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Defence engagement (DE) encompasses the range of activities that the UK’s military undertakes, short of combat operations, to achieve influence.1 DE has been an explicit UK national security approach since 2010,2 promoting international stability through a combination of military diplomacy and capacity building. These activities share the same underlying characteristics: a long-term approach to influence with no end-state, capacity building based on cooperation, actively involving foreign partners and encompassing all the instruments of UK foreign policy.3 Furthermore, military medical capabilities are often used to achieve DE effects within the health sector.4
Despite the emphasis on DE (health) in support of the UK’s strategic aims, there has been almost no quantitative or qualitative research into whether it delivers value for money or its impact upon service personnel …
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Collaborators Not applicable.
Contributors HCR was the main author of the paper and developed the concept, designed the study, analysed the data and wrote the paper. STH developed the concept. analysed the data and proofread the paper. IG provided further analysis of the data and proofread the paper.
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.
Provenance and peer review Not commissioned; externally peer reviewed.