Our Structure

Strength through our people

NARU is a lean, effective organisation committed to delivering results on behalf of the NHS

The NARU service is constituted under a contract between NHS England and a host ambulance trust, currently West Midlands Ambulance Service University NHS Foundation Trust (WMAS). 

The Chief Executive of the current host ambulance trust is also the National Strategic Advisor of Ambulance Services.

NARU’s Business Plan, including its strategic objectives and key deliverables, are agreed with NHS England as part of the contract mandate. NHS England monitor the NARU service and its outputs via a Steering Group and a Contract Management Group. These groups meet quarterly and monthly throughout the year.

The host Trust ‘administrates’ NARU and oversees performance of its obligations under the contract, including administration of NARU’s finances on behalf of NHS England and facilitating various procurement processes. The host Trust also facilitates the secondment or fixed term contracts used to employ NARU staff. These administration functions are managed through monthly meetings of the NARU Delivery Board.

The day-to-day management of NARU, including its agreed work programme, is managed by the NARU Central Management Team (CMT), Chaired by the NARU Director.


The Heads of NARU’s four main departments make up the NARU Central Management Team, with each department aligned to our strategic objectives.

Departments and Strategic Objectives – 2021/22

Corporate Department:

Provide a well governed, patient focused, service that offers value for money and is delivered through a motivated workforce.

Operations Department:

Maintain the nationally interoperable capabilities ensuring they remain safe and operationally effective.

Education & Training Department:

Increase Ambulance Service preparedness for dealing with major and complex emergencies through the provision of high-quality training and education aligned to the national risk register and current doctrine.

Clinical Department:

Ensure all NARU activity remains patient focused and promotes the best patient outcomes.


Last year saw a significant restructure of NARU, driven by the new NARU contract requirements and the extensive challenges faced over the previous 12 months.  The main feature of the new structure is the development of the new Operations Department, which will improve the alignment of our resources to delivery our key outputs.  This will serve to improve our organisational efficiency and put us in a better position to continue our high-quality service and meet future challenges.