Nick Spence is the Standards Manager for the National Ambulance Resilience Unit (NARU) which works nationally on behalf of each NHS Ambulance Trust in England to provide a coordinated approach to complex or major incidents.

This includes NHS Ambulance Command & Control, Hazardous Area Response Teams (HART), Mass Casualties response and the Special Operations Response Teams (SORT) who provide a CBRN clinical decontamination and a Marauding Terrorist Firearms Attack capability.

Employed within the ambulance service since 1994, he is a paramedic who has held a wide range of operational and management roles within HART, Air Operations and Emergency Planning, Response & Resilience.

In addition, he has previously worked for the UN WHO program to deliver CBRN training to Syrian healthcare professionals and has spent many years as part of an international USAR response team where he attended disasters around the world such as earthquakes.

As part of the NARU national on-call cadre, he was actively involved in coordination of national resources to support the NHS ambulance response to the 2018 Salisbury incidents.