The provision of pre-hospital services in northern rural areas can be challenging and problems exist due to long distances, isolation and sparse population. Thus, there is a need for a collaboration between actors in this field, in order to look for a model of “best practice” in northern rural areas concerning access, vehicles, transport, distances, safety, use of technical equipments, competence and skills, economics, cost effectiveness etc. There are also possibilities for enhanced cooperation with primary health care and emergency units in hospitals in order to optimise transport solution and logistics in rural areas. Through this transnational cooperation, the project will focus on the different solutions that exist in the various rural areas in participating countries. The ATSRuAr project will connect people with expert knowledge and experience related to ambulance transport, logistics and transport infrastructure. More specifically, the project aims to bring together experiences and analysis of the logistics of ambulance transport and access to non-scheduled care in rural areas of the NP, and by doing so develop products and competencies as a base for “best practice” solutions in rural areas. Each of the partners has unique experience in this field, which will result in an excellent prospect for positive change for the end users i.e. the patients, rural health care organisations, as well as the Emergency Medical Service.