This paper examines how a national risk register supports the implementation of disaster risk management practices at a local level. We present a case study of the UK's National Risk Register of Civil Emergencies and explore stakeholder understanding, views, perceptions, opinions, and application within the East of England. A semi-structured interview methodology was adopted for this paper with 14 key stakeholders from across the East of England interviewed. Thematic coding analysis was used to structure the results against a set of research questions. Interviewees were found to be largely unaware of the National Risk Register, and as such its usefulness as a risk management tool is limited. In particular, restricted local resources, limited understanding of risk, and a lack of actionable strategies were highlighted as barriers to action. Opportunities for capacity building at the local level, sharing best practice, and improved risk communication were all identified. The National Risk Register could be used to improve risk management at local levels but more engagement with it at a local level is required.