Each Responder volunteer member takes it in turn to be 'on call" 　They carry basic first aid equipment and an automated external defibrillator (AED). The ambulance service controller sends them to Category A (immediately life-threatening) medical calls; they are despatched at the same time as an ambulance and crew.

East Neuk First Responders covers the area Known as the East Neuk of Fife. Roughly between Crail and Elie along the Coast and inland to Arncroach.

Anyone who lives in the area can gets involved with East Neuk First Responders, wether it's to be a volunteer Responder , or to help with other vital tasks such as fundraising, training or administration. Volunteers do not need first aid experience to join their local unit, as full training will be provided.