MERIT Doctor North West Ambulance Service NHS Trust

Location: North West England (regional on call requirement)

The Medical Emergency Response Incident Team (MERIT) provides senior medical advisory support to the Ambulance Service during major, critical, and complex incidents. This is a strategic and operational advisory role, not a frontline intervention post. MERIT Doctors support command decision making by providing expert medico legal and clinical advice to Tactical and Operational Commanders, ensuring safe, effective and coordinated casualty management across the system.

You will contribute to high level decision making in dynamic, high risk environments, supporting the wider multi agency response in line with national doctrine (e.g. JESIP and NHS ECU guidance).

• Provide on call medical advisory support (24/7 rota) to NWAS command structures
• Undertake roles including:
  • Tactical Medical Advisor (TMA)
  • Operational Medical Advisor (OMA)
  • Casualty Clearing Station Medical Lead (CCSML)
• Advise on:
  • Triage strategies (e.g. TST, MITT)
  • Casualty management and flow
  • Use of specialist clinical resources (e.g. HEMS, BASICS, SORT)
  • Clinical risk, ethics and medico legal considerations
• Support multi agency interoperability in line with JESIP principles
• Maintain clear documentation, communication and escalation within command structures
• Contribute to post incident learning, debriefs and system improvement

This advert closes on Friday 8 May 2026