Interoperable Capabilities


NARU is responsible for the national coordination of the following Ambulance Service capabilities:

  • Hazardous Area Response Teams (HART)
    • Incident Unit Response to Hazardous Materials
    • Safe Working at Height (part of USAR)
    • Confined Space (part of USAR)
    • Inland and Swift Water Rescue (IWO)
    • Tactical Medicine Operations (TMO)
  •  Marauding Terrorist Firearms Attack (MTFA)
  • Chemical Biological Radiological and Nuclear (CBRN) Capabilities
  • Mass Casualty Capabilities

These are highly specialist capabilities that operate at both the local and national level to provide NHS care to patients caught in complex or high-risk incidents.  NARU ensures the capabilities remain consistent and interoperable at the national level so specialist resources can be combined in response to large-scale incidents.

On behalf of NHS England, NARU also works closely with NHS Commissioners to ensure these capabilities are accurately specified and efficiently funded.  As these capabilities involve safety critical systems to protect both staff and patients, NARU also maintains and develops the mandatory safe system of work applicable when these units are in an interoperable configuration.

For further information on the interoperability and safe system standards, visit the Compliance & Assurance section.