JRCALC guidelines have evolved from many locally-derived protocols to systematically-developed national clinical practice guidelines based on current best evidence.

The JRCALC Guideline Development Group (JRCALC-GDG), led by Dr Simon Brown, have over the years been responsible for developing and reviewing the national clinical practice guidelines for NHS paramedics. Although written for NHS paramedics the content and principles may well be applicable to other pre-hospital clinicians.

The guidelines are now reviewed and updated on a rolling basis. Due to the rapidly developing evidence base and the emerging technological options for publication, the guidelines are developed, updated and made available in a variety of format options (see History & Previous Versions for more information).

Working closely with the National Ambulance Service Medical Directors (NASMeD), guideline development sub-groups will develop specific guidelines that conform to the AGREE II standard.
Read the Standard for Guidelines Development here.


Forthcoming Updates and Ongoing Guideline Development

Although the JRCLAC committee lead on the writing and development of guidelines a lot of work is delivered by guideline development sub-roups, dedicated to each topic or review.  The development sub-groups receive invaluable support from the Library and Knowledge Service for NHS Ambulance Services (LKS ASE).

Since the JRCALC Clinical Guidelines 2019 reference book was published, a considerable amount of work has been delivered to keep guidance up to date. For more detail on the issued updates to guidance since 2019, click here. 

Currently, JRCALC are developing new guidance on the following topics:

  • Hanging
  • Non-traumatic back pain
  • Steroid-dependent patients

These, along with updates to a variety of existing guidelines – including vascular emergencies, treatment of asthma, maternities and others – will keep experts busy through 2021.

In 2022, JRCALC expect to be publish a new print edition of the guidelines containing all the updates since 2019 along with a variety of new content.


Guidelines – related links:

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