Lessons from the organisation of the UK medical services deployed in support of Operation TELIC (Iraq) and Operation HERRICK (Afghanistan)

Bricknell, Martin; Nadin, M

doi:10.1136/jramc-2016-000720

Cited by 20 publications

(9 citation statements)

References 63 publications

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“…The process of collecting and collating combat casualty data has changed considerably over the time period of this study,9–11 and is now seen as key evidence on the medical provision in the Defence Medical Services, as well as driving forward force protection improvements 4. Casualty data from Operation BANNER were collated more than 40 years after the campaign started.…”

Section: Discussionmentioning

confidence: 99%

From Northern Ireland to Afghanistan: half a century of blast injuries

2018

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Section: Discussionmentioning

confidence: 99%

From Northern Ireland to Afghanistan: half a century of blast injuries

2018

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“… 12 Indeed, one of the key lessons identified from the Afghanistan campaign for the future was the need for a capability to develop host nation military medical systems through a multi-agency approach. 13 Furthermore, the development of a host nation facility presented ethical challenges during the withdrawal phase – ANSF and civilian casualties were increasingly evacuated to Shorabak, which lacked the technology and infrastructure (in particular critical care support) of Camp Bastion Hospital, raising the possibility that casualties would experience treatment in facilities of varying capability based on their nationality, rather than clinical need as had been the case throughout the campaign.…”

Section: Dhe During Conflict and Stabilisationmentioning

confidence: 99%

Defence Healthcare Engagement: A UK Military Perspective to Improve Healthcare Leadership and Quality of Care Overseas

Tallowin¹,

Naumann²,

Bowley³

2021

JHL

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Defence Healthcare Engagement (DHE) describes the use of military medical capabilities to achieve health effects overseas through enduring partnerships. It forms a key part of a wider strategy of Defence Engagement that utilises defence assets and activities, short of combat operations, to achieve influence. UK Defence Medical Services have significant recent DHE experience from conflict and stabilisation operations (e.g. Iraq and Afghanistan), health crises (e.g. Ebola epidemic in Sierra Leone), and as part of a long-term partnership with the Pakistan Armed Forces. Taking a historical perspective, this article describes the evolution of DHE from ad hoc rural health camps in the 1950s, to a modern integrated, multi-sector approach based on partnerships with local actors and close civil-military cooperation. It explores the evidence from recent UK experiences, highlighting the decisive contributions that military forces can make to healthcare leadership and quality of care overseas, particularly when conflict and health crisis outstrips the capacity of local healthcare providers to respond. Lessons identified include the need for long-term engagement with partners and the requirement for DHE activities to be closely coordinated with humanitarian agencies and local providers to prevent adverse effects on the local health economy and ensure a sustainable transition to civilian oversight.

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“…In Afghanistan, the UK initially delivered first aid training for Afghan National Army and Afghan National Police personnel in Helmand 7. However, the key transformation occurred when NATO supported the requirement for the Afghan 205 Corps in Helmand to have a regional-level referral hospital in which to admit their security forces casualties after NATO forces departed from Helmand.…”

Section: Defence Healthcare Engagementmentioning

confidence: 99%