The Central Management Team

Keith has over 36 years experience with the NHS Ambulance Service commencing his career as a cadet in 1981 with Greater Manchester Ambulance Service.  More recently he has been Director of Operations at West Midlands, Yorkshire, and Welsh Ambulance Services leading each of those services to high levels of emergency response performance whilst delivering real changes in service delivery for the benefit of patients. In 2011 Keith returned to West Midlands Ambulance Service NHS FT as Director of the National Ambulance Resilience Unit (NARU).

Keith leads NARU in its liaison with Government, NHS England, NHS Ambulance Trusts and stakeholders ensuring effective governance through the development and maintenance of an organisational strategy, an annual work plan and regular progress reports to stakeholders and commissioners. Under his leadership NARU has grown to become widely recognised as the leading organisation for national Ambulance Service emergency preparedness, resilience and response.

Keith is a HCPC registered Paramedic, a strategic level Commander and holds an MSc in management. Keith is married and has two daughters. In his spare time he is a committee member, team manager, coach and player with his local Charter Standard Community Football Club.

Keith was awarded the Queen’s Ambulance Medal in the 2021 New Year Honours list.

Head of Operations
Christian has extensive strategic management experience in the NHS, holding dual qualifications in clinical and legal practice.  As NARU’s Head of Operations he is responsible for maintaining the effectiveness of several specialist capabilities throughout England.  His portfolio includes standards, operations, planning and improvement.

Before joining the NHS he worked as News Editor for the Guardian Media Group.  He subsequently became a Broadcast Producer with placements in South Africa, New York and Los Angeles.  Christian joined the NHS in 1999 and spent 10 years delivering emergency care as an Ambulance Paramedic in Bristol becoming First Response Manager and then Divisional Commander.

He went on to develop his NHS management and commissioning experience working as Resilience Manager for the South West Strategic Health Authority.  He has successfully delivered a range a capital projects including a £5 million construction and the implementation of new NHS service lines, including the introduction of Hazardous Area Response Teams for which he received a Commendation.  He has managed NHS resources during a number of major incidents and in 2015 he was seconded by NHS England to support the Cross-Government Ebola Programme.

Christian is a national subject matter expert on emergency preparedness and ambulance operations.  He was recently instructed to act as national ambulance expert to the Manchester Arena Public Inquiry.   He has also undertaken extensive research into the legal duty of care for emergency responders and lectures on several national courses for the emergency services.

He lives in the Cotswolds with this wife and their two sons.  Christian also serves his local community as a Magistrate sitting on the Wiltshire Bench.

Head of Education
David is responsible for the NARU team that design and deliver a range of EPRR related educational modules, courses and exercises. David holds a plethora of academic qualifications in both education and disaster management and strives to ensure that the patient is the focus of every course. Building on his EPRR role in SECAmb, David was seconded to the Police National CBRN Centre with responsibility for the development of competency based multi-agency command training.

Key achievements include developing and implementing the National training and education for Hazardous Area Response Teams and planning national live exercises. David has developed and maintained close links with other service EPRR colleges and has established excellent International links, always sharing best practice and benchmarking NARU courses.  The Education Centre has won various awards and now holds the Skills for Health Quality Mark as a recognised NHS Education provider.

In 2013 David was decorated with the Queen’s Ambulance Medal for Distinguished Service and in 2014 David was the only Ambulance finalist in the Health Service Journal Rising Stars Category. Being a national role David spends many nights of the week away from home and he is grateful for the support of his family. Off duty David is keen on military history and is both Chairman and Parade Marshal for a branch of the Royal British Legion, which reflect on his 14 years military service.

(Medical Advisor)



CMT Co-Opted Members

Carl is the Joint Emergency Services Interoperability Programme (JESIP) Lead for NARU and Deputy Senior Responsible Officer for the programme.  He joined JESIP in August 2012 from the North West Ambulance Service where he was the Head of Resilience Development with specific interest in command education and training.  He was previously responsible for the JESIP training work stream which saw over 10,000 commanders trained in a year. Carl joined the Greater Manchester Ambulance Service NHS Trust in 1994, latterly the North West Ambulance Service NHS Trust.

Since qualifying as a Paramedic in 1995 Carl has held a number of management positions providing a broad range of operational and corporate experience.  To underpin his drive for continued professional development he was instrumental in the development and introduction of the National Occupational Standards for Ambulance Commanders.  In 2011 Carl authored the first ever approved National Ambulance Command and Control Guidance.

Carl has been involved with numerous major incidents at the Operational, Tactical and Strategic Command levels and he has managed many aspects of service delivery in Greater Manchester, including the development, enhancement and management of non-standard response capabilities including Rapid Response Vehicles, Cycle Responders and the response to Major Incidents.  Carl attained a Master’s Degree in Management from Manchester Metropolitan University Business School in 2009.

Research and Evaluation Advisor to CMT
Tony is a chartered occupational psychologist registered with the Health Care Professions Council and managing director of Zeal Solutions Limited, a company specialising in the application of psychology to the world of work. Tony has a doctorate from the University of Nottingham, holds an honorary research position at the University College of London and is an associate fellow of the British Psychological Society.

As both an applied practitioner and active researcher, Tony is passionate about psychology and its role in delivering individual and organisational effectiveness.  Tony’s particular areas of interest include health and well-being at work, leadership and management behaviour as well as the importance of individual and collective confidence.

Tony also spends a great deal of time working alongside numerous NHS organisations, including all Ambulance Services, helping them to collect, review and use evidence to create and sustain healthy and productive workplaces. He has been involved in various national projects associated with improving health and well-being in healthcare settings working with groups such as the Department of Health, NHS Employers and the Health and Safety Executive (HSE).

NARU Personnel and Contacts