The new UK Ambulance Service Clinical Practice Guidelines 2006 are now available on the web at:
JRCALC Guidelines 2006
National Electronic Library for Health website
JRCALC Stakeholder website
Information on the guidelines including an order form for ordering hard copies
JRCALC Position Statement on Pre-hospital Thrombolysis Therapy (PDF)


The Joint Royal Colleges Ambulance Liaison Committee Guideline Development Group (JRCALC-GDG), chaired by Dr Simon Brown, develops and reviews national clinical practice guidelines for NHS paramedics although the principles are applicable to all prehospital clinicians.
The guidelines have evolved from locally-derived guidance (mainly developed using non-systematic approaches) to systematically-developed national clinical practice guidelines developed to universally agreed standards based on current best evidence. They are an important part of clinical risk management and ensure uniformity in the delivery of high quality patient care. As such they form the basis for UK paramedic training and education and are internationally renowned. The guidelines are reviewed on a five year cycle and are developed or updated, based on systematic reviews of the evidence and consensus agreement.

The GDG comprise over 100 members and represent all ambulance services in the UK; members also include representatives from the Royal Colleges, speciality experts, and stakeholders.

Access to the JRCALC clinical practice guidelines and other useful guideline related information is available from the links below.

Guideline related links:

See also: Guidelines history
Meetings held at Churchill House


Guidelines - Clarifications

Clinical practice guideline updates

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