CORONAVIRUS:

During the current pandemic, JRCALC has suspended much of its normal work to enable members to focus on providing expert clinical care.

JRCALC remains available to support NASMeD in providing expert advice  to ambulance services. NHS ambulance services continue to monitor guidance and advice issued by NHS England, NICE and Public Health England to supplement existing JRCALC guidance.


JRCALC is best known for the production of clinical guidelines for UK paramedics, often referred to as just the ‘JRCALC guidelines’. The guidelines are produced by JRCALC for NHS ambulance service paramedics, on behalf of the Association of Ambulance Chief Executives (AACE). Working closely alongside the National Ambulance Service Medical Directors (NASMeD) who represent all UK Ambulance Services, JRCALC effectively fulfils the liaison role of its title.

The committee is comprised of experts ranging across the whole spectrum of medical disciplines, including paramedics, physicians, midwives, nurses, general practitioners, pharmacists, surgeons, obstetricians, pathologists and more. Members are nominated by their respective organisations /specialities /colleges and formally convene three times a year, with the majority of the guidance review and development transpiring between meetings. See the Committee page for a list of the current JRCALC representatives.

The guidelines continue to be produced by JRCALC through guideline development sub-groups. Each sub-group is made up of a multi-professional team with expert subject knowledge and pre-hospital experience and will be chaired by a JRCALC representative. For more information, see the Guidelines page.

The JRCALC iCPG and JRCALC Plus apps contain the complete and most current clinical guidance. These apps are regularly updated throughout the year and should be used to inform clinical decision making.

The production of guidelines involves a huge amount of goodwill from a wide range of professionals for which we are all very grateful. From the JRCALC representatives to the individuals that make up the various guideline development sub-groups, all time and knowledge is volunteered, without which the JRCALC guidelines would not be possible.

JRCALC receives no central funding or government support and consequently the committee are unable to host free access to the guidelines. The Intellectual Property Rights to the guidelines are held by AACE on behalf of the NHS ambulance services, and royalties from the publishing of guidelines are used to help support the functioning of JRCALC and the development of future guidance.