Welcome to the North West Ambulance Service First Responders site


1,501 Areas...

...the separate areas of of support  provided to the Trust.

9,685 Hours...

... in total during a 12 month duration volunteered.

1,035 Volunteers...

...throughout the North West region.

About CFRs

Community First Responders (CFRs) are an integral part of patient care. They are volunteers, trained and dispatched to deal with emergencies prior to the arrival of an ambulance, able to provide early interventions in those crucial first minutes of an emergency.

Our CFRs operate across the whole of the North West in both rural and urban areas, and are a crucial part of the Chain of Survival. During the current COVID-19 pandemic, our CFRs have been undertaking and helping with a host of new duties in addition to responding to emergencies.

Different Types of CFRs...

There are two different types of CFRs volunteering in communities:

Community First Responders (CFR) are equipped with an AED, pocket mask, oxygen, hand held suction, tympanic/infrared thermometer, mechanical blood pressure, pulse oximetry and wound dressings.

Extended Community First Responders (ECFR) have additional equipment and are trained and assessed by NWAS clinical staff to check blood glucose levels and if required administer dextrose gel. They are also equipped with cervical collars and CAT tourniquets. For cardiac related chest pain they can administer 300mg aspirin. They can also administer Entonox if needed to control pain levels where appropriate.

COVID-19 Response and Update

During Covid-19, alterations have been made to the E/CFR role:

When attending a call E/CFR’s must don Level 2 PPE. E/CFRs must withdraw when paramedic crew arrive and become a runner to support.

E/CFRs should not be present while doing AGPs as they only have Level 2 PPE.

ECFRs currently cannot use OP airways or BVMs.

CFRs are currently unable to use pocket masks and no responder can use any suction device.