: Eligibility criteria for applicants – Jan 2011

Physical restrictions and other disqualifiers

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Major Incident Initial Action Cards v3 – January 2024

National Major Incident Action Cards.

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Management of Hazard Group 4 VHFs – Nov 2015

Management of Hazard Group 4 viral haemorrhagic fevers and similar human infectious diseases of high consequence.

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Mass Casualty Vehicle Information Pack – July 2015

Details of the contents of Mass Casualty Vehicles and any specific requirements for the host ambulance trust regarding checking and routine maintenance.

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NARU Annual Business Plan 2023-24 v4.0 – Jan 2024

Business Plan describing for all interested stakeholders, staff and the management team at NARU how we will continue to deliver and improve on our services

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Commander Assessment Tool – Tactical Commander

NARU Commander Assessment Tool for Tactical Commanders

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HART Team Leader Assessment Tool (July 2021)

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NARU Education Centre Command Strategic Assessment Tool

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National Ambulance Service Command & Control Guidance v5.0 – January 2024

Guidance to provide a structured process to assist in the Command & Control (not management) of the NHS response and recovery elements as part of the multi-agency partnership.

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Playing a Central Role in the Ambulance Services

A summary of the work of NARU and the vital role it now plays in improving resilience across the whole NHS ambulance service.

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Sample Person Specification: HART operative

A sample Trust person specification for a typical HART operative

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Sample Person Specification: HART team leader / supervisor

Sample Trust person specification for a typical HART team leader / supervisor

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Ten Second Triage (TST) – Non Clinical Responders: NARU / JESIP, v1.0, April 2023

Supplementary Information

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The Duty of Care for Ambulance Responders – April 2021

The moral, professional and legal obligations of the Duty of Care, and how it applies to Ambulance Clinicians and Commanders

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