Anyone got a full UK setup

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    • Caolan753 wrote:

      Wow, i wish i had a setup like that, what is you maximum number of calls ? Also what do you use for your ems chief?
      I get 619 calls max. I do have some stations in the US though that obviously aren’t shown here however the vast majority are in the UK. As @KieranWood has said I use ambulance service IRO’s or other supervisor roles such as clinical team leader for the Ems Chief.
    • Caolan753 wrote:

      Would you say that the IROs or clinical team leaders would be Silver commanders? Or would they be gold ( Do gold commanders even go to the scene or do they just manage and run the scene from the central control room?)
      Hi, I'd recommend you use EMS chiefs as whatever your particular services has, for example my service (NWAS) doesn't have many but the ones they do have are unmarked. I know SECAMB use team leader vehicles and WMAS have Incident Officers. These vehicles are Bronze Command who provide the actual on scene command.

      I volunteer for St John Ambulance and we have whats called a Duty Officer, they will be sent to calls which have multiple resources on scene to co-ordinate better or may be tasked with managing a specific area for example we generally have one at our alcohol reception centres. We also then have different officers such as the Welfare Officer (incharge of child and adult welfare whether that be intoxicated people or something else), Treament Centre Manager, and then Tactical Commander (Silver Command) and Strategic Commander (Gold Commander), Tactical and Strategic are really seen doing the nitty gritty bits but are often hidden away in our command/control post and give commands specifically to the bronze commanders. Additionally, bronze commanders are assigned a district/area control e.g north, south, west, east.

      The NHS and Ambulance Services use a simmilar structure of Bronze, Silver and Gold command, also simmilar to that used by the police, fire and other emergency services.

      Bronze Command - The ones actually on scene organising and commanding things.

      Silver Command - Rarely seen in the field but can be, normally the highest ranking person on duty e.g an ambulance area manager/sector manager/consultant paramedic etc or in hospital the Director of Nursing, or other director etc. Can be deployed to the actual incident if required and if it's very large but generally stay in the emergency operations centre or wherever based in hospital.

      Gold Command - These will never go to the actual incident because their role is much bigger than just managing the incident, there role is to manage the active incident and everything it affects. Having a terrorist attack and needing 30 ambulances for it doesn't just mean others will stop dying, therefor the Gold Commander has to coordinate the overall continued safe and stable delivery of service whilst still attending to the major incident. They often do this by drafting in additional resources whether that be external organisations e.g St John Ambulance, British Red Cross, bringing in units from other areas to cover that area or getting off duty staff. In hospital gold command is the NHS itself who will not just be coordinating one hospitals response to a major incident but multiple, as in the event of a major incident casualties will be distributed across multiple hospitals with the most serious going to the MTC (Major Trauma Centre). The NHS trust or NHS England will be the gold commander.


      Hope this helped :)


      Also, this is no where near a full UK setup but I am close to completing Merseyside. I have 11 police stations, 14 ambulances stations, and 23 fire stations, I also have some stations in Warrington/Runcorn/Widnes which is North Cheshire. I plan on expanding into Greater Manchester once I am fully finished with Merseyside.
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    • Charlieaa wrote:

      Caolan753 wrote:

      Would you say that the IROs or clinical team leaders would be Silver commanders? Or would they be gold ( Do gold commanders even go to the scene or do they just manage and run the scene from the central control room?)
      Hi, I'd recommend you use EMS chiefs as whatever your particular services has, for example my service (NWAS) doesn't have many but the ones they do have are unmarked. I know SECAMB use team leader vehicles and WMAS have Incident Officers. These vehicles are Bronze Command who provide the actual on scene command.
      I volunteer for St John Ambulance and we have whats called a Duty Officer, they will be sent to calls which have multiple resources on scene to co-ordinate better or may be tasked with managing a specific area for example we generally have one at our alcohol reception centres. We also then have different officers such as the Welfare Officer (incharge of child and adult welfare whether that be intoxicated people or something else), Treament Centre Manager, and then Tactical Commander (Silver Command) and Strategic Commander (Gold Commander), Tactical and Strategic are really seen doing the nitty gritty bits but are often hidden away in our command/control post and give commands specifically to the bronze commanders. Additionally, bronze commanders are assigned a district/area control e.g north, south, west, east.

      The NHS and Ambulance Services use a simmilar structure of Bronze, Silver and Gold command, also simmilar to that used by the police, fire and other emergency services.

      Bronze Command - The ones actually on scene organising and commanding things.

      Silver Command - Rarely seen in the field but can be, normally the highest ranking person on duty e.g an ambulance area manager/sector manager/consultant paramedic etc or in hospital the Director of Nursing, or other director etc. Can be deployed to the actual incident if required and if it's very large but generally stay in the emergency operations centre or wherever based in hospital.

      Gold Command - These will never go to the actual incident because their role is much bigger than just managing the incident, there role is to manage the active incident and everything it affects. Having a terrorist attack and needing 30 ambulances for it doesn't just mean others will stop dying, therefor the Gold Commander has to coordinate the overall continued safe and stable delivery of service whilst still attending to the major incident. They often do this by drafting in additional resources whether that be external organisations e.g St John Ambulance, British Red Cross, bringing in units from other areas to cover that area or getting off duty staff. In hospital gold command is the NHS itself who will not just be coordinating one hospitals response to a major incident but multiple, as in the event of a major incident casualties will be distributed across multiple hospitals with the most serious going to the MTC (Major Trauma Centre). The NHS trust or NHS England will be the gold commander.


      Hope this helped :)


      Also, this is no where near a full UK setup but I am close to completing Merseyside. I have 11 police stations, 14 ambulances stations, and 23 fire stations, I also have some stations in Warrington/Runcorn/Widnes which is North Cheshire. I plan on expanding into Greater Manchester once I am fully finished with Merseyside.

      Thanks for that overview of the roles of the different level of commanders.


      All my units are based in the north west so I will take some advice from what you said above and rename my units to accommodate the real life equivalents.
      This is my North West setup
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    • New

      @TACRfan dont we already have a thread for this somewere. as id like to share my lancashire/GM and IOM set ups. but cant find the thread. Thanks. (found it)
      set up thread

      @Caolan753 i have full set ups for the Lancs/GM/IOM fire services, i have also limited ambulance and Police stations dotted around the areas also.
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