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 2019-2020

Annual Report from the Association of Ambulance Chief Executives.

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AACE Annual Report 2021-2022

Annual Report from the Association of Ambulance Chief Executives

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Ambulance Service Command & Control Guidance – July 2019

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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Ambulance Services and the Pandemic – Dec 2021

Review of the UK ambulance sector’s challenges and response during Covid in 2020-21 – AACE, Dec 2021

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Clinical Guidelines for Major Incidents & Mass Casualty Events – NHS England – Nov 2018

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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Ebola – Information for Ambulance Staff – Nov 2014

A selection of Ebola resources from NARU, NHS England, PHE, the WHO and HSE.

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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, Jan 2023 [PDF]

This new guidance, Initial Operational Response to Incidents Suspected to Involve Hazardous Substances or CBRN Materials (January 2023), recognises the majority of potential, or suspected CBRN incidents are not easily categorised at an early stage.

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Initial Operational Response (IOR) to Incidents Suspected to Involve Hazardous Substances or CBRN Materials – JESIP, Jan 2023 [PowerPoint]

PPT Presentation of JESIP IOR Guidance, Jan 2023.

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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 v2 – June 2021

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 2021-22 – July 2021

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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NARU Annual Business Plan 2022-23 – Oct 2022

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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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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NARU Clinical Update – September 2020

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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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NARU Motorway Incident Guide – Oct 2015

Guidance for Ambulance Service response to incidents on the Motorway Network (including Smart Motorways)

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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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