Request a place Operational / On Scene Command

Course Details

  • Course duration: 4 days
  • Course category: Command, Resilience, TCC1
  • Start/finish time: Start time: 08:15hrs
    Finish time for final day: 17:30hrs (approximately)

The operational response to a Major Incident is recognised as being extremely complex and challenging.

This course provides a common standard Command training and education aligned to the Ambulance Commanders National Occupational Standards (NOS), Ambulance Service Command standards as well as the Joint Emergency Services Interoperability Principles (JESIP) Joint Doctrine: The Interoperability Framework and National Ambulance Service Command and Control Guidance document (2019-2023)

This course is now competency based (Pass or Fail) and delegates will be formally assessed throughout the duration of the four days.

This is not a refresher course.  Once this course has been completed it is your responsibility to maintain a portfolio to show Continued Professional Development (CPD).

It is essential the Pre-course assignment (please see pre-course material tab) is emailed to the course lead, this can be no later than 72 hrs prior to the course start.  Throughout the course there will be daily knowledge checks to monitor your progress.

Course overview

Course Aim

The course will be formally assessed by Exam on day four which is pass or fail and a post course assignment.  The content is aligned to National Occupational Standards (NOS) EPRR Minimum Standards





Work in co-operation with other organisations



Share information with other organisations



Manage information to support civil protection decision making



Anticipate and assess the risk of emergencies



Conduct debriefing after an emergency, exercise or other activity



Warn, inform and advise community in the event of emergencies



Respond to emergencies at the operational level



Lead meetings



Take effective decisions



Address the needs of individuals during the initial response to emergencies


For many the course will act as an introduction to the National Ambulance Commander NOS.

The course aims to equip delegates with the required knowledge, understanding and awareness of supporting agencies in order to perform the role of Operational Commander at an incident. The skills taught on this course can be utilized at any major incident.

Course Programme contents

  • Role and responsibility of NHS Ambulance services at Major incidents
  • National Ambulance Service Command and Control Guidance Document review
  • Decision Making
  • Threat and Radicalisation
  • Log writing
  • Legislation: How the adversarial and inquisitorial systems work, Procedures, order and roles in events, Correct recording, collation and presentation of supporting evidence
  • The capabilities of HART
  • Flood management
  • Clinical aspects of CBRN
  • Post incident Procedures
  • Ambulance Command CPD

Intended Learning Outcomes

On completion of the course delegates will:

  • Have a background understanding to CBRN
  • Have a working knowledge of the Initial Operational Response (IOR)
  • Have an understanding of ambulance response capabilities.
  • Be able to demonstrate knowledge of command and control arrangements as per reference guidance.
  • Have an understanding of partner agencies roles and responsibilities.
  • Be able to demonstrate competency in decision making in response to major incident.
  • Be aware of the importance of robust record keeping.
  • Have experienced a mock court scenario aimed at preparing them for giving evidence at a public inquiry.

Intended Audience

This course is open to anyone who is an Operational Commander in their current role, or those looking for development into this role.


Eligibility Criteria

This course is targeted at Ambulance staff that, as part of their daily duties, may be required to perform the role of Operational Commander at scene of a major or other incident or those looking to develop into this role.

This is not a refresher course.  Once this course has been completed it is your responsibility to maintain a portfolio to show Continued Professional Development (CPD).


Clare Langshaw – WALES                   Steven Moore – EEAS

Joe Barrett – NWAS                              Neil Kirk – YAS

Jason Hallahan – LAS                          Keith Sharpe – EMAS

Graeme Few – SCAS                             Darren Claydon – IOW

Stu Holliday – NEAS                            Matthew England – SECAMB

James Williams – WMAS                    Mark Corlett – IOM

Dave Welbourne – Guernsey – Jersey

Methods of Delivery

Blend of presentations, immersive exercises, group discussions and sessions with External Subject Matter Experts.

If you have any additional education needs which may impact on your learning please ensure the course lead is made aware prior to your attendance.  You can also contact

Dress Code

The dress code for the course is normal Trust uniform.  This must consist of a collared shirt or polo shirt.

Course Location

PLEASE NOTE THAT THE following  OPCOM COURSES will be located at the Stones Hotel and NOT at the NARU Education Centre

Highpost, Salisbury, Wiltshire SP4 6AT

Contact number: 01722 782020

13-16 May 2024, 10-13 June 2024

17-20 June 2024 – This course will be held at NARU, address and further details regarding security etc is below

NARU Education Centre
Defence CBRN Centre
Thorneydown Road
Winterbourne Gunner
Wiltshire SP4 0ES

Photo identification is required for access to DCBRNC.  Please ensure you arrive with enough time to complete the security process, this may take an additional 15 minutes or up to 1 hour during busy periods.  May we suggest that you visit the site the day before (anytime as it is open 24hrs) to get your photo security pass and allow quicker entry on the morning of your course.

View map and directions here.


Please note that NARU no longer arrange your accommodation for this course.  Please contact your trust to confirm your accommodation requirement.

Lunch is provided for the course, please ensure your NARU Education profile is up to date so we may capture any dietary alerts.

There is a café, cash bar on site.

Pre-read Downloads

The pre-course assignment must be completed and returned to at least 72 hours prior to attending the course. This is a mandatory requirement.  If you need any advice or assistance, please contact Andy.

Any delegate found submitting another person work as their own will be referred to their Line Manager and NARU Head of Education. This could result in disciplinary.

You must ensure that you are familiar with the Joint Emergency Services Interoperability Principles (JESIP) Joint Doctrine: Interoperability Framework document.

Please watch the Major Incident film and the individual chapters – Initial Response, M/Ethane, JDM, IIMARCH, Debrief  (Click on link below and then scroll down page)

Also watch the IED Awareness video, which can be found on the NARU Education Website – E-learning or click on the link below.

There will be assessments on each day of this course so your understanding of the above document is essential.

Request a place on this course today

Course dates coming soon.