MAI-107 Response Accepted AI-assessed

Ensure immediate HART resource deployment

Recommendation

The Department of Health and Social Care and the National Ambulance Resilience Unit should develop procedures to ensure that, so far as possible, each ambulance service trust is able to deploy or call upon HART resources immediately in the event of a Major Incident. As part of that, the Department of Health and Social Care and the National Ambulance Resilience Unit should develop procedures to ensure that, so far as possible, each ambulance service trust can call upon cross-border support in respect of HART resources immediately in the event of a Major Incident. There may be some incidents that are so significant that an individual ambulance service will need to mobilise its own HART resources and also draw upon cross-border support. Procedures need to accommodate this.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to gov.uk progress, 2026-02-27, NHS Core Standards for emergency preparedness, resilience, and response (EPRR) require each ambulance service to ensure four Hazardous Area Response Team (HART) personnel are available or mobilised for immediate deployment. According to JESIP, 2024-04-01, the JESIP Joint Doctrine was updated in April 2024 to improve interoperability and extend emphasis to frontline responders. According to the Cabinet Office, 2025-11-14, the government published a formal dashboard tracking all MAI recommendations in November 2025.
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, mainquiry.dac.grid.civilservice.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
Jurisdiction
UK-wide
Response
Accepted
Accepted UK Government
03 Nov 2022

The Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to implement improvements. The response committed to reviewing interoperability arrangements between emergency services and strengthening joint training and exercising protocols for major incidents.

Read Full Response
Progress Timeline
Official Report
27 Feb 2026

As part of the NHS Core Standards for emergency preparedness resilience and response (EPRR) each ambulance service is required to have the following in place in relation to Hazardous Area Response Teams (HART) deployment: * Four HART personnel must be available or released and mobilised to respond locally to any incident identified as potentially requiring HART capabilities within 15 minutes of the call being accepted by the provider. * Once a HART capability is confirmed as being required at the scene (with a corresponding safe system of work) organisations must ensure that six HART personnel are released and available to respond to scene within 10 minutes of that confirmation. The six includes the four already mobilised. * Organisations must ensure that their 'on duty' HART personnel and specialist vehicles and equipment to maintain a 30-minute notice to move to anywhere in the United Kingdom following a mutual aid request endorsed by NHS England or National Ambulance Response Unit. Procedures are developed and implemented and are monitored as part of the NHS Core Standards self-assessment assurance process. Hazardous Area Response Teams (HART) resources can be deployed and respond as per the recommendation.

Official Report
14 Nov 2025

As part of the NHS Core Standards for emergency preparedness resilience and response (EPRR) each ambulance service is required to have the following in place in relation to Hazardous Area Response Teams (HART) deployment: * Four HART personnel must be available or released and mobilised to respond locally to any incident identified as potentially requiring HART capabilities within 15 minutes of the call being accepted by the provider. * Once a HART capability is confirmed as being required at the scene (with a corresponding safe system of work) organisations must ensure that six HART personnel are released and available to respond to scene within 10 minutes of that confirmation. The six includes the four already mobilised. * Organisations must ensure that their 'on duty' HART personnel and specialist vehicles and equipment to maintain a 30-minute notice to move to anywhere in the United Kingdom following a mutual aid request endorsed by NHS England or National Ambulance Response Unit. Procedures are developed and implemented and are monitored as part of the NHS Core Standards self-assessment assurance process. Hazardous Area Response Teams (HART) resources can be deployed and respond as per the recommendation.

Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Reasonable Progress
14 Nov 2025
Cabinet Office Other

Government published formal Manchester Arena Inquiry recommendations dashboard on GOV.UK (14 November 2025) tracking all 149 recommendations with implementation progress updates.

Manchester Arena Inquiry recommendations dashboar… View Source
Reasonable Progress
03 Apr 2025
UK Parliament legislation

Terrorism (Protection of Premises) Act 2025 received Royal Assent 3 April 2025. Creates two tiers: Standard Duty (200-799 capacity) and Enhanced Duty (800+). SIA will be regulator. Not yet in force -- at least 24 months before enforcement (expected April 2027).

Terrorism (Protection of Premises) Act 2025 View Source
Good Progress
01 Apr 2024
JESIP Other

JESIP Joint Doctrine updated to v3.1 (April 2024) following inquiry findings on interoperability failures. Operation Plato reformed to cover all terrorist attack types, not just firearms. Emphasis extended beyond command-level to frontline responders.

JESIP Joint Doctrine Version 3.1, April 2024 View Source
Reasonable Progress
05 Jun 2023
National Police Chiefs Council Other

NPCC, Counter Terrorism Policing and College of Policing provided comprehensive updates to Sir John Saunders demonstrating "continued drive to improve collective response to terrorist incidents."

View detailed findings

Representatives working with UK Intelligence Community to address closed Volume Three recommendations. Cross-government monitoring ongoing.

NPCC Monitored Recommendation Hearings Update View Source
Source
Report Manchester Arena Inquiry: Volume 2: Emergency Response 03 Nov 2022
Responsible Bodies
National Ambulance Resilience Unit Primary
Department of Health and Social Care
Recommendation age 3.4 yrs
Last formal update 27 Feb 2026