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15.1 | Civilian personnel
would be needed for a sedentary job in the UK … Unfortunately individuals with Type 1
or Type 2 diabetes … and individuals who have severe allergies cannot be deployed.” 472
738.  The November 2005 version of the FCO terms and conditions for postings to Iraq
advised that the FCO had contracted a private company, Frontier Medical, to provide
primary health care services at posts in Iraq.473 Secondary care was managed by
International SOS using the 24‑hour FCO Healthline. Close protection personnel were
all first aid trained.
739.  The terms and conditions stated: “The onus is on you to behave responsibly whilst
at post with regard to your own health, in order to make sure you are as fit as possible at
all times.” Failure to act on the advice of the OSM, security personnel or Frontier Medical
would be dealt with in a “firm manner”.
740.  On 16 February 2006, the FCO Human Resources Directorate (HRD) reviewed
procedures for hostile environment training and medical clearance in response to
“concerns that some FCO personnel on posting to, or visiting, Iraq are not capable of
meeting the physical requirements”.474 Officials agreed a number of procedural changes,
including new requirements that:
the FCO Medical Examiner would confirm whether an officer was fit to go to Iraq
before, not after, the posting board made the appointment; and
hostile environment course instructors would comment on whether an officer
was fit to deploy.
741.  On 26 February, Mr Robert Gibson, Deputy Head of Mission at the British Embassy
Baghdad, expressed concern about civilian staff already at post: “We judge subjectively
that their fitness levels are low and their lack of speedy mobility might pose a danger to
themselves and others.” 475
742.  In June 2006, as part of its review of the security of staff and missions in Iraq, the
IPU updated Sir Michael Jay on the measures in place to assess the health of FCO staff
before, during and after deployment to Iraq:
All potential applicants were required to complete a pre‑posting fitness
questionnaire. Their applications would not be processed until occupational
health doctors had confirmed applicants’ suitability.
Successful applicants were required to attend hostile environment training.
If the course organisers had concerns about an individual’s ability to cope with
“extreme conditions”, the posting could be cancelled.
472  Paper PJHQ, July 2005, ‘Defence Instructions and Notices: Pl 70‑05: Short Operational Tours (SOTs) –
Appointments on Behalf of Chief of Joint Operations (CJO)’.
473  Paper [unattributed], 25 November 2005, ‘Terms and Conditions: Temporary Duties to Iraq’.
474  Minute IPU [junior official], 16 February 2006, ‘Iraq Hostile Environment Training & Medical Clearance:
Record of the Meeting Held on 16 February 2006’.
475  Email Gibson to [FCO junior official], 26 February 2006, ‘Staff: fitness levels’.
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