Specialist access, clinical treatment and transport are different tasks; one vehicle does not automatically satisfy them all.
Plan HART as support for the whole account
HART demand appears in fire, mountain, railway, coastal and other incidents. A base should be positioned around the missions it needs to support, not just around routine ambulance calls. Before adding bases, inspect which new mission variants become possible and whether ordinary ambulance coverage can absorb the additional patient workload.
The official HART building FAQ lists a 400,000-credit base price, but its vehicle names and text are old. Use the current UK purchase screen to confirm present pricing and the precise vehicles and courses. In the guide’s operational examples, use the names shown on current mission pages: PRV, SRV, Operational Team Leader, ATV Carrier and Welfare Vehicle.
Two remote-care examples
The HART variant of Serious head injury (310, overlay a) requires one ATV Carrier. It is a one-patient incident, with 100% transport probability and 90% critical-care probability, and lists Neurosurgery as the patient specialisation. The ATV requirement is an access requirement; it is not evidence that the entire medical journey is complete.
The enhanced Cardiac Arrest on Hike variant (758, overlay a) calls for two Mountain Rescue-or-SAR 4x4s, one PRV, one SRV and one ATV Carrier. Its single patient has 100% transport probability and 50% critical-care probability, with PPCI listed. This makes a useful regional test because it involves both remote access and a distinct clinical destination requirement.
Recommended commissioning sequence
- Inspect representative HART-related incidents from every service you already run.
- Buy and staff the access and response resources required by those variants; confirm their qualifications in the current vehicle and academy screens.
- Provide ordinary transport and critical-care capability without stripping routine coverage.
- Check the receiving hospital options actually offered for the patient, including space and applicable specialisation.
- Test one specialist incident alongside an ordinary ambulance workload before activating more generators.
Aircraft are a dispatch decision
HEMS, a Coastguard Rescue Helicopter and police aviation have distinct jobs. An aircraft icon is not a universal substitute. Read the patient’s needs and the mission’s vehicle rows, then select a vehicle that the game accepts for that purpose. A helicopter that solves long travel does not automatically replace an explicitly requested specialist ground unit.
The official release log added an aircraft maximum-distance option on 15 October 2026. If an otherwise available aircraft disappears from your dispatch choices, inspect the aircraft distance setting as well as ordinary distance limits and availability. Do this before changing the fleet.
When judging expansion, include the whole unavailable period: attending, treating, transporting and returning to a useful position. A mission with few vehicle rows can still consume substantial medical capacity if transport or destination access is poor.
Sources and further reading
Latest editorial change: Added an answer-first summary, action checklist and related planning/reference link. Detailed source dates remain independent.
Official sources establish game rules; practical build orders and planning examples are TKB recommendations. Follow the UK game’s current requirement panel where a later update differs.