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Putting Role 1 first: the Role 1 capability review.
1HQ Allied Rapid Reaction Corps, Army Role 1 Champion, Innsworth, Gloucester. timothy.hodgetts793@mod.uk
Journal of the Royal Army Medical Corps
|March 12, 2013
Summary
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.
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.
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