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For debate: health service support planning for large-scale defensive land operations (part 1)
  1. Martin Bricknell1,2,
  2. A Finn3 and
  3. J Palmer4
  1. 1 Surgeon General, Joint Medical Group, Lichfield, UK
  2. 2 King’s Centre for Global Health, King’s College London, London, UK
  3. 3 Field Army, ANDOVER, Hampshire, UK
  4. 4 Allied Rapid Reaction Corps, Gloucester, UK
  1. Correspondence to Lieutenant General Martin Bricknell, Surgeon General, Joint Medical Group, Lichfield WS14 9PY, UK; martin{at}


This is the first of two articles that considers the medical planning implications of large-scale defensive military operations. This paper considers the military context and planning factors that may require a medical plan that is different from that seen in recent counterinsurgency operations. The scale and complexity of the challenge is likely to require a greater level of decentralisation and a more sophisticated approach to medical planning at the strategic and operational levels.

  • public health
  • trauma management
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  • Contributors MB is the primary author and guarantor. The other authors made a material contribution to the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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