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The Report of the Iraq Inquiry
the Armed Forces or the Merchant Navy. The MOD meets the cost of fees charged by
Combat Stress for “remedial treatment” at the three centres.5
20.  Veterans’ healthcare is generally provided by the NHS. Charities and welfare
organisations also play an important role.
Medical care during the combat phase of operations
Planning and preparing to provide medical care
21.  In July 2002, the MOD defined three options for a UK contribution to US-led military
operations in Iraq:
Package 1 – an “in-place support package” using forces already in the region;
Package 2 – an “enhanced support package” comprising Package 1 with
additional air and maritime forces; and
Package 3 – a “discrete UK package” based on deployment of an armoured
division, in addition to the forces in Package 2.6
22.  Those three options provided the broad framework for discussions within the
UK Government until the end of 2002.
23.  A Strategic Medical Estimate was prepared for the MOD’s Strategic Planning Group
on 1 September 2002.7 The Estimate – which assumed an entry into Iraq from Turkey –
set out the expected number of Role 3 hospital admissions from an operation in Iraq, as
a basis for medical planning:
157 (best case) to 241 (worst case) battle casualties;
152 (best case) to 212 (worst case) casualties from chemical warfare;
15 percent of those exposed to biological warfare; and
34 Disease and Non-Battle Injuries (DNBI) a day.
24.  The Estimate stated that 55 individuals a week would require medical evacuation
back to the UK.
5  Paper MOD, 29 June 2010, ‘Veterans Mental Health’.
6  Letter Watkins to Rycroft, 26 July 2002, ‘Iraq’.
7  Minute MOD [junior official] to Iraq Inquiry [junior official], 22 June 2010, ‘Iraq Inquiry – Request
for Evidence’.
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