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UK Defence Medical Services’ support to the development of a multiagency major incident plan in South Sudan
  1. Simon Horne1,2,3,
  2. I Gurney3 and
  3. J E Smith2,3
  1. 1Conflict & Health Research Group, King's College London – Strand Campus, London, UK
  2. 2Academic Department of Military Emergency Medicine, Royal Centre for Defence Medicine, Birmingham, UK
  3. 3Emergency Department, University Hospitals Plymouth NHS Trust, Plymouth, UK
  1. Correspondence to Simon Horne, Conflict & Health Research Group, King's College London - Strand Campus, London PL6 8DH, UK; psihorne{at}


UK Defence Medical Services personnel deployed in support of the United Nations Mission in South Sudan as part of Operation TRENTON in 2017–2018. One key contribution was the development of a multiagency major incident plan in collaboration with key stakeholders within the region, including our UN partners, other troop-contributing countries and non-governmental organisations. This paper describes the process and contribution made, with some transferable lessons for future similar operations, such as adaptation of our courses. Major incident management is one of several technical areas ripe for a proactive Defence Healthcare Engagement strategy, seeking to offer capacity building in areas where Defence is rich in expertise that is highly sought after by other sectors.

  • Humanitarian
  • civil-military
  • planning
  • major incident
  • training
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  • Contributors SH developed the concept, delivered the plan in South Sudan and wrote the first draft. IG and JES both delivered the plan on the ground and wrote corresponding parts of the paper. JES contributed the photographs.

  • 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 for publication Not required.

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

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