In the context of countries/national resuscitation councils (NRCs) /organisations running ERC courses, selfsufficiency
has meant having the authority to authorise such courses, to approve and/or to appoint course
organisers (COs), course directors (CDs), and instructors, and to monitor the quality of the courses that are run.
To date, there are no agreed, uniform criteria and regulations for granting self-sufficiency status.
At the request of the ERC Board, this discussion document seeks to suggest solutions.


Several NRCs already have self-sufficiency status. Where such status has been granted, this has been for specific
disciplines (e.g. BLS/AED provider; BLS/AED instructor; generic instructor), rather than necessarily for all courses.
There are a few non-NRC course centres which, by definition, are not subject to local quality control.

1. Self-sufficiency status should continue as at present for those NRCs who have been granted this, subject to

a current agreement with the ERC and to the monitoring criteria discussed below.

2. Self-sufficiency should continue to be granted separately for each specified course.

    3. Recognition of self-sufficiency for non-NRC course centres should, in principle, be discouraged. Any that
    are already self-sufficient for one or more discipline should be required to sign a Course Collaboration
    Agreement which should be valid for 2 years in the first instance.
    4. In the future, any non-NRC centre/organisation seeking new or additional self-sufficiency shall require
    specific approval from the Board on the advice of the Chairman of the appropriate ICC.
    5. Recognition of self-sufficiency for non-NRC course centres should cease as and when an NRC, that has an
    agreement with the ERC, is formed within the geographic area of activity of the course centre.


    For future applications for new or additional self-sufficiency status, criteria need to be agreed.
    See: Starting ERC courses Draft version 20.03.2008
    1. A country applying for self-sufficiency shall have an NRC with an Agreement (of cooperation and
    recognition) with the ERC.
    2. This agreement shall include recognition of ERC courses of specified disciplines, e.g. BLS/AED; ALS/ EPLS;
    etc., run in that country.
    3. The NRC shall make a separate application to the ERC for each discipline for which self-sufficiency is
    requested. This application shall contain the following information:
    (a) Name of the applicant and standing within the NRC
    (b) Discipline of course for which self-sufficiency is requested
    (c) List of course directors within the discipline with details of their Experience (see below)

    (d) List of course organisers and instructors within the discipline
    (e) List of courses of the discipline run within the previous 2 years
    (f) Evidence that all criteria for the grant of self-sufficiency have been met or, if any criterion has not
    been met, an explanation and argument to be considered by the appropriate ICC.
    NB: For c, d, and e the application may refer to the CMS if this is confirmed as accurate by the applicant.
    4. The NRC shall agree to recognise all ERC CDs and instructors of the specified disciplines from all other
    5. The NRC shall agree that a course or courses shall be inspected by representatives of the relevant ICC(s)
    every 3 years, or more frequently if there is evidence that agreed procedures are not being followed.
    6. These visits shall be at the expense of the NRC according to ERC travel regulations.
    7. The NRC shall accept such audit systems as put in place by the ERC, which may include further inspection


    It is important to agree what is meant by self-sufficiency in the context of running ERC courses.
    ‘Having the resources, expertise, and experience to run courses, and having demonstrated an ability and
    commitment to maintain the quality of training agreed with the ERC.’
    Using this draft definition, the criteria to determine if an NRC is ready to be self-sufficient in a given discipline can be


    These include human (sufficient qualified and available instructors), administrative (course organisers and CDs with
    proven ability and willingness to use the CMS), and material (suitable and adequate venues and equipment, such as
    manikins) for courses.
    Course Organisers should have successfully organised a minimum number of courses each year.
    The ERC guidelines for equipment and venue facilities should be followed, and feedback (from the Course Directors
    and/or from candidates) would be needed to ensure adherence to these guidelines.
    The NRC should accept the Course Organiser criteria of the ERC as minimum criteria and should assess each Course
    Organiser at least on a 2-year basis.

    Proposed criteria for self-sufficiency:
    1. Sufficient instructors: NRC to have run at least 4 courses in the previous year.
    2. Experienced Course Organisers: Each CO shall have organised at least 2 courses in the previous year.
    3. Confirmation that teaching venues have the recommended equipment.
    4. Certified copies of feedback forms from candidates covering venue resources.


    All ERC instructors used on courses within the jurisdiction of the NRC should be fully trained and have
    demonstrated their ability to teach. The CMS can provide information regarding the qualification and updating of
    instructors and there is already a system in place for monitoring upgrades.
    It is important that a system of recording and monitoring feedback from candidates is put in place. The ERC is happy
    to facilitate such tools.
    Proposed criteria for self-sufficiency:
    1. Details from the NRC of a system for audit of instructors on at least a 2-yearly basis.
    2. Certified copies of feedback forms from candidates to include comments on instructors.


    A sufficient number of (successful) courses should have been run by, or on behalf of the NRC to ensure that the CDs,
    COs, and instructors gain sufficient teaching experience.
    There are already rules in place to ensure that instructors teach on a minimum number of courses, or they revert to
    IP status.
    Proposed criteria for self-sufficiency:
    1. List of Full Instructors and ICs with details of teaching experience (may be obtained from EMS).
    2. Confirmation that each Full Instructor has fulfilled the minimum ERC requirement for number of courses


    This is likely to be difficult to define. Feedback from course participants is being developed via the CMS and such
    data may well be the most practical way of measuring quality.
    NRCs should be responsible (through their CDs) for ensuring that details of each course, the names of instructors,
    and feedback information from candidates are added to the CMS.
    NRCs should be prepared to assess the courses, using the Audit Tool as provided by the ERC, and should accept
    audits by the ERC.
    NRCs should be prepared and able to handle course-related appeals in accordance with the procedure detailed in
    the ERC Course Rules document.

    Proposed criteria for self-sufficiency:
    1. Certified copies of feedback forms from candidates to include comments on quality of courses.
    2. A visit by representatives from the appropriate ICC to one of more training venue to observe a course in
    3. Written agreement by the NRC of their ability and willingness to complete details in the CMS, audit courses,
    and handle course-related appeals.
    The Board is invited to accept these proposals and to agree that they be used, initially on a trial basis, with review
    after each of the first three self-sufficiency application.