The Hazardous Area Response Team (HART) is a capability of the NHS ambulance services in the United Kingdom devoted to providing paramedic and enhanced medical care to patients in the "hot zone" of hazardous environments. [1]
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. [3] 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 [4] 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.
The HART capability originated from a 2004 report on the feasibility of paramedics working in the hot zone or inner cordon of major incidents. [5] and the programme was established following the 2005 London Bombings. [6] 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 [2] as part of the government and emergency services' "Model Response" plans. [7]
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. [8] [9]
The operational fleet is supported by 2x Crew Carriers (Mercedes Sprinter converted by Wilker)
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.
Similar capabilities exist within the Isle of Man Ambulance Service.
A paramedic is a healthcare professional trained in the medical model, whose main role has historically been to respond to emergency calls for medical help outside of a hospital. Paramedics work as part of the emergency medical services (EMS), most often in ambulances. They also have roles in emergency medicine, primary care, transfer medicine and remote/offshore medicine. The scope of practice of a paramedic varies between countries, but generally includes autonomous decision making around the emergency care of patients.
The Great North Air Ambulance Service (GNAAS) is a registered charity and air ambulance based in the United Kingdom. It operates a dedicated helicopter emergency service for the North of England with three aircraft. It serves North Yorkshire, the North-East, Cumbria, the Scottish borders and the Isle of Man.
London's Air Ambulance Charity is a registered charity that operates a helicopter emergency medical service (HEMS) dedicated to responding to serious trauma emergencies in and around London. Using a helicopter from 08:00 to sunset and rapid response vehicles by night, the service performs advanced medical interventions at the scene of the incident in life-threatening, time-critical situations.
The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response.
NSW Ambulance, previously the Ambulance Service of NSW, is an agency of NSW Health and the statutory provider of pre-hospital emergency care and ambulance services in the state of New South Wales, Australia.
The Scottish Ambulance Service is part of NHS Scotland, which serves all of Scotland's population. The Scottish Ambulance Service is governed by a special health board and is funded directly by the Health and Social Care Directorates of the Scottish Government.
St John Ambulance is a charitable non-governmental organisation dedicated to the teaching and practice of first aid and the support of the national emergency response system in England. Along with St John Ambulance Cymru, St John Ambulance Northern Ireland, and St John Scotland, it is one of four United Kingdom affiliates of the international St John Ambulance movement.
The South Western Ambulance Service NHS Foundation Trust (SWASFT) is the organisation responsible for providing ambulance services for the National Health Service (NHS) across South West England. It serves the council areas of Bath and North East Somerset, Bournemouth, Christchurch and Poole Council, Bristol, Cornwall, Devon, Dorset, Gloucestershire, North Somerset, Plymouth, Isles of Scilly, Somerset, South Gloucestershire, Swindon, Torbay and Wiltshire.
Yorkshire Ambulance Service NHS Trust (YAS) is the NHS ambulance service covering most of Yorkshire in England. It is one of ten NHS Ambulance Trusts providing England with emergency medical services as part of the National Health Service it receives direct government funding for its role.
The South Central Ambulance Service NHS Foundation Trust (SCAS) is the ambulance service for the counties of Berkshire, Buckinghamshire, Oxfordshire and most of Hampshire. It is a foundation trust of the National Health Service, and one of ten NHS ambulance trusts in England. As of August 2022, SCAS is currently rated Inadequate by the CQC following multiple failings within the trust. SCAS is the only Ambulance Service in England to have received this rating.
The East of England Ambulance Service NHS Trust (EEAST) is an NHS trust responsible for providing National Health Service (NHS) ambulance services in the counties of Bedfordshire, Cambridgeshire, Essex, Hertfordshire, Norfolk and Suffolk, in the East of England region. These consist of approximately 6.2 million people across an area of 7,500 square miles (19,000 km2).
The Great Western Ambulance Service NHS Trust (GWAS) was a National Health Service (NHS) trust which provided emergency and non-emergency patient transport services to Bath and North East Somerset, Bristol, Gloucestershire, North Somerset, Swindon and Wiltshire, in South West England. It was formed on 1 April 2006 by the merger of the Avon, Gloucestershire and Wiltshire ambulance services. The ambulance service was acquired by neighbouring Foundation Trust South Western Ambulance Service (SWASFT) on 1 February 2013.
The North East Ambulance Service NHS Foundation Trust (NEAS) is an NHS foundation trust responsible for providing NHS ambulance services in North East England. Headquartered in Newcastle upon Tyne, NEAS provides emergency medical services to the metropolitan boroughs of Newcastle upon Tyne, Gateshead, North Tyneside, South Tyneside and City of Sunderland; the ceremonial counties of County Durham and Northumberland; and the area of North Yorkshire commonly known as Teesside. NEAS was formed on 1 July 2006, following the merger of the existing North East Ambulance Service with the Tees division of the Tees, East and North Yorkshire Ambulance Service (TENYAS). Northumbria Ambulance Service and County Durham Ambulance Service had previously merged on 1 April 1999.
The West Midlands Ambulance Service University NHS Foundation Trust (WMAS UNHSFT) is responsible for providing NHS ambulance services within the West Midlands region of England. It is one of ten ambulance trusts providing England with emergency medical services, and is part of the National Health Service.
The Dorset and Somerset Air Ambulance is a registered charity, which uses a helicopter to provide an air ambulance service to the English counties of Dorset and Somerset. The air ambulance came into service in March 2000, following the success of similar schemes, such as Devon Air Ambulance and Cornwall Air Ambulance. The air ambulance headquarters are at Wellington in Somerset, but the helicopter is based at Henstridge Airfield in Somerset.
Emergency medical services in the United Kingdom provide emergency care to people with acute illness or injury and are predominantly provided free at the point of use by the four National Health Services (NHS) of England, Scotland, Wales, and Northern Ireland. Emergency care including ambulance and emergency department treatment is only free to UK residents and a charge may be made to those not entitled to free NHS care.
Emergency medical personnel in the United Kingdom are people engaged in the provision of emergency medical services. This includes paramedics, emergency medical technicians and emergency care assistants. 'Paramedic' is a protected title, strictly regulated by the Health and Care Professions Council, although there is tendency for the public to use this term when referring to any member of ambulance staff.
The National Ambulance Service is the statutory public ambulance service in Ireland. The service is operated by the National Hospitals Office of the Health Service Executive, the Irish national healthcare authority.
The British Association for Immediate Care Scotland is an organisation involved with prehospital care. It has the aims of providing encouragement and aid with the formation of immediate care schemes and to provide training to support those working in prehospital care. It shares its origins with the British Association for Immediate Care (BASICS), which has UK wide coverage. In 1993, the British Association for Immediate Care began running prehospital care courses in Scotland, which were met with a warm welcome and it became clear there was a large audience for such education, especially in remote and rural areas of Scotland. This need for training and organisational leadership became clearer after the 1994 Scotland RAF Chinook crash on the Mull of Kintyre. This led to the training provided by BASICS to be modified for a more rural setting, and to the development of BASICS Scotland as a separate organisation in 2002.
Tom Lynch had the idea for the first London Ambulance Cycle Response Unit (CRU), with the aim of providing emergency response by bicycle in areas which would be difficult or impossible to get to in a traditional ambulance.
{{cite web}}
: CS1 maint: archived copy as title (link)