National Ambulance Service Command and Control …

1 National Ambulance Service Command and Control GuidanceMarch 2019 version Ambulance SERVICENHS Ambulance SERVICE2 NARU DOCUMENT INFORMATION TABLEFull TitleVersionDocument TypeCMT Approval DateImplementation DateSuperseded DocumentsRelated Documentsor Cross ReferencesCirculationAction RequiredLead NARU ContactDocument ProtectionSummary ofAmendmentsNational Ambulance Service Command and Control March 2019 Security Marking Not markedNational GuidanceNARU March 2019 Publication Date 1st April 20191st April 2019 Review Date January 2022 National Ambulance Service Command and Control Guidancev October 2015 NHS England EPRR Framework (2015) HM Government (2005): Emergency Preparedness: Guidance on Pert 1 of the Civil Contingencies Act 2004 NARU / NHSE Standards for NHS Ambulance Service Command & Control (2018) NARU National Ambulance Service Major Incident Action Cards NARU (2017) National Provisions of Interoperable Capabilities NARU National Ambulance Service CBRNE/HAZMAT Guidance NARU National Ambulance Coordination Plan (2017) v NARU Recognised Command Courses (2018) Cabinet Office.

2 National Resilience Standards (2018) v Chief Executives Directors of Operations Emergency Planning Leads NHS England National and Regional Heads of EPRR HART and Special Operations Managers NARU On call cadreFor of Compliance & QualityThis is a controlled document. Whilst this document may beprinted, the electronic version published on the NARU website(or held securely on the NARU server if protectively marked)remains the controlled copy. Any printed copies of thisdocument are not controlled. As a controlled document, thisdocument should not be saved onto local or network drivesbut should be accessed from the internet whenever the event that NARU also publishes hard / paper copies ofthe document, the controlled or live document remains theonline version which may be subject to change or the online status of the document via the NARU websiteat regular intervals.

3 All documents containing the officialNARU badge are protected through standard English copyrightlaw provisions and in accordance with the terms of the NHSE ngland NARU Contract. Review of 2015 National Ambulance Service Command and Control Guidance Please see Update Table for any updates within this the up to date version of this document is available viathe Proclus Ambulance Service Command and Control GuidanceVersion Ambulance Service Command and Control GuidanceVersion Ambulance SERVICEN ational Ambulance Service Command and Control TABLEPAGES REMOVED AND REPLACED:NAME/SIGN:NHS Ambulance Ambulance Service Command and Control GuidanceVersion guidance is designed to provide astructured approach to managing majoror complex incidents for the AmbulanceService, with a particular focus onmulti-agency responses.

4 It is recognisedthat each organisation has specific needs and considerations to ensure thattheir incident response and businesscontinuity arrangements are addressedthrough appropriate plans. This guidance should provideassurances to our multi agencypartners of our commitment to learnfrom lessons of previous incidents andevents and to ensure that the NHSA mbulance Service Providers remain anessential element of the civil protectioncapabilities across England. The development of this Guidance has considered lessons identified from recent majorincidents and event responses across England, the UK and wider global events in additionto the updated practice among our Police and Fire and Rescue Service aim of the Guidance is to assist the Ambulance Commander in taking appropriate andconsistent considerations to inform decision making, based on sound risk management inmaking consistent and informed decisions based on the information available at the is important to recognise and thankthe individuals who contributed to thedevelopment of this Guidance.

5 It willundoubtedly provide further support andprotection to staff enabling them todeliver the best possible care and serviceto the public. This Guidance has beendeveloped in conjunction with andcontributions from Northern Ireland,Scottish and Welsh Ambulance Scottish Ambulance Service endorsesthis publication but recognises that thereare local differences which need to betaken into account in the context ofNHS Scotland. I commend this Guidance for adoption byyour Service and believe it will furtherstrengthen the resilience arrangementsthat exist within the Ambulance Service . FOREWORDA nthony C. MarshChief Executive Officer, West Midlands Ambulance Service University NHS Foundation TrustChairman, Association of Ambulance Chief Executives (AACE)

6 National Ambulance Chief Executive Lead for Emergency Preparedness5 National Ambulance Service Command and Control GuidanceVersion 6 Scope 6 Legal Requirements 7 to Command 8 Ambulance Service Responsibilities 8 Interoperability 9 Leadership 11 Human Factors 11 Business Continuity Management 12 and Control 13 Integrated Emergency Management(IEM)

7 13 Decision Making 15 The Command and Control Structure 17 Strategic Commander 18 Tactical Commander 18 Operational Commander 20 Span of Control 21 Functional Roles 24 Record Keeping and Logging 24 Management 26 Ambulance Service Strategy 26 Tactical Options 27 Risk Identification and Management 28 Operations and Resource Management 30 Communications Interoperability 31 Command Briefing 32 Information Sharing 32 Post Incident Procedures 34 and Training 35 National Occupational Standards(NOS)

8 35 Ambulance Commanders Continual Professional Development 35 ANNEX 1 Strategic Commander: Command and Control Roles,Performance Criteria andResponsibilities 41 ANNEX 2 Tactical Commander: Command and Control Roles,Performance Criteria andResponsibilities 42 ANNEX 3 Operational Commander: Command and Control Roles.

9 Performance Criteria andResponsibilities 44 ANNEX 4 Functional and Additional Support Roles45 ANNEX 5 Ambulance Service Strategy 47 ANNEX 6 Command Tabards 49 ANNEX 7 Ambulance Service Personal ProtectiveEquipment Capabilities 51 ANNEX 8 Model Command Structure 52 ANNEX 9 NOS CPD Evidence Record 54 ANNEX 10 Tactical Plan Template 55 ANNEX 11 Casualty Management Plan 59 ANNEX 12 Standards for NHS

10 Ambulance ServiceCommand & Control 61 Glossary and Bibliography 62 Contents NHS Ambulance Ambulance Service Command and Control GuidanceVersion Ambulance services of theNational Health Service (NHS) dealon a day to day basis with thousandsof diverse incidents, many of whichare resolved without th