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Putting Role 1 first: the Role 1 capability review.

T J Hodgetts1, S Findlay

  • 1HQ Allied Rapid Reaction Corps, Army Role 1 Champion, Innsworth, Gloucester. timothy.hodgetts793@mod.uk

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This study quantifies risks in Role 1 Land Environment healthcare, identifying critical gaps in training and infrastructure. Recommendations focus on improving medical personnel experience and operational preparedness for enhanced future capabilities.

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Area of Science:

  • Military Medicine
  • Operational Health
  • Medical Capabilities

Background:

  • Role 1 care in the Land Environment is critical from point of wounding to hospital admission.
  • Current operational demands necessitate a thorough risk assessment of existing Role 1 capabilities.
  • Systematic improvements are needed to enhance future military medical readiness.

Purpose of the Study:

  • To quantify the risks associated with delivering Role 1 care in the current land operational environment.
  • To identify capability gaps and benchmark UK Role 1 medical support against US and Danish forces.
  • To establish conditions for systematic changes to improve future Role 1 healthcare provision.

Main Methods:

  • Questionnaire studies with UK, US, and Danish Army Role 1 Subject Matter Experts (SMEs).
  • Semi-structured interviews with UK SMEs.
  • In-theatre evaluation of deployed Role 1 medical units.
  • Cross-Defence Lines of Development analysis.

Main Results:

  • 32 SMEs (68% response rate) completed questionnaires, including medical officers, nurses, and support staff.
  • Analysis integrated training experiences (HFT, MST), deployment cycles, SME consultations, and documentary evidence.
  • Identified specific capability gaps and areas for improvement in Role 1 healthcare delivery.

Conclusions:

  • 77 recommendations and 38 sub-recommendations were generated to address identified weaknesses.
  • Key issues include balancing instructor-to-trainee ratios, enhancing Combat Medical Technician experience, and upgrading Regimental Aid Post infrastructure.
  • Addressing personnel deployment with pre-existing conditions and re-evaluating General Practitioner manning are crucial for operational effectiveness.