Topic outline

  • About us

    ALSG is a world leader influencing and providing innovative life saving training for everyone responding to medical emergencies and our mission is to save lives by providing training. Our core values reflect what is truly important to us as an organisation and are the underpinning of our culture. They guide our actions and inform the way we work and behave as an organisation.


    ALSG is a world leader influencing and providing innovative life saving training for everyone responding to medical emergencies.


    Saving lives by providing training.


    Our values are part of our DNA. They provide a framework in which guides the way we work and engage with our customers, stakeholders and with each other – they ultimately influence and shape our culture.


    Click on the photo to learn more about each of our Trustees



    Leadership team

    Click on the photo to learn more about each of our Leadership team


    • COVID-19


      We are following advice from PHE (Public Health England) and we continue to monitor current situations. We advise our course centres overseas to follow advice from their in-country equivalent or from the WHO guidance.

      We take our responsibilities to our staff and course attendees very seriously and will undertake a decision on a day-by-day basis to protect everyone’s health and prevent the spread of the virus.

      Contacting us

      Most of the ALSG team are gradually returning from furlough whereby some are working part-time.  For urgent matters, please email


      At ALSG, courses up to the end of July 2020 EXCEPT the APLS were postponed. Since September 2020, we have successfully run a number of remotely enhanced courses including ones where day one is delivered remotely via Zoom and includes lectures and case-based discussions. Day two is a modified face-to-face course with smaller groups helping us to be socially distanced and safe as possible.  We have also run others that are fully remote. Other course centres in the UK and overseas will liaise directly with their candidates and faculty about their position and approach.

      Following guidance from PHE we have postponed or adapted the delivery of courses at ALSG (as above) and advise other centres based in England to follow their Trust’s guidance, depending on local training needs and circumstances.  Centres in other countries are advised to take this action if prompted by their in-country or WHO guidance.  

      For courses at ALSG, candidates and faculty have been notified by text alert/email and informed of how they can transfer to a course at ALSG at a later date.  

      The following resources are available to support this approach:

      Many patients currently being assessed will be correctly eliciting the discriminator ‘Special risk of infection’ - ‘Known exposure to a dangerous pathogen, or travel to an area with an identified, current serious infectious risk’, which gives a FTF Now/Orange priority and a Presentation Priority Matrix disposition of ED.

      Clinicians are asked to remember that, as with all MTS assessments, the MTS priority and the management of a patient are two different things. The MTS priority is fixed based upon the discriminator elicited from your assessment, however the management of the patient is based on a number of factors:

      • your clinical judgement
      • patient age, medical and social history
      • availability of local services
      • current clinical guidelines/management in place for a particular patient group or presentation.

      With regards the current pandemic, there are clinical guidelines in place for the management of this patient group, and unless there are any other clinical risk factors which mean an immediate ED response is required, the clinical guidance should be followed, meaning that ED will more than likely not be appropriate for this group of patients.

      The Presentation Priority Matrix (PPM) has always been ‘guidance’ for clinicians. Your clinical judgement in determining the most appropriate management remains the same for all patients and all MTS/PPM outcomes.

      For more advice or support please contact your MTS instructor or email

      To download a pdf of this statement, click here

      ALSG fully supports the national guidance issued by the Government in relation to the management of all patients requiring resuscitation.  No health worker should become infected with COVID-19 as a consequence of caring for a patient.  Although data suggests that it is unlikely coronavirus infection will be the cause of cardiac arrest in children, it is known that they can have the infection without significant symptoms so in every emergency situation the patient should be assumed to have COVID-19 and full PPE be used by all responders BEFORE starting resuscitation.

      This advice also covers those working in the community setting.  We acknowledge that in children, rescue breaths and breathing support are essential and compression-only CPR may not be effective, however, it is crucial that health workers do not put themselves at increased risk when resuscitating a child.  The health worker may consider giving instructions to a parent/carer, who can deliver the rescue breaths, but they should do this taking into account their own safety by either wearing full PPE or by maintaining the recommended safe distance.

      Practice simulations are recommended within your own workplace to ensure your teams can perform at their best in these stressful situations.

      An adapted version of the Structured Approach to Paediatric Emergencies algorithm is available here.

      To download a pdf of this statement and to find additional resources, click here

      Most of the ALSG team are gradually returning from furlough whereby some are working part-time.  For urgent matters, please email We thank you for your support and ask that you bear with us at this time.

      ALSG recognises the difficulty of adhering to regulations associated with:
        • Recertification for both candidates and instructors
        • Course resits for candidates
      As at the 3rd February 2021, the deadlines for all have been extended:
        • Certificates due to expire by 31st December 2021 will be extended by 12 months

      • Content

        As we return to some sort of normality, many people will be returning to their offices for the first time in many months. This is a transitional time as we recalibrate the way we work, as COVID-19 has not gone away.

        Our employers will take care of the physical safety aspects such as only going in one way and exiting another, social distancing of desks, along with rigorous cleaning but how mentally prepared are we?

        Being mentally prepared for returning to work or the office after so long is a vital part of everyone’s role. As feelings of stress come from anxiety, we have some practical tips to help you be more prepared for the transition back to work or the office.

        • Being prepared can prevent pitfalls and reduce feelings of stress and this comes by preparing yourself for your daily tasks. This may be doing some research to understand what’s needed or speaking to a colleague, all of which helps reduce anxiety.
        • Never go to a staff meeting without having prepared in advance updates about a particular piece of work you’re undertaking and how you are going about it, what the timelines are and what the outcome is likely to be.
        • Another technique is to focus on your tasks, make a real commitment to that day and if need’s be, make a list of the things that need doing which’ll provide that focus.
        • Concentrating hard on your role not only helps to achieve a positive outcome but it diverts your mind by being fully absorbed.

        At the end of the day, it takes time to get back into the new pattern of being office based, but these tips will help you on a daily basis.

        It’s World Mental Health Day next month, a time when people reflect more on their mental status. Even if it’s just for one day, it helps to slow down and view the issues that may be affecting you more than you know.

        It’s also a day to become aware of others around you. Take time to think differently about that person who you pass who would normally say hello or smile in acknowledgement but doesn’t on this occasion. Is s/he occupied with something else, or perhaps just running late and is focused on that?

        Life’s incredibly busy for everyone and affects people differently. A person may just be too mentally occupied to acknowledge you as you pass so try to see things from the other person’s perspective.

        There are lots of useful tools to help individuals cope with just the everyday stresses, some of which are easily accessible such as just going out for a walk however brief, it helps you mentally.

        Creating a daily task list is another coping mechanism and helps garner all the outstanding issues into one place. By capturing it in a list, it makes a person feel better and in control or perhaps create an electronic list on your phone, as and when you remember something.

        World Mental Health Day is about being supportive and understanding to others, as well as being a bit introspective and reflecting on the things that may be adding to your stress levels and then make a plan for dealing productively with it.

        In a recent survey by LBC, the radio station, which through the Freedom of Information Act has discovered there is a greater shortfall of children receiving help for mental health issues to those that are fortunate to be able to receive some vital support.

        It is widely accepted that during this year long pandemic which on the 29th January 2020, saw the first death from COVID-19, that it has impacted all our lives in terms of travel restrictions, job losses, meeting up with friends and family or working from home which in turn has affected many people’s mental health.

        Mental health issues manifest in differing ways such as people feeling isolated and lonely or it may be that a person’s got a shorter temper which can be signs to look out for in your family and friends.

        Today is Time to Talk Day and so perhaps you’re feeling fine but have a think about those close to you and reach out to them. It could be as simple as a short text asking about how they’re feeling. You never know, maybe someone will send you a message or ring, as they may be thinking about you.

        It’s good to know someone’s there.

        Working at homeDuring this lockdown, it’s easy to become inactive and sit longer than you would ever normally do, some may even think there’s no point in getting dressed but inertia is no good for mind, the soul nor the body.

        But what to do? Well this is a real opportunity to tackle those things that when you’re working you simply don’t have the time nor in all likelihood, the energy to get stuck into, for example having a good clear out of all your filing and paper work.

        Who doesn’t have a dumping drawer or a space under the sink with lots of useless items that have never seen the light of day in years or has ever been used? Get your bin bags and load it all up.

        Getting up and getting ready to face the day is extremely important and getting fresh air too. A walk round the block or if you have a garden, tackle it. A lot of garden centres are doing online deliveries so have a look on the internet and if you don’t have a garden, then think about window boxes.

        Moving is so important for your body to help the blood circulate, to get your muscles moving and there’s a lot a person can do just at home. Start doing stretches on the floor and loosening up, if you feel fit enough, run up and down the stairs. If you live in a block of flats, use the stairs and not the elevator or jog on the spot in your living room to music.

        You could even create a daily workout but just get moving.

        Working at homeMost of us regularly work from home for say, one day per week, so we can cope and are used to that. However, in these unprecedented times, for a lot of us working from home is now five days a week, this certainly puts the onus on each of us to stay motivated and focused. Here are some tips which may help give you a steer:-

        Get dressed and avoid the temptation to work in your PJs. You’ll feel more motivated to work and where possible, create a work space which’ll mean it doesn’t feel like the rest of your house.

        Set yourselves daily targets and this’ll also help you to prioritise better. Having a list also gives you the satisfaction of ticking off your achievements which is very gratifying.

        You will have enhanced autonomy, this is wonderful opportunity for each of us to demonstrate we can be self-starters, as well as looking strategically at your role and how processes can be improved or cost savings made, or maybe identifying areas which are not being developed.

        It’s important to keep connected with your colleagues. Set up regular virtual meetings and allow time for a bit of chit-chat which helps keep connections between each of us.

        On a final note, just think that whilst your heating bill may increase a bit, you’ll be saving on fuel, wear and tear on your vehicle, and no lost time in your daily commute. There are some real positives.

      • Case Studies

        A selection of case studies from candidates who have attended ALSG Obstetric courses.


        Marijke Van Eerd tells us what it's like as an ALSG volunteer. Read more here

        Jamie was one of our Nightingale Award winners, he tells us here how he found the APLS course at ALSG in Manchester

        • News

          Following the announcement from Sir Simon Stevens that Emergency mental health patients to get help within hour under NHS England plan | Mental health | The Guardian,  the Manchester Triage System (MTS) is pleased to announce that new mental health charts for all Manchester Triage System tools will be launched in November 2021 by Advanced Life Support Group (ALSG). 

          An expert Delphi study was performed which identified 52 discriminator statements using the world renowned MTS reductive method.  It is intended for usage in emergency departments, ambulance services, out of hours and emergency care centres for patients displaying mental health crises. 

          The new mental health discriminators in the established triage tools are fully researched, providing an evidence-based approach in a flow chart process to help identify and pinpoint the needs of individual patients. 

          The updated triage tools will be available in November, ensuring that a robust triage process for mental health presentations is in place and provides a consistent and structured approach. 

          Sue Wieteska, CEO of ALSG said: “The extensive research and undertaking of a Delphi study ensures a robust and rigorous Triage tool for mental health will be in place by next month.  We are busy updating all the Manchester Triage system tools and training materials to ensure a consistent approach across the whole pathway of care.  We have every confidence that enhancing the mental health discriminators in the Manchester Triage System will support the safe prioritisation of patients presenting with a mental health crisis.” 

          For further information contact:

          Notes to Editor

          An expert Delphi study was performed which identified 52 consensus statements about the emergency department triage of patients in mental health crisis (Mackway-Jones AJ, Mackway-Jones KC; An Expert Delphi study to derive a tool for Mental Health triage in Emergency Departments. Emergency Medicine Journal 2020; 37:738-743).

          To see all COVID-19 statements, guidance and resources, click here

          Our Annual Report and Accounts for 2020 is now available. Please click here to view the report.

          Training for many clinicians has changed or stopped due to the pandemic however, Advanced Life Support Group (ALSG) has been working to ensure health care professionals dealing with children’s emergency care can access training by evolving the RCPCH endorsed APLS course to be delivered more online.

          The newly adapted remotely enhanced APLS course now includes an online training day which delivers remote lectures, skills demos and real life case-based discussions which are then presented and evaluated in online break-out rooms.

          The APLS course is three days. Day one consists of a series of online modules, which have always been part of the programme as they prepare a candidate ahead of their training. In addition to this, candidates are asked to watch a series of videos which are demonstrated in real time along with commentary, the skills they will practise on the face-to-face course.

          After which there is a full day online with lectures, polls and break-out sessions, followed by a third and final day which is face-to-face, but in small groups to allow for social distancing and gives candidates more practice time in a safe environment.

          Previously, APLS had two days face-to-face but by moving a day online, it has greatly reduced the need for physical contact, as well as making the course more accessible to candidates as it removes the need to attend one day in person whilst keeping education at the heart of the course.

          Sue Wieteska, CEO of ALSG said: “This has been something we’ve been devising for some time and which has proven to be prudent and the feedback from the faculty and candidates has been extremely positive. The development has involved many clinicians of whom there are too many to thank individually but their contribution has been enormous.

          With the course, it’s easier to get together online and host it in a virtual environment as well as of course, much safer in the current climate. We have many training centres both in the UK and across the rest of the globe and the new remotely enhanced APLS course will be simpler and safer to deliver.

          The RCPCH had already endorsed the traditional APLS course and it’s heartening that the College has endorsed this new format which assures candidates that high quality training is being delivered.”

          Stephanie Smith, Emergency Paediatric Consultant and Chair of the APLS working group who has led the development of the course said: “Education lies at the heart of this course, as clinicians must continue to progress their learning as well as their skills and the launch of APLS in this new format is an excellent step forward and one which will continue past the current pandemic.

          For further information, please contact Lise Bulloch on / Tel: 07795 593444

          (Click your browers back button when finished to return)

          Nursing and Triage Residential Tool minimising distress for residents and improving care An innovative Nursing and Triage Residential Tool (NaRT) which was initially run as a pilot in 2017 in two residential homes, has now been successfully rolled out to more than 263 homes across England and Northern Ireland.

           The tool was devised and predicated on the Manchester Triage System which this year celebrates more than 25 years and has been streamlined so non-clinical staff are able to follow a clear process which guides care workers as to the correct action to take.

          This has led to a significant reduction in 999 calls, as well as ambulances attending nursing homes, minimising the distress to the resident of having an unnecessary admission to hospital. 

          Such is the success of NaRT, North West Ambulance Service (NWAS), which undertook the pilot in tandem with ALSG, revealed that NWAS receives just over 1million calls per year, of which c.10% of the calls are from care homes and of those, approximately 30% are discharged at the scene. This equates to around 30,000 patients per year, where ambulance resources attended residential homes unnecessarily.

          One-fifth of Accident & Emergency patients are from the over 65 years and over, and care home residents in this age category, were seven times the admissions rate compared to England as a whole and of these, 40% of admissions from care homes were for conditions which potentially could be managed outside of a hospital setting or avoided completely. 

          Commenting on the NaRT system, Stephanie Allmark, Northwest Ambulance Services said: “Minor injuries and illnesses can be effectively managed, assessing and referring residents to a more appropriate pathway of care without the intervention of 999.

          “Without the use of the NaRT tool, 999 remains the first port of call for care homes however, staff know their own residents extremely well and NaRT gives them the confidence to follow an easy to use structured process, with clear steps as to whether an ambulance will be required. No diagnoses is needed, just a simple checklist has to be completed.

          “Of course we recognise that in order for NaRT to be introduced into a care home, it needs collaboration from all agencies, from the ambulance service, to urgent and primary care services, as well as the nursing and residential homes but the statistics are proving this is an effective tool.”

          Full training of NaRT is given and is now operational in 263 nursing and residential homes across England and Northern Ireland. (Capacity Tracker) Handy Infographic – press control and the mouse simultaneously Applying NaRT ENDS For further information contact: Lise Bulloch 0161 794 1999 

          [1] North West Ambulance Services -

          [1] Accident and Emergency Statistics: Demand, Performance and Pressure. BRIEFING PAPER Number 6964, 21 February 2017.

          • Vacancies

            As the complexity of patients presenting to hospital continues to increase, our Acute Medical Emergencies (MedicALS) course requires the skills and knowledge of specialty clinicians to continue to develop the programme. The course enables candidates to gain the training and experience required to confidently deal with the acutely unwell medical patient.

            We are seeking volunteers to join the MedicALS Working Group to help support the ongoing development of the course and its accompanying materials. If you would like to apply to join the group, please click here to apply.

            The Scottish (North-West Highland-based), international medical charity Maternal & Childhealth Advocacy International (known as MCAI) is looking for an experienced data analyst to help MCAI on a long-term basis with our important Monitoring and Evaluation work for our life-saving programs in Liberia, West Africa. For more information about MCAI and our work, please see

            For further information and role specification, please click here

            • Thought Leadership

              There have been various articles and social media comments about the ‘good, the bad and the ugly’ when working from home. It really comes down to each company or NHS organisation’s attitude as well as their individual approach to the practicalities. Click here for more...

              Sue Wieteska, CEO of Advanced Life Support Group (ALSG) comments on the recent announcement by the government to change pensions to be more flexible. 

              “With a lot of consultants leaving or reducing their hours due to the Tapered Annual Allowance which can affect their pension contributions and sees some facing increased tax bills, it is excellent news that the government has listened to the British Medical Association (BMA) who have been at the forefront of highlighting the issues.

              “The government is putting out a consultation paper which I welcome with open arms however, shouldn’t the whole health sector be reviewed and be included in this new flexible approach which is expected to be implemented? What about dentists? What about nurses and other medical professionals?

              “Easing rules is an excellent idea to keep people in the profession for as long as possible but surely it shouldn’t just be aimed at high earners only, and shouldn’t the government take a consistent approach?"

              Read the article here

              In Scotland Nicola Sturgeon announced last year at her party conference that student nurses would have a bursary of £8,100pa rising to £10,000 in 2020. Click here for the full article

              Sue Wieteska, CEO of Advanced Life Support Group, said:  

              “Scotland is taking an important step with this decision, as it is clear there’s a direct correlation between being supported with funding which is the case in Scotland for student nurses, and the rise in recruitment.   

              “Other Governments could learn this easy lesson if it recognises the need to increase nurses entering the profession, as well as the retention of staff, it must ensure a portion of funding is ring-fenced for training. 

              “At ALSG, an organisation which has been at the forefront of training doctors, nurses and other clinicians for now more than 25 years, I have anecdotal evidence that the profession simply doesn’t feel financially supported.   

              “This is by no means empirical evidence but it does gives a real insight into the monetary struggle nurses in particular find to revalidate.  Isn’t it time to literally ‘put your money where your mouth is’?”

              Sue Wieteska, CEO of Advanced Life Support Group (ALSG) commented on the news report from ITV News in research undertaken by NHS England and NHS Improvement. The findings has cited admissions to emergency hospitals are from residents in care homes. 

              Sue said: “The statistic of 41% suggests these admissions could be significantly reduced as some conditions don’t necessarily require hospital admission and care homes need support to achieve this.

              “Interestingly, ALSG and the Manchester Triage Group working with NWAS (North West Ambulance Services) has adapted its world recognised Manchester Triage Tool, to purposely fit and match requirements specific to care homes which is called Nursing and Triage Tool (NaRT).

              “Since NaRT’s implementation in more than 200 homes in the North West of England, we have seen significant reductions of transfers to EDs from care homes which is not only good news for hospitals relieving pressure on resources but great news for residents who prefer to remain in their own environment and familiar surroundings.” 

              Read the news report here

              Sue Wieteska, CEO for Advanced Life Support Group (ALSG) comments on the benefits of undertaking a research bursary.

              “Bursaries are imperative to the progression of a specific field and this is particularly vital to healthcare. Undertaking research delivers evidence and new strategies to clinical approaches whilst advancing specialty areas.

              Involving health care staff is also necessary in any research as this improves standards as well as engaging clinicians who have day-to-day experience and knowledge within the health sector and it would be imprudent to overlook their contribution.

              Launched in 2017, the ‘Mike Davis Bursary Fund’, marked the retirement of Mike as ALSG’s lead educator after a hugely successful 21 years in post.  In honour of Mike’s contribution to ALSG, we offer this special fund annually to give future ALSG instructors the opportunity to complete a GIC where they may not have the financial support to do so. For more information and to apply, click here."