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The Report of the Iraq Inquiry
for the medical equipment to support Package 3; that approval, and the subsequent
Treasury authority to commence procurement, was needed as soon as possible.
29.  The official advised that in “about three months time” the DMS would have
“minimised medical risk by being properly equipped in mission critical areas”.
30.  On 11 December, Gen O’Donoghue told the Chiefs of Staff that the DoH had been
engaged on Iraq planning, and had responded “positively and pragmatically”.12
31.  The DCRS agreed the business cases for the medical modules (packages of
equipment and supplies) to support Package 3 on 16 December.13 The modules were
expected to achieve “full capability in theatre” on 15 March 2003.
32.  At the beginning of 2003, in the light of continued uncertainty on whether Turkey
would agree to the use of its territory by Coalition ground forces, the focus of UK military
planning shifted from the North to the South of Iraq (see Sections 6.1 and 6.2).
33.  The Permanent Joint Headquarters (PJHQ) assessed that the shift made the
UK medical mission “less demanding in terms of supporting manoeuvre”.14 A revised
Estimate specified that the Role 3 medical support required:
the Royal Fleet Auxiliary (RFA) Argus, as the Primary Casualty Receiving Facility
(PCRF), with 100 beds;
two 200-bed field hospitals deployed;
a third 200-bed field hospital in reserve;
casualty staging flights through Cyprus; and
the augmentation of the Princess Mary Military Hospital in Cyprus.
34.  RFA Argus deployed on 15 January and was operational in the North Arabian Gulf
by mid-February.
35.  Mr Alan Milburn, the Health Secretary, wrote to Mr Hoon on 10 March to inform him
that the DoH was ready to activate the RAMP, when required.15
36.  Mr Hoon was advised by PJHQ on 14 March that an “effective medical capability”,
scaled to the expected number of casualties, was now operational in theatre.16
Arrangements were also in place for the aeromedical evacuation of casualties to the UK.
12  Minutes, 11 December 2002, Chiefs of Staff meeting.
13  Minute MOD/DCRS [junior official] to APS/SoS [MOD], 31 January 2003, ‘Possible Operations against
Iraq UOR List, 31 January 2003’.
14  Report PJHQ, July 2003, ‘Operation TELIC 1 – Medical Post Operation Report’.
15  Letter Milburn to Hoon, 10 March 2003, ‘Military Deployment to the Middle East: the NHS’s
Responsibilities’.
16  Minute PJHQ [junior official] to PS/SoS [MOD], 14 March 2003, ‘Op TELIC – Casualty Treatment and
Management Arrangements’.
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