JRCALC Clinical Practice Guidelines

The Joint Royal Colleges Ambulance Liaison Committee guidelines are the essential resource for paramedics, although the principles are also applicable to the work of all pre-hospital clinicians.

These JRCALC guidelines are an important part of clinical risk management and ensure uniformity in the delivery of high-quality patient care. As such, they form the basis for UK paramedic training and education.

JRCALC combines expert advice with practical guidance to help paramedics in their challenging roles and supports them in providing patient care. The guidelines cover an extensive range of topics, from resuscitation, medical emergencies, trauma, obstetrics and medicines, to major incidents and staff wellbeing.


The JRCALC iCPG and JRCALC Plus apps contain the complete and most current clinical guidance, with the guidelines being regularly updated throughout the year to ensure information remains up-to-date with the latest evidence and developments in clinical practice.

As such, the JRCALC apps have become the defining source for clinical guidance for UK paramedics and should be used to inform clinical decision making.

It is also possible to access the JRCALC apps via web versions.
For the JRCALC iCPG app click here.
For the
JRCALC Plus app, click here.


Printed Reference and Pocket Book versions

In May 2021, the JRCALC Clinical Guidelines 2021 Pocket Book was published, following previous pocket-book editions in 2019, 2017, 2016, and 2013.

The most recent reference edition of the JRCALC clinical guidelines was published in 2019. Following a three-year cycle, it is likely that the next reference edition will be published in 2022.


How to order

If you work for a UK NHS Ambulance Service, you may be eligible for a JRCALC Plus account through your trust’s subscription.

Please enquire with your employer or contact apps@class.co.uk via your NHS email address.


  • To order to the JRCALC Clinical Guidelines 2021 Pocket Book, click here.
  • To order to the JRCALC Clinical Guidelines 2019, click here.
  • For Ambulance Care Essentials, click here.
  • For Ambulance Care Practice, click here.
  • For First Responder Essentials, click here.

More details about obtaining the electronic versions are available here.

Class Professional Publishing support the publication of the JRCALC clinical guidelines and manage subscriptions to the JRCALC apps. If you have any further queries about the JRCALC apps, please contact the Customer Support team at Class Professional Publishing on 01278 427800 or apps@class.co.uk.


secamb-trainee-paramedic-paperwork1Self Learning CPD tools are also available

ParaPass is the perfect way to test your knowledge of the guidelines and will count towards your CPD Portfolio.

It provides a dynamic, accessible and affordable learning platform for ambulance staff that is evidence-based, contextualised and in a question style that is in keeping with the challenges that arise in practice.

Get more details here.


Ongoing Updates to the Guidelines

The publishers, Class Professional Publishing, will continue to provide additional updates to the 2019 Guidelines here.

Archived additional updates to the 2016 Guidelines are here, while archives to the previous 2013 edition are here.

Guidelines Feedback

Class Professional Publishing also welcome feedback to the current edition, in order to provide the most up to date guidance.


Questions and Answers

We are pleased to receive questions relating to the JRCALC Guidelines, and will endeavour to answer your question promptly having consulted with JRCALC experts as necessary. For more information click here.


** View the latest videos from the JRCALC 2021 Study Day here **


** Watch the JRCALC September 2021 App Updates here **


Further information?
If you have any further queries about the Guidelines, you can contact Cathryn James or Steve Irving at the AACE.