The role and management of community first responders

Findings from a national survey of ambulance services in England

In January 2007, we began an investigation into Staffordshire Ambulance Service NHS Trust, following a number of concerns that were brought to our attention - one concerning the management by the trust of community first responders (CFRs).

CFRs are volunteers who respond to emergency calls within their local community. They respond to immediately life-threatening calls, usually in a rural area or one that is difficult for ambulances to reach within the current target time of eight minutes. They are not a substitute for professional paramedics and technicians, but they augment the ambulance service’s response.

As we began to look at the role of CFRs, we realised that there was very limited information on them. We therefore decided to undertake a national survey of the use of CFRs in all NHS ambulance services in England in order to gain an understanding of the number of CFRs and CFR schemes, the range of care they provide, and their developing role. We also wanted to understand the management structures surrounding them and the governance framework within ambulance services that supports them.

This survey shows that CFRs are used widely, with the main benefits being their contribution to helping ambulance services meet the national target for category A calls, and improving outcomes for patients.

However, the development of this valuable service requires the NHS to ensure that it is properly managed, supported and audited by those responsible for providing emergency services in England.  There is also a need for national guidance for ambulance services, to ensure that a more consistent approach is taken in the management, governance and development of CFRs.

The report reflects the findings of the survey and provides a snapshot of services provided by CFRs and practices that were in place during April 2007.  It also provides detailed findings from the survey (report published December 2007).

The role and management of community first responders (pdf 617kb) (opens new window)

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