Annual Business Plan

Ensuring an effective and consistent ambulance response

Improving clinical outcomes during high-risk or complex emergencies

NARU works nationally on behalf of each NHS Ambulance Trust in England to provide a coordinated approach to emergency preparedness, resilience and response. Through central coordination, NARU enables NHS Ambulance Trusts to work together to provide a safe and reliable response to major, complex and potentially protracted incidents.

Our strategic aim is to support the NHS Ambulance Service to maintain an effective and consistent response to high-risk or complex emergencies, improving clinical outcomes.

Our latest (2023-24) Annual Business Plan contains all the details on our key deliverables.

Our Strategic Objectives are:


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


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

Education & Training

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. 


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

Click below see a short film about NARU:

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