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T227 Change and Strategy

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T227 Change and Strategy
TMA – ONE (T 227

QUESTION ONE

A

I am a Combat Medical Technician with the Ministry Of Defence. My primary role is providing immediate medical support to troops on the frontline during war and in barracks during peacetime; I run clinics at the med centre especially for soldiers. For ease of management medical support staff come under the Royal Army Medical Corp which comprises all medical expertise needed by the Army to maintain the fighting strength .

We are spread across Army locations as little independent units called Medical Reception Stations known as MRS and in overseas stations close liaison with local host nation healthcare systems is utilised to ensure best outcomes for our population at risk, the troops.

The MRS comprises of a General Duties Medical Officer and other civilian Doctors, Nurses, Healthcare assistants, Medics, Mental health team, Midwives etc. We as a team deal with medical emergencies by running clinics each day to cater for the medical needs of the troops.

B

1. The MRS used to operate morning clinics called sick parades where soldiers turn up at 0800 hrs every morning to be seen by Medics, during these parades, if medics think that a soldier’s condition warrants referral or specialist care they are then book onto doctor’s slots for further consultations during the day. The system has changed now no more sick parades but instead soldiers phone in and are triage over the phone by triage nurses who will allocate patients slots as appropriate to the level of care needed. This was necessary because commanding officers couldn’t understand why soldiers wait for so long before they are seen for a consult and by the time they are eventually seen half the day is gone making them lose man hours for minor things like getting a doctors signature. We had to change the way we do business. 2. The MRS needed to erase the known reputation of poor time management which commanders have consistently voiced out that it is taking



References: Roger, J and Neil, M. (2008) Change, Strategy and Projects at Work, The Open University Wikipedia (2013), The Free Encyclopedia, http://en.wikipedia.org/wiki/Royal_Army_Medical_Corps  (accessed 05 June 2013).

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