COMBAT SERVICE SUPPORT

DEFENCE MEDICAL SERVICES DEPARTMENT (DMSD) & ARMY MEDICAL SERVICES

"Stop dying at once and when you get up, get your bloody hair cut".

Colonel AD Wintle to Trooper Cedric Mayes (Royal Dragoons) The patient lived for another 40 years

DEFENCE MEDICAL SERVICES DEPARTMENT (DMSD)

DMSD is the headquarters for the Defence Medical Services. The clinical director of the DMSD is the Surgeon General (SG). DMSD is a Joint Service organisation with personnel from all three services and MoD Civil Servants working together to ensure “Provision of strategic direction to the Defence Medical Services to ensure coherent delivery of all medical outputs".

Single Service Medical Care

The three armed forces maintain their own medical services that provide medical support worldwide in both peace and war.

Royal Naval Medical Service (RNMS)
Army Medical Services (AMS)
Royal Air Forces Medical Services (RAF MS)

Hospital Care

In the UK, hospital care is provided at Ministry of Defence Hospital Units (MDHU).

The Defence Medical Services Department (DMSD) has contracts with the NHS for provision of care in MDHUs, which are run as military units embedded within selected NHS hospitals. There are MDHUs at Derriford (Plymouth), Frimley Park (Aldershot), Northallerton (near Catterick), Peterborough and Portsmouth.

In addition, the Defence Medical Services runs a number of other units which include the Royal Centre for Defence Medicine (Birmingham) and the Defence Services Medical Rehabilitation Centre (Headley Court). There are also two military hospitals, one in Cyprus and the other in Gibraltar.

In Iraq the ‘Role 3’ Field Hospital at Shaibah provides medical support that includes primary surgery, an intensive care unit, medium and low dependency nursing care beds and diagnostic support, as well as emergency medical care.

Service personnel serving in Germany who require hospital care are treated in one of the five German Provider Hospitals.

ROYAL CENTRE FOR DEFENCE MEDICINE (RCDM)

The RCDM in Birmingham provides a centre for military personnel requiring specialised care, and incorporates a facility for the treatment of service personnel who have been evacuated from an overseas deployment area after becoming ill or wounded/injured. RCDM also acts as a centre for the training of Defence Medical Service personnel.

In operation since 2001 the RCDM operates on a contract between the DMSD and the University Hospitals Birmingham (UHB) NHS Trust.

The RCDM is a Joint Service establishment with medical personnel from all three of the armed services wearing their respective Naval, Army, or Air Force uniforms.

ARMY MEDICAL SERVICES

Medical support to members of the British Army is provided by the Army Medical Services which consists of the following Corps:

Royal Army Medical Corps
Queen Alexandra’s Royal Army Nursing Corps
Royal Army Dental Corps
Royal Army Veterinary Corps

In peace, the personnel of the RAMC are based at the various medical installations throughout the world or in field force units and they are responsible for the health of the Army.

On operations, the RAMC is responsible for the care of the sick and wounded, with the subsequent evacuation of the wounded to hospitals in the rear areas. This is achieved by the provision of Close Support Medical Regiments (to treat front line casualties), General Support Medical Regiments where more major procedures can be carried out some distance behind the front line, before evacuation to a Field Hospital where a full range of medical facilities is available.

Each Brigade has a medical squadron (from a Close Support Medical Regiment) allocated which is generally a regular unit (in some cases this may be a TA unit) that operates in direct support of the battle groups. These units are either armoured, airmobile or parachute trained. There are generally extra medical squadrons that provide support at the divisional level; once again these squadrons can be either regular or TA. These divisional squadrons provide medical support for the divisional troops and can act as manoeuvre units for the forward brigades when required.

All medical squadrons have medical sections that consist of a Medical Officer and eight Combat Medical Technicians. These sub units are located with the battle group or units being supported and they provide the necessary first line medical support. In addition, the field provides a dressing station where casualties are treated and may be resuscitated or stabilised before transfer to a field hospital. These units have the necessary integral ambulance support both armoured and wheeled, to transfer casualties from the first to second line medical units.

Field hospitals may be Regular or TA and all are 200 bed facilities with a maximum of eight surgical teams capable of carrying out life saving operations on some of the most difficult surgical cases. Since 1990 regular medical units have been deployed on operations either in the Persian Gulf, the Former Yugoslavia, Sierra Leone, Afghanistan and Iraq.

Casualty Evacuation (CASEVAC) is by ambulance, either armoured or wheeled and driven by RLC personnel, or by helicopter when such aircraft are available. A Chinook helicopter is capable of carrying 44 stretcher cases and a Puma can carry six stretcher cases and six sitting cases.

In early 2007 there were 5 x regular medical regiments and three field hospitals. The TA provides 12 x independent field hospitals, 2 x General Support Medical Regiments and 1 x Casualty Evacuation Regiment. The early 2007 personnel figure for the RAMC was 2,810 against a liability of 3,270.

The QARANC is an all nursing and totally professionally qualified Corps. Its male and female, officer and other rank personnel, provide the necessary qualified nursing support at all levels and cover a wide variety of nursing specialities. QARANC personnel can be found anywhere in the world where Army Medical Services are required.

During early 2007 the QARANC personnel total was approximately 840.

The RADC is a professional corps that in mid 2004 consisted of 395 officers and soldiers. The Corps fulfils the essential role of maintaining the dental health of the Army in peace and war, both at home and overseas. Qualified dentists and oral surgeons, hygienists, technicians and support ancillaries work in a wide variety of military units from static and mobile dental clinics to field medical units, military hospitals and dental laboratories.

During early 2007 the RADC personnel total was approximately 370.

THE ROYAL ARMY VETERINARY CORPS (RAVC)

The RAVC look after the many animals that the Army has on strength. Veterinary tasks in today's army are mainly directed towards guard or search dogs, and horses for ceremonial duties. Personnel total in early 2007 was 190.



SERVICE HEALTH PROFESSIONS

In mid 2006 totals for health professionals in the Defence Medical Services were as follows: