Hazardous area response team

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The Hazardous Area Response Team (HART) is a capability of the NHS ambulance services in England and Wales devoted to providing paramedic and enhanced medical care to patients in the "hot zone" of hazardous environments. [1] [2]

Contents

Capabilities

HART is deployed to various hazardous, complex or prolonged incidents. The national capabilities include:

All HART teams within the ambulance services of England & Wales have the same capabilities. [4] allowing interoperable activities at large scale incidents or planned events such as the Olympic Games or UN 2021 United Nations Climate Change Conference (CoP26). The Northern Ireland team has additional capabilities covering mountain rescue taskings.

Each HART unit consist of emergency medical personnel, primarily paramedics, who have undergone specialised training at the National Ambulance Resilience Unit (NARU) Education Centre [5] in the use of safety critical procedures, skills, vehicles and equipment. Their specialised equipment includes personal protective equipment (such as breathing apparatus, hazmat suits, and safe work at height equipment, and flotation devices and for working in water.

Origins

The HART capability originated from a 2004 report on the feasibility of paramedics working in the hot zone or inner cordon of major incidents. [6] and the programme was established following the 2005 London Bombings. [7] HART forms part of the health response in support of the National Capabilities Programme being led by the Home Office, which aims to ensure that fewer lives would be risked or lost in the event of a terrorist-related attack or accidental CBRN incident [3] as part of the government and emergency services' "Model Response" plans. [8]

Notable deployments

Fleet

The first generation HART fleet consisted of Iveco Daily, Land Rover Discovery and Volvo XC70 response vehicles, now decommissioned, with a separate Iveco primemover carrying a Polaris 6x6 ATV.

The second generation HART fleet consists of the following vehicles supplied by WAS. [9] [10]

The operational fleet is supported by 2x Crew Carriers (Mercedes Sprinter converted by Wilker)

Operational areas

HART is operational in every NHS ambulance service in the United Kingdom, although In Scotland they are referred to as the Special Operations Response Team.

Ambulance ServiceBaseGeneral Location
East of England Ambulance Service [13] MelbournCambridge
East of England Ambulance Service [13] Great NotleyBraintree/Stansted
East Midlands Ambulance Service [14] MansfieldDerby/Sheffield/Bradford
London Ambulance Service [15] Cody RoadEast London
London Ambulance Service [15] IsleworthWest London
North East Ambulance Service [16] MonktonNewcastle
North West Ambulance Service [17] Ashburton PointManchester
North West Ambulance Service [17] CroxtethLiverpool
Northern Ireland Ambulance Service LissueLisburn
Scottish Ambulance Service Aberdeen

Edinburgh

Glasgow

Dundee

Inverness

Dumfries

Regional
South Central Ambulance Service [18] EastleighSouthampton
South East Coast Ambulance Service [19] GatwickGatwick
South East Coast Ambulance Service [19] AshfordKent/Channel Tunnel
South Western Ambulance Service [20] FiltonBristol
South Western Ambulance Service [20] ExeterDevon
Yorkshire Ambulance Service [21] Manor MillLeeds
West Midlands Ambulance Service [22] OldburyBirmingham
Welsh Ambulance Service [23] BryncethinSwansea/Cardiff

Similar capabilities exist within the Isle of Man Ambulance Service.

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References

  1. ↑ "HART". National Ambulance Resilience Unit. Archived from the original on 26 April 2021. Retrieved 25 April 2021.
  2. ↑ Bryan, Nicola. "Meet Hart: Wales' specialist major incidents ambulance team". BBC News. Retrieved 23 January 2025.
  3. 1 2 "Welcome to SWASFT - Accident and Emergency". Archived from the original on 2 November 2020. Retrieved 6 November 2020.
  4. ↑ "About HART". Archived from the original on 27 January 2010. Retrieved 5 April 2010.
  5. ↑ "Education & Training". Archived from the original on 27 December 2021. Retrieved 27 December 2021.
  6. ↑ Leivesley, Sally (Winter 2003–2004). "Bank Station Chemical Attack Simulation Exercise: Issues for Emergency Planners and Local Authorities". Alert: 4–6. Archived from the original on 4 March 2016. Retrieved 1 December 2013.
  7. ↑ "How to become a HART paramedic: Hannah's story". Archived from the original on 27 December 2021. Retrieved 27 December 2021.
  8. ↑ "The Home Office's Response to Terrorist Attacks" (PDF). February 2010. Archived (PDF) from the original on 26 January 2022. Retrieved 26 February 2022.
  9. ↑ "Home - Wietmarscher Ambulanz- und Sonderfahrzeug GMBH". Archived from the original on 26 February 2022. Retrieved 26 February 2022.
  10. ↑ "New HART Vehicles arrive in Yorkshire". NARU. 23 September 2016. Archived from the original on 25 April 2021. Retrieved 25 April 2021.
  11. ↑ "Archived copy". Archived from the original on 26 February 2022. Retrieved 26 February 2022.{{cite web}}: CS1 maint: archived copy as title (link)
  12. ↑ "Bevan Group teams up with WAS UK to ensure rapid deployments of". Archived from the original on 26 February 2022. Retrieved 26 February 2022.
  13. 1 2 "Hazardous Area Response Team". eastamb.nhs.uk. East of England Ambulance Service. Archived from the original on 29 August 2020. Retrieved 6 November 2020.
  14. ↑ "HART". emas.nhs.uk. East Midlands Ambulance Service. Archived from the original on 21 November 2020. Retrieved 6 November 2020.
  15. 1 2 "Hazardous area response team". londonambulance.nhs.uk. London Ambulance Service. September 2017. Archived from the original on 2 December 2020. Retrieved 6 November 2020.
  16. ↑ "Hazardous Area Response Team". neas.nhs.uk. North East Ambulance Service. Archived from the original on 16 May 2021. Retrieved 6 November 2020.
  17. 1 2 "Handling major incidents". nwas.nhs.uk. North West Ambulance Service. Archived from the original on 30 November 2020. Retrieved 6 November 2020.
  18. ↑ "Resilience and Specialist Operations". scas.nhs.uk. South Central Ambulance Service. 23 December 2015. Archived from the original on 10 November 2020. Retrieved 6 November 2020.
  19. 1 2 "Our Locations". secamb.nhs.uk. South East Coast Ambulance Service. Archived from the original on 10 November 2020. Retrieved 6 November 2020.
  20. 1 2 "Hazardous Area Response Team". swast.nhs.uk. South Western Ambulance Service. Archived from the original on 2 November 2020. Retrieved 6 November 2020.
  21. ↑ "Ambulance service responses". yas.nhs.uk. Yorkshire Ambulance Service. Archived from the original on 22 October 2020. Retrieved 6 November 2020.
  22. ↑ "Emergency Preparedness". wmas.nhs.uk. West Midlands Ambulance Service. 6 August 2019. Archived from the original on 24 November 2020. Retrieved 6 November 2020.
  23. ↑ "Emergency Preparedness, Resilience and Response". ambulance.wales.nhs.uk. Welsh Ambulance Service . Retrieved 6 November 2020.
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