brd 3(1) october 2017 chapter 87 medical branch – … · brd 3(1) 87-1 june 2016 version 6...

BRd 3(1)

87-1June 2016 Version 6

EffectiveOctober 2017

CHAPTER 87

MEDICAL BRANCH – MEDICAL ASSISTANT AND TECHNICIAN

CONTENTS

Para8701. Medical Assistant Specialisation – Promotion Flowchart8702. Medical Assistant (Submarine) Specialisation - Advancement Flowchart8703. Medical Technician Specialisation (Entry as Probationary Medical Technician) –

Promotion Flowchart 8704. Medical Technician Specialisation (Direct Entry) – Promotion Flowchart8705. Medical Technician Specialisation (Sideways Entry - Untrained) – Promotion

Flowchart8706. Medical Technician Specialisation (Lateral Entry - Specialist Trained) - Service

Transfer Promotion Flowchart8707. Submarine Service - Career on a Page

BRd 3(1)



CHAPTER 87

MEDICAL BRANCH – MEDICAL ASSISTANT AND TECHNICIAN

8701. Medical Assistant Specialisation – Promotion Flowchart

Entry: 17-36 years of age (see Note 1)

Medical Assistant 1 – Advancement Criteria

a. Complete Phase I Training (age 17 years 2 months minimum). b. Passed Phase II Theory Training (age 17 years 6 months minimum). (4) c. Commence Phase II Practical Training. (4)d. Complete MA On-Job Task Book. (5)e. Passed Professional Qualifying Examination (PQE) for Medical Assistant. (5)

f. Recommended for advancement.g. In date for Royal Naval Fitness Test (RNFT) or waiver obtained on advancement;recorded under JPA competence ‘CMS|Fitness Test|Navy|’. (13)h. Achieved Initial OPS.i. At least 6 months since last Career Check (if any) on advancement.

Leading Medical Assistant – Pre-Selection Requirements

a. Complete 3 months’ Phase II Consolidation Period. (4)b. Complete Phase II Practical Consolidation Task Book. The completed Task Bookis to be retained by the MA in the Personal Development Record together with theDCHET On-Job Training Task Book. (4)c. Educationally qualified for promotion (EFP) in accordance with Para 9636.Achieved minimum NAMET 5:5 or Level 1 Functional Skills (or equivalent) in Englishand Mathematics at Common Reporting Date (CRD) and appropriate competencesrecorded on JPA.d. Minimum of 18 months’ seniority as a MA1 12 months prior to Common PromotionDate (CPD) (Para 6703 b sub para (3)).e. Serving on ES1/FC/OE1 that expires after the nominated CPD (Para 6703 b subpara (7)). f. Recommended for promotion on Appraisal Report at CRD. (11)g. Achieved Rolling OPS at CRD and recorded as JPA competence 'CMS|AnnualOPS Check AB1|Navy|'. (15)

MEDICAL ASSISTANT 2

Advanced toMEDICAL ASSISTANT 1

BRd 3(1)



Leading Medical Assistant – Pre-Promotion Requirements

h. Passed Professional Qualifying Course (PQC), Examination (PQE) and First AidInstructors Course (FAIC) for Leading Medical Assistant and completed AdvancedCasualty Care Module. (7) (14)i. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.(14)j. In date RNFT or waiver obtained at nominated CPD (or when eligible forpromotion (if later)); recorded as JPA competence ‘CMS|Fitness Test|Navy|’. (13)k. At least 6 months since last Career Check (if any) on nominated CPD or date duepromotion (if later).

Petty Officer Medical Assistant – Pre-Selection Requirements

a. Minimum of 2 years’ seniority as a LMA 12 months prior to the CPD. b. Serving on FC/OE1 or EC/2OE that expires after the nominated CPD.c. Recommended for promotion on Appraisal Report at CRD. (13)d. Achieved Rolling OPS at CRD and recorded as JPA competence 'CMS|AnnualOPS Check LH|Navy|'. (15)

Petty Officer Medical Assistant – Pre-Promotion Requirements

e. Passed PQC Examination for Medical Branch Senior Rating. (8) (14)f. Senior Rates Leadership Course (SRLC) completed and recorded as JPAcompetence 'Miscellaneous|Senior Rates Leadership Course (RNLA 103)|Navy|'.(14) g. In date RNFT or waiver obtained at nominated CPD (or when eligible forpromotion (if later)); recorded as JPA competence ‘CMS|Fitness Test|Navy|’. (13)h. At least 6 months since last Career Check (if any) on nominated CPD or date duepromotion (if later).i. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics at CRD and appropriate competencesrecorded on JPA.

Chief Petty Officer Medical Assistant – Pre-Selection Requirements

a. Minimum of 3 years’ seniority as a POMA 12 months prior to the CPD.b. Serving on ES2/FC/OE1 or ES3/EC/2OE that expires after the nominated CPD.c. Senior Rates Leadership Course (SRLC) completed and recorded as JPAcompetence 'Miscellaneous|Senior Rates Leadership Course (RNLA 103)|Navy|'. d. Recommended for promotion on Appraisal Report at CRD. (11)

Promoted toLEADING MEDICAL ASSISTANT

Promoted toPETTY OFFICER MEDICAL ASSISTANT

BRd 3(1)



Chief Petty Officer Medical Assistant – Pre-Promotion Requirements

e. In date RNFT or waiver obtained at nominated CPD (or when eligible forpromotion (if later)); recorded as JPA competence ‘CMS|Fitness Test|Navy|’. (13)f. At least 6 months since last Career Check (if any) on nominated CPD or date duepromotion (if later).

Warrant Officer 1 Medical Assistant – Pre-Selection Requirements

a. Minimum of 3 years’ seniority as a CPOMA 12 months prior to the CPD.b. EFP in accordance with Para 9636. Must have achieved minimum Level 2Functional Skills (or equivalent) in English and Mathematics and the appropriatecompetences recorded on JPA.c. Serving on ES2/FC/OE1 or ES3/EC/2OE that expires after the nominated CPD.d. Recommended for promotion on Appraisal Report at CRD. (11)

Warrant Officer 1 – Pre-Promotion Requirements

e. In date RNFT or waiver obtained at nominated CPD (or when eligible forpromotion (if later)); recorded as JPA competence ‘CMS|Fitness Test|Navy|’. (13)f. At least 6 months since last Career Check (if any) on nominated CPD or date duepromotion (if later).g. Satisfy terms of Assignment Order issued by Promotion Authority.

Promoted toCHIEF PETTY OFFICER MEDICAL ASSISTANT

Promoted toWARRANT OFFICER 1 MEDICAL ASSISTANT

BRd 3(1)



Notes:

1. Entry

a. Educational Standard. Minimum RT Score of 70.

b. Age on Entry. 17-36 years.

2. Rate on Entry. Medical Assistant (MA2).

3. Phase I Training.

4. Phase II Theory Training (MA2)

a. Course. 20 weeks at Defence College of Healthcare, Educationand Training (DCHET), Lichfield.

b. Examination. Written and practical examinations on completionof each module. Practical First Aid assessment at Week 8. Aminimum of 65% in each subject is required for a PASS, except forFirst Aid which requires a minimum of 70%.

c. Failures

(1) Ratings who fail to achieve a pass at the first attempt maybe permitted to resit one subject only, be backclassed for aperiod not exceeding 6 months or referred for disposal at thediscretion of the Commanding Officer DCHET in liaison withFOST.

(2) Ratings who are considered unsuitable for further trainingas MAs should be considered for branch transfer or DischargeSHORE in accordance with Chapter 54.

d. MASM. A separate training pathway exists for Medical Assistant(Submarines) – see Note 9.

5. Phase II Practical Training (MA2)

a. On successful completion of Phase II theory training, ratings willcommence 19 weeks’ Phase II Practical Training, including 2academic blocks of 6 and 2 weeks respectively to be held at DCHET(NB: ratings must be 17½ before they can undertake practical wardplacements in hospital).

BRd 3(1)



Notes:

b. Professional Qualifying Examination (PQE). All examinationswill take place in DCHET as follows:

(1) Criterion Tests: Anatomy and Physiology, Clinical,Medical Administration, Pharmacy, CBRNDC and MOFA papersin Blocks 1 and 2.

(2) A Pass mark of 65% is required at each examination.

c. Task Book. As part of the final assessment, the Task Book willneed to be completed.

d. Failures. Ratings who fail this part of their training at any stagewill be assessed by Commanding Officer DCHET and the SeniorNaval Officer to determine whether a further period of training shouldbe undertaken or whether the rating should be offered branch/specialisation transfer or Discharge SHORE.

6. Phase II Consolidation Period

a. On successful completion of Phase II theory and practicaltraining, ratings will be rated MA1 and assigned either to a Ship orEstablishment Sick Quarters for 3 months Phase II ConsolidationPeriod. Phase II consolidation is constructed in a modular format withMAs completing defined periods within a number of clinical andadministrative areas. The duration and content of each of thesemodules has been programmed to place emphasis on areas wherenewly qualified MAs require the greatest support. The full Phase IIconsolidation programme may be found within the Medical AssistantPhase II Consolidation Task Book, which is issued at DCHET by WOTraining INM, on completion of Phase II theory/practical training. Theprogramme in brief is as follows:

(1) Induction – 2 days.

(2) Treatment Room – 3 weeks.

(3) Medical Administration (MHS/Release/HospitalAssignments/ P7R/PHCIS/DIMCP) – 3 weeks.

(4) Dispensary/Storekeeping – 2 weeks.

(5) Physiotherapy (if available – Treatment Room if not) – 1week.

(6) Shadow Medical Officer (attend all consultations andmedicals) – 1 week.

BRd 3(1)



Notes:

(7) Small Department acquaint, eg. Occupational Health/MBOS etc. as required/available – 1 week.

b. At the end of Phase II consolidation training, ratings are to havecompleted all aspects of their Phase II Consolidation Task Book. TheTask Book is to be retained within the Rating’s Personal DevelopmentRecord.

7. Professional Qualifying Examinations for Leading MedicalAssistant (LMA)

a. PQEs. PQEs are taken following a PQC held in DCHET. Bypassing the PQE, Medical Assistants will be professionally qualifiedfor LMA. The general rules for examinations at Para 6911 will apply.Failures are to be dealt with in accordance with Para 6912.

b. Details of PQC and Examination

(1) Candidates for the course will be nominated by the NavyCommand/Commodore Naval Personnel (CNPers)/RCMNAHPfrom those ratings who are selected for promotion at the annualPromotion Board.

(2) The PQC and examination will be held at DCHET 4 timesper year and the dates of the course will be published annuallyby the Statement of Training Requirement (SOTR). The coursewill be of four weeks duration, which will include a one weekAdvanced Casualty Care Module. The examination will consistof the following:

(a) Practical Advanced Emergency Care andAssessments.

(b) Written papers on Advanced Emergency Care,Pharmacy and Service Administration. The examinationsand assessments will be set and marked by the DCHETExamination Centre. The basic date of passing will be thedate of completing the examination. The pass mark is 75%in all papers.

(3) Failure in Examination - ratings who fail the examination areto be dealt with in accordance with Para 6912.

BRd 3(1)



Notes:

8. Professional Qualifying Examinations for Petty Officer MedicalAssistant (POMA)

a. A PQE is taken following a PQC held in DCHET. By passing thePQE, LMAs will be professionally qualified for POMA. The generalrules for examinations, given in Para 6911, will apply to theseexaminations. Failures are to be dealt with under Para 6912.

b. Details of PQC and Examination

(1) Candidates for the course will be nominated and assignedby RCMNAHP from those selected at an annual PromotionBoard.

(2) The PQC and Examination will be held at DCHET and thedates of the course will be published annually by DIN. Thecourse will be of three weeks’ duration.

(3) The final examination will consist of practical assessmentand a written paper covering professional and naval generalknowledge, Pharmacy, Service Administration and First Aid. Theexamination will be set and marked by the DMSTG examinationcentre. The basic date of passing will be the date of theexamination. Candidates are required to pass the practicalassessment and obtain 70% to qualify.

(4) Ratings who fail the examination are to be dealt with inaccordance with Para 6912.

9. Medical Assistant (Submarines) (MASM). See Para 8703 forpromotion flowchart.

10. Royal Marine Medical Assistant (RMMA)

a. Promotion for RMMA will follow the Promotional Flowchartdescribed in Para 8701, with the exception that the requirement to bein date RNFT should be replaced by being in date for BFT (BasicFitness Test) and completion of JCC/SCC is required in lieu of LRLC/SRLC. Additionally, promotion from CSGT RMMA to WO1 RMMA willalso require completion of RM Advance Command Course (ACC)and the WO1 course in common with all RMOR (see Annex 91C).

b. RMs transferring SQ to RMMA will retain their RM seniority dateon qualifying as an MA but must achieve a minimum of 18 months’seniority as a MA1, 12 months prior to CPD as a Pre-Selectionrequirement for LMA.

BRd 3(1)



Notes:

c. RMMAs may be awarded the local, unpaid rank of L/Cpl forattendance on JCC. This local, unpaid rank can be held on return toUnit on successful completion of JCC until subsequent promotion toCpl.

11. Recommendation. Awarded 'Exceptional', 'High' or 'Yes'recommendation for 'Promotion - 1 Rank Up' on SJAR by final RO. Where anotherwise fully eligible candidate has received an SJAR assessment of'Insufficient Knowledge' at last report, presentation before the next Board willbe determined by the Promotion Section using the previous reportrecommendation.

12. RNFT (at CRD). Ratings are to be in date RNFT or in possession ofeither a permanent medical exemption as issued by a Naval Service MedicalBoard of Survey (NSMBOS) or temporary exemption (as issued by theCommanding Officer) on the appropriate CRD. See Para 6718. See Note 10sub para a for RMMA.

13. RNFT (at CPD). Ratings are to be in date RNFT or in possession ofeither a permanent medical exemption as issued by a NSMBOS or temporaryexemption (as issued by the Commanding Officer) on the appropriate CPD (orlater) or on advancement. See Note 10 sub para a for RMMA.

14. Failure to Complete Professional and/or Leadership Course.Refer to Para 6716 for rules on the impact on a rating’s promotion if he/shefails to complete PQC and/or LRLC/SRLC before CPD or within 12 months ofCPD as a result of service reasons, non-service reasons (outwith own control)or non-service reasons (within own control). See Para 6718.

15. Rolling OPS

a. It is recognised that occasionally there may be factors beyondthe control of the individual, such as prolonged Op tour, MaternityLeave, etc. which preclude them from completing the OPS check inwhich case an extension to the period in which to satisfy the check,or in exceptional circumstances a full waiver, may be requested.Applications for extensions or waivers will be dealt with on a case bycase basis and should be made in writing by the individual'sDivisional Officer or Divisional Senior Rate to the Head of TrainingDivision, INM Alverstoke (FAO Warrant Officer (Training) (WO(T)).

BRd 3(1)



Notes:

b. An extension or waiver may only be issued by WO(T), who willalso record the fact on a local database, held at INM, of all waiversand extensions which will be forwarded to the Promotions Officebefore each board. Individuals can still be presented atPromotion Boards, but the waiver needs to be current andmention made of it in the appraisal report in the performancesection. The Medical Branch Manager SO1 will be the final authorityfor any issues regarding eligibility for promotion.

c. Failure to achieve the Rolling OPS Check within a 12 monthperiod will be treated as a serious matter. Should a unit be unable tocomplete, then HTD INM should be engaged for advice at the earliestopportunity. Should an individual consistently fail to meet therequired standards of knowledge and skill throughout the year thenthe Divisional system should be employed appropriately andconsideration should be given to warning the rating for DischargeSHORE (Professional Inadequacy).

BRd 3(1)



8702. Medical Assistant (Submarine) Specialisation - Advancement Flowchart

Entry: 17-36 years (see Para 8701, Note 1).

Advancement to MA1 in accordance with Para 8701

MEDICAL ASSISTANT 2 (SUBMARINES)

Advanced toMEDICAL ASSISTANT 1

(SUBMARINES)

BRd 3(1)



Acting Leading Medical Assistant - Advancement Requirements

a. Complete 3 months' Phase II Consolidation period (iaw Para 8701).b. Complete Phase II Practical Consolidation Task Book. The completed Task Bookis to be retained by the MA in the Personal Development Record together with theDCHET On-Job Training Task Book (iaw Para 8701).c. Educationally qualified for promotion (EFP) in accordance with Para 9636.Achieved minimum NAMET 5:5 or Level 1 Functional Skills (or equivalent) in Englishand Mathematics at date of advancement and appropriate competences recorded onJPA.d. Serving on ES1/FC/OE1 that expires after advancement to ALMA.(2) e. Recommended for advancement on completion of MASM1 Training Phase (1) iawpara 6802 (Authority to Advance) (1).f. In date RNFT or waiver obtained at date of advancement; recorded as JPAcompetence 'CMS|Fitness Test|Navy|'.g. Achieved Rolling OPS at date of advancement and recorded as JPA competence'CMS|Annual OPS Check AB1|Navy|'.h. Completed MASM 1 course and recorded with JPA competence: Medical|MedicalAssistant Submariner 1 Course (MASM1) (ME841N)|Navy|No.i. Completed Basic Submarine Qualification and recorded with JPA competence:SM|Submarine Service|Navy|.j. Completed MASM 1 task book and recorded with JPA competence:Medical|Medical Branch Submarine Training MASM1 Task Book|Navy| (2a).k. Minimum 6 months post MASM 1 training course with completion of SMQ andMASM1 taskbook.l. At least 6 months since last Career Check (if any) at date of advancement.

Leading Medical Assistant - Advancement Requirements

m. Passed Professional Qualifying Course (PQC), Professional QualifyingExamination (PQE) and First Aid Instructors Course (FAIC) for Leading MedicalAssistant and completed Advanced Casualty Care Module. (4)(5)(6)n. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.o. In date RNFT or waiver obtained at date of advancement; recorded as JPAcompetence 'CMS|Fitness Test|Navy|'.p. At least 6 months since last Career Check (if any) at date of advancement.

Advanced toACTING LEADING MEDICAL ASSISTANT (SUBMARINES)

Advanced toLEADING MEDICAL ASSISTANT

(SUBMARINES)

BRd 3(1)



Pre-Selection Requirements for MASM 2 training

a. Confirmed as a substantive LMA(SM).b. Minimum of 2 years' seniority as a LMA prior to MASM 2 selection.c. Recommended for advancement from sea-going assignment, on appraisalreport.(3) d. Serving on ES2/FC/OE1 or ES3/EC/2OE that expires after advancement toPOMA.e. In date RNFT or waiver obtained at date of advancement; recorded as JPAcompetence 'CMS|Fitness Test|Navy|'.f. Achieved Rolling OPS at time of recommendation and recorded as JPAcompetence 'CMS|Annual OPS Check LH|Navy|'. (4)g. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics at date of advancement and appropriatecompetences recorded on JPA.h. At least 6 months since last Career Check (if any) at date of advancement.

Acting Petty Officer Medical Assistant - Advancement Requirements

a. Complete MASM 2 training course and recorded as JPA competence Medical|SMMedical Branch Ratings Advanced Course MASM2 (ND835)|Navy| (2c).

Petty Officer Medical Assistant - Advancement Requirements

b. Passed Professional Qualifying Course (PQC) and Professional QualifyingExamination (PQE) for Medical Branch Senior Rating. (2b)c. Senior Rates Leadership Course (SRLC) completed and recorded as JPAcompetence 'Miscellaneous|Senior Rates Leadership Course (RNLA 103)|Navy|'. (2b) d. In date RNFT or waiver obtained at date of advancement; recorded as JPAcompetence 'CMS|Fitness Test|Navy|'. e. At least 6 months since last Career Check (if any) at date of advancement.

Further promotion in accordance with Para 8701

Advanced toACTING PETTY OFFICER MEDICAL

ASSISTANT (SUBMARINES)

Advanced toPETTY OFFICER MEDICAL ASSISTANT (SUBMARINES)

BRd 3(1)



Notes:

1. Advancement to Acting LMA(SM) on Completion of MASM1Training. Those selected to be MASMs, either by direct entry or transfer fromwithin the MA branch, will be advanced to ALMA(SM), upon recommendation,on completion of the MASM1 training phase (ie. MA, MASM1, SMQ,completion of Task Book and a 6 month consolidation period) assumingcompletion of all service requirements for advancement. The effective dateof advancement will be the qualification date as a MASM1. Therecommendation is an important part of the system and, before makingrecommendations, Line managers are to satisfy themselves that MASMsmeet the requirements of Para 6901.

2. See 2014DIN01-055 for the rules regarding MASM-FinancialRetention Incentive (FRI) for MASM1.

Failures

a. Ratings who fail to complete the MASM 1 task book within 12months post MASM 1 course will have their cases reviewed by theMedical Branch Manager to ensure that all opportunities have beentaken to complete the task book. This part of their training at anystage will be assessed by their Commanding Officer and MedicalBranch Manager to determine whether a further period of trainingshould be undertaken or whether the rating should be offered theopportunity to return to General Service or discharged SHORE.

b. The acting higher rate will be for a maximum of 12 months, afterwhich time ratings will, exceptional reasons apart, relinquish the rateif they fail to attain the outstanding qualifications iaw 6802 & 6803.

c. Ratings who fail MASM 2 course outright or are removed fromMASM 2 training are to suffer the following penalties:

(1) Deselection from the MASM 2 selection signal.

(2) A requirement to spend a minimum of 12 months in thelower rate and the need to re-qualify, by way of a CommandingOfficer's recommendation, for subsequent consideration forselection for MASM 2 training.

3. Recommendation for MASM2 Training. A formal recommendationfrom a sea-going assignment is required prior to selection and progression toMASM2 training - awarded 'Exceptional', 'High' or 'Yes' recommendation for'Promotion - 1 Rank Up' on SJAR by the 1RO. Where an otherwise fullyeligible candidate has received an SJAR assessment of 'InsufficientKnowledge' at last report, presentation before the next Board will bedetermined by the Promotion Section using the previous reportrecommendation.

BRd 3(1)



8703. Medical Technician Specialisation (Entry as Probationary Medical Technician) – Promotion Flowchart

Entry: 17½ - 36 years of age (see Note 1).

a. Enters HMS RALEIGH (Phase I Training).b. Complete specialist professional course. (2)c. Graduate on completion of specialist professional course.

Notes:

4. See 2014DIN01-055 for the rules regarding the MASM-FinancialRetention Incentive (FRI) for MASM2.

5. Rolling OPS

a. It is recognised that occasionally there may be factors beyondthe control of the individual, such as prolonged Op tour, MaternityLeave, etc. which preclude them from completing the OPS check inwhich case an extension to the period in which to satisfy the check,or in exceptional circumstances a full waiver, may be requested.Applications for extensions or waivers will be dealt with on a case bycase basis and should be made in writing by the individual'sDivisional Officer or Divisional Senior Rate to the Head of TrainingDivision, INM Alverstoke (FAO Warrant Officer (Training) (WO(T)).

b. An extension or waiver may only be issued by WO(T), who willalso record the fact on a local database, held at INM, of all waiversand extensions which will be forwarded to the Promotions Officebefore each board. Individuals can still be presented atPromotion Boards, but the waiver needs to be current andmention made of it in the appraisal report in the performancesection. The Medical Branch Manager SO1 will be the final authorityfor any issues regarding eligibility for promotion.

c. Failure to achieve the Rolling OPS Check within a 12 monthperiod will be treated as a serious matter. Should a unit be unable tocomplete then HTD INM should be engaged for advice at the earliestopportunity. Should an individual consistently fail to meet therequired standards of knowledge and skill throughout the year thenthe Divisional system should be employed appropriately andconsideration should be given to warning the rating for DischargeSHORE (Professional Inadequacy).

PROBATIONARY MEDICAL TECHNICIAN

Advanced toMEDICAL TECHNICIAN

BRd 3(1)



Leading Medical Technician – Advancement Criteria

a. Seniority as Medical Technician to be date of completing specialist professionaltraining.b. Obtained Full Registration with appropriate civilian professional body.c. Provide documentary evidence of registration with civilian professional body;recorded under JPA competence Professional Healthcare Staff.d. Recommended for advancement.e. In date Royal Naval Fitness Test (RNFT) or waiver obtained on advancement;recorded under JPA competence ‘CMS|Fitness Test|Navy|’. (3)f. At least 6 months since last Career Check (if any) on advancement.g. Educationally qualified from promotion (EFP) in accordance with Para 9636.Achieved minimum Level 1 Functional Skills (or equivalent) in English andMathematics and appropriate competences recorded on JPA.

h. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.i. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence ‘CMS|Fitness Test|Navy|’. (3)j. At least 6 months since last Career Check (if any) on advancement.k. Completed Level 2 First Aid Training; recorded under JPA competence'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.

Petty Officer Medical Technician – Advancement Criteria

a. Two years' service as a Leading MT. b. Provide documentary evidence of relevant registration with civilian professionalbody; recorded under JPA competence Professional Healthcare Staffc. Recommended for advancement.In date RNFT or waiver obtained on advancement; recorded under JPA competence'CMS|Fitness Test|Navy|'. (3)d. At least 6 months since Career Check (if any) on advancement.e. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA.

Advanced toACTING LEADING MEDICAL TECHNICIAN

Advanced toLEADING MEDICAL TECHNICIAN

BRd 3(1)



f. Senior Rates Leadership Course (SRLC) completed and recorded as JPAcompetence 'Miscellaneous|Senior Rates Leadership Course (RNLA 103)|Navy|'.In date RNFT or waiver obtained on advancement; recorded under JPA competenceCMS|Fitness Test|Navy|' (3)g. At least 6 months since last Career Check (if any) on advancement.

Chief Petty Officer Medical Technician – Advancement Criteria

a. Two years' service as a POMT. b. Provide documentary evidence of relevant registration with civilian professionalbody; recorded under JPA competence Professional Healthcare Staff.c. Recommended for advancement. (Para 6901).In date RNFT or waiver obtained on advancement; recorded under JPA competence‘CMS|Fitness Test|Navy|’. (3)d. At least 6 months since last Career Check (if any) on advancement.f EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA.

Warrant Officer 1 Medical Technician – Pre-Selection Requirements

a. If a CPOMT, minimum of 3 years' seniority in the rate 12 months prior to the CPD.If a legacy WO2MT (promoted before 1 Apr 14), there is no minimum seniorityrequirement. b. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics and recorded on JPA with the appropriatecompetences.c. Serving on ES2/FC/OE1 or ES3/EC/2OE that expires after the nominated CPD.d. Recommended for promotion on Appraisal Report at CRD.

Advanced toACTING PETTY OFFICER MEDICAL TECHNICIAN

Advanced toPETTY OFFICER MEDICAL TECHNICIAN

Advanced toCHIEF PETTY OFFICER MEDICAL TECHNICIAN

BRd 3(1)



Warrant Officer 1 Medical Technician – Pre-Promotion Requirements

e. Provide documentary evidence of registration with civilian professional body;recorded under JPA competence Professional Healthcare Staff.f. In date RNFT or waiver obtained at nominated CPD (or when eligible forpromotion (if later)); recorded as JPA competence 'CMS|Fitness Test|Navy|'. (3)g. At least 6 months since last Career Check (if any) on nominated CPD or date duepromotion (if later).h. Satisfy terms of Assignment Order issued by Promotion Authority.i. Complete the Warrant Officers Staff Course (WOSC).

Promoted toWARRANT OFFICER 1 MEDICAL TECHNICIAN

Notes:

1. Candidates must fulfil the following conditions to become eligible forentry:

a. Be between 17½ and 36 years of age.

b. Meet the Minimum Educational Requirements. These aresubject to change and definitive advice should be sought from theMedical Branch Manager.

c. Meet the specific requirements of the relevant academicestablishment.

d. Pass an Interview Board.

Candidates accepted for entry will join as Probationary Medical Technicians.

2. Training. All entrants will undergo 10 weeks Phase 1 Training atHMS RALEIGH, on successful completion of which candidates willcommence a professional course of Medical Technician training in thespecialisation for which he/she has been selected. Candidates who fail thespecialist professional course will be offered branch transfer, if possible andrecommended, or discharged SHORE.

3. RNFT (at CPD). Ratings are to be in date RNFT or in possession ofeither a permanent medical exemption as issued by a NSMBOS or temporaryexemption (as issued by the Commanding Officer) on the appropriate CPD (orlater) or on advancement. See Para 6718.

BRd 3(1)



8704. Medical Technician Specialisation (Direct Entry) – Promotion Flowchart

a. Entry upper age limit - 36 years of age.b. Provide documentary evidence of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with civilian professional body.d. Pass Interview Board.e. Entered at HMS RALEIGH for Phase 1 Training.

Leading Medical Technician – Advancement Criteria

a. Complete Phase 1 Training at HMS RALEIGH.Seniority as Acting Leading Medical Technician to be the date of completing Phase 1Training.b. Recommended for advancement.c. Provide documentary evidence of registration with civilian professional body.d. In date Royal Naval Fitness Test (RNFT) or waiver obtained on advancement;recorded under JPA competence Professional Healthcare Staff.e. At least 6 months since last Career Check (if any) on advancement.f. Educationally qualified for promotion (EFP) in accordance with Para 9636.Achieved minimum Level 1 Functional Skills (or equivalent) in English andMathematics and appropriate competences recorded on JPA.

g. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.h. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence ‘CMS|Fitness Test|Navy|’.i. At least 6 months since last Career Check (if any) on advancement.j. Completed Level 2 First Aid Training; recorded under JPA competence'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.

(Then as per Para 8703)

8705. Medical Technician Specialisation (Sideways Entry - Untrained) – Promotion Flowchart

Entry - Below Leading Hand

a. Educationally qualified as required for specialist training.b. Pass Interview Board.c. Comply with current ROS requirement and other criteria (see Note 1)

MEDICAL TECHNICIAN



BRd 3(1)



a. Successfully complete specialist professional training. (2)b. Provide documentary evidence of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with civilian professional body;recorded under JPA competence Professional Healthcare Staff.d. Recommended for advancement.e. In date Royal Naval Fitness Test (RNFT) or waiver obtained on advancement;recorded under JPA competence ‘CMS|Fitness Test|Navy|’ (5)f. At least 6 months since last Career Check (if any) on advancement.g. Educationally qualified for promotion (EFP) in accordance with Para 9636.Achieved minimum Level 1 Functional Skills (or equivalent) in English andMathematics and approrate competences recorded on JPA.

a. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.b. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence ‘CMS|Fitness Test|Navy|’. (5)c. At least 6 months since last Career Check (if any) on advancement.d Completed Level 2 First Aid Training; recorded under JPA competence 'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.


Entry - Leading Hand Level

a. Educationally qualified as required for specialist training.b. Pass Interview Board.c. Comply with current ROS requirement and other criteria. (1)

a. Successfully complete specialist professional training. (2)b. Provide documentary evidence of passing the appropriate civilian professionalCourse.c. Provide documentary evidence of registration with civilian professional bodyrecorded under JPA competence Professional Healthcare Staff. (4)d. Recommended for advancemente. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence ‘CMS|Fitness Test|Navy|’. (5)f. At least 6 months since last Career Check (if any) on advancement.

MEDICAL TECHNICIAN CANDIDATE




BRd 3(1)



g. EFP in accordance with Para 9636. Achieved minimum Level 1 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA.


Entry - Petty Officer Level

a. Educationally qualified as required for specialist training.b. Pass Interview Board.c. Comply with current ROS requirement and other criteria. (1)

a. Successfully complete specialist professional training. (2)b. Provide documentary evidence of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with a civilian professional bodyrecorded under JPA competence Professional Healthcare Staff.d. Recommended for advancement.In date RNFT or waiver obtained on advancement; recorded under JPA competence‘CMS|Fitness Test|Navy|’. (5)e. At least 6 months since last Career Check (if any) on advancement. f. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA.




Rate to be determined by Medical Branch Manageriaw Para 5128

Notes:

1. Internal Recruitment of Medical Technicians

a. RN and QARNNS ratings may apply when volunteers are calledfor by the Medical Branch Manager to be considered for any one ofthe following Medical Technician courses:

(1) Medical Technician (Radiographer).

(2) Medical Technician (Biomedical Scientist).

(3) Medical Technician (Operating Department Practitioner).

BRd 3(1)



Notes:

b. Applications for manning clearance should be made by letter toNavy Command HQ (for NAVY PERS-PPLAN SWPR WO1) inaccordance with current regulations. Manning clearance, ifapproved, will be valid for two years. If manning clearance isapproved, applications and a copy of the manning clearance letterare to be forwarded to CNR NMD SO3/Nurse Recruiting Assistant(NRA), together with full Service Documents and documentaryevidence of academic attainments held by the applicant. Inter-Service transfers, however, are to be processed through CNR, Room202, Building 1/080, MP 73A, Jago Road, HM Naval Base,Portsmouth. PO1 3LU and applicants’ units are advised to makepreliminary enquiries of CNR regarding the possibility of release fromthe parent Service before applications are forwarded.

c. Applicants will be notified by CNR whether they are eligible toappear before a Selection Board. If ineligible, they will be madeaware of any further educational qualifications required. In addition,they will be advised whether vacancies exist in their preferredspecialisation and, if not, whether vacancies exist in any of the otherspecialisations. It should be noted that vacancies are very limitedand vary according to the requirements of the Service. In addition,the entry standards are high and competition intense so applicantsshould be prepared to reconsider their initial preference.

d. Applicants will be eligible to appear before a Medical TechnicianSelection Board provided they fulfil the mandated academicrequirements and also provide evidence of satisfying the followingconditions:

(1) Evidence of Medical Category (Medcat) MFD/P2 or anotherMedcat that allows Sea Service and Land OperationalDeployment.

(2) Proof of in-date RNFT status.

(3) Recommended for transfer on the candidate's latest SJAR.

(4) Evidence of in date manning clearance to transfer fromcurrent branch/trade.

(5) Passed the Royal Navy Psychometric Test (RT), at thescore stated in Para 0757 - Eligibility Matrix-RN, RM and RFA -for a Medical Technician (radiography/biomedical science/ODP)student.

(6) Provide Nurse Recruitment Assistant with a curriculumvitae, emailed to [email protected].

BRd 3(1)



Notes:

(7) Completed evidence of two weeks clinical experienceobtained in a relevant Health Care setting with arecommendation to train in radiography/biomedical science/ODP.

(8) Provide copies of last three years' SJARs.

e. CNR, in consultation with the Branch Manager, will conveneSelection Boards as necessary and will inform Commanding Officers,copy to ACOS(PCap) and CNR if appropriate.

f. Subject to confirmation of availability by the Medical Branch/Career Manager, selected candidates will be assigned to the MA2Margin for training.

g. The individual will remain in their current branch/trade and rateuntil completion of specialist training.

h. In a transfer where the rating is a Petty Officer, the new rate willbe determined by the Medical Branch Manager on a case by casebasis dependent upon the Service requirement.

i. Seniority as Medical Technician will be the date of completingspecialist professional training.

j. All candidates must comply with the current ROS regulations andsign a Notice of Waiver of Right of Discharge in Consideration ofCourse of Training (Form S2658) in accordance with Para 5305.

k. Transferees who are not Medical Branch ratings will be requiredto complete Level 2 First Aid Training; recorded under JPAcompetence 'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.

2. Examinations

a. All students will be required to pass all examinations, includingfinal examinations, and continuous assessments to completeprofessional training.

b. Ratings who do not maintain the highest level of conduct oracademic, professional and disciplinary standards whilst on coursemay be removed from training and returned to their originalspecialisation or Service.

c. Ratings who fail the specialist professional course will bereturned to their original branch/specialisation or Service inaccordance with Para 6920.

BRd 3(1)



8706. Medical Technician Specialisation (Lateral Entry - Specialist Trained) - Service Transfer Promotion Flowchart

Entry - Below Leading Hand

a. Entry upper age limit - 36 years of age.b. Provide documentary evidence of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with civilian professional body.d. Pass Interview Board.e. Entered at HMS RALEIGH for Phase 1 training or waiver. (1).

Notes:

d. Ratings who qualify will be advanced as shown in the flowdiagrams.

3. Advancement of Students During Training. Individuals will not beeligible for selection for promotion in their source specialisation whilst oncourse.

4. Transfer to Medical Technician

a. Ratings will be transferred to the Medical Technician structurewhen they have successfully completed specialist professionaltraining.

b. The effective date of transfer will be the date of completion ofspecialist training.

c. Transfer will be to the rates shown below:

Present Rate Transfer to

Able Rate Acting Leading Medical Technician

Leading Hand Leading Medical Technician(See Para 6909 re LRLC)

Petty Officer Petty Officer Medical Technician

5. RNFT. Ratings are to be in date RNFT or in possession of either apermanent medical exemption as issued by a Naval Service Medical Board ofSurvey (NSMBOS) or temporary exemption (as issued by the CommandingOfficer) on advancement. See Para 6718.

MEDICAL TECHNICIAN

BRd 3(1)



Leading Medical Technician - Advancement Criteria

a. Complete Phase 1 Training at HMS RALEIGH or waiver.b. Seniority as Acting Leading Medical Technician to be the date of completingPhase 1 Training.c. Recommended for advancement.d. Provide documentary evidence of registration with civilian professional body;recorded under JPA competence Professional Healthcare Staffe. In date Royal Naval Fitness Test (RNFT) or waiver obtained on advancement;recorded under JPA competence 'CMS|Fitness Test|Navy|'.f. At least 6 months since last Career Check (if any) on advancement.g. Educationally qualified for promotion (EFP) in accordance with Para 9636.Achieved minimum Level 1 Functional Skills (or equivalent) in English andMathematics and appropriate competences recorded on JPA.

h. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.In date RNFT or waiver obtained on advancement; recorded under JPA competence'CMS|Fitness Test|Navy|'.i. At least 6 months since last Career Check (if any) on advancement.j. Completed Level 2 First Aid Training; recorded under JPA competence'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.

(Then as at Para 8703)

Entry - Leading Hand Level

a. Entry upper age limit - 36 years of age.b. Provide documentary proof of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with civilian professional body.d. Pass Interview Board.e. Entered at HMS RALEIGH for Phase 1 Training or waiver. (1).f. Complete Phase 1 Training at HMS RALEIGH or waiver. Seniority as ActingLeading Medical Technician to be the date of completing Phase 1 Training.g. Recommended for advancement.h. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence 'CMS|Fitness Test|Navy|'.i. At least 6 months since last Career Check (if any) on advancement.j. Leading Rates Leadership Course (LRLC) completed and recorded as JPAcompetence 'Miscellaneous|Leading Rates Leadership Course (RNLA 102)|Navy|'.(1)



BRd 3(1)



k. Completed Level 2 First Aid Training; recorded under JPA competence'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.l. EFP in accordance with Para 9636. Achieved minimum Level 1 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA. Level 2 First Aid (CBRNDC 23)|Navy|'.


Entry - Petty Officer Level

a. Entry upper age limit - 36 years of age.b. Provide documentary proof of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with civilian professional body.d. Pass Interview Board.e. Entered at HMS RALEIGH for Phase 1 Training or waiver. (1).f. Complete Phase 1 Training at HMS RALEIGH or waiver.g. Seniority as Acting Petty Officer Medical Technician to be the date of completingPhase 1 Training.h. Recommended for advancement.i. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence 'CMS|Fitness Test|Navy|'j. At least 6 months since last Career Check (if any) on advancement.k. Senior Rates Leadership Course (SRLC) completed and recorded as JPAcompetence 'Miscellaneous|Senior Rates Leadership Course (RNLA 103)|Navy|'. (1).l. Completed Level 2 First Aid Training; recorded under JPA competence'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.m. Complete RN Divisional Officer's course.n. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA.


Entry - Chief Petty Officer Level

a. Entry upper age limit - 36 years of age.b. Provide documentary evidence of passing the appropriate civilian professionalcourse.c. Provide documentary evidence of registration with civilian professional body.d. Pass Interview Board.e. Entered at HMS RALEIGH for Phase 1 Training or waiver. (1)f. Complete Phase 1 Training at HMS RALEIGH or waiver.g. Seniority as Chief Petty Officer Medical Technician to be the date of completingPhase 1 Training.h. Recommended for advancement.


BRd 3(1)



i. In date RNFT or waiver obtained on advancement; recorded under JPAcompetence 'CMS|Fitness Test|Navy|'j. At least 6 months since last Career Check (if any) on advancement.k. Completed Level 2 First Aid Training; recorded under JPA competence'Medical|Level 2 First Aid (CBRNDC 23)|Navy|'.l. Complete RN Divisional Officer's course.m. EFP in accordance with Para 9636. Achieved minimum Level 2 Functional Skills(or equivalent) in English and Mathematics and appropriate competences recorded onJPA.


Notes:

1. Recruitment of Lateral Entry Service Transfer MedicalTechnicians

a. Army and RAF other ranks may apply for Service Transfer whenvolunteers are called for by the Medical Branch Manager to beconsidered for any one of the following Medical Technician courses:

(1) Medical Technician (Radiographer).

(2) Medical Technician (Biomedical Scientist).

(3) Medical Technician (Operating Department Practitioner).

b. Applications for Lateral Entry Service transfers should be madeby letter to CNR. Applicants’ units are advised to make preliminaryenquiries of CNR regarding the possibility of release from the parentService before applications are forwarded.

c. Applicants will be notified by CNR whether they are eligible toappear before a Selection Board. In addition, they will be advisedwhether vacancies exist in their specialisation and it should be notedthat vacancies are very limited and vary according to the requirementof the Service. Also, it should be noted that the entry standards arehigh and competition intense and therefore applicants should beprepared to reconsider their initial preference.

d. The Medical Branch Manager will seek approval through HMSRALEIGH Cdr Training to waive Phase 1 Basic Training and insteadthe Transferee will undertake the 5 day bespoke HMS RALEIGHTransferee Induction package.

e. All candidates must comply with the current ROS regulations andsign a Notice of Waiver of Right of Discharge in Consideration ofCourse of Training (Form S2658) in accordance with Para 5303 subpara c.

BRd 3(1)



8707. Submarine Service - Career on a Page

a. The purpose of the Career on a Page is to provide a quick look at possible careerprogression to enable informed decisions to be made. Timelines are indicativeaverages and are always subject to change. Master documents should always beconsulted to ensure that the latest information is available.

b. Ratings are advised to liaise with their Reporting Officer regarding any decisionsconcerning their careers prior to contacting the Branch or Career Manager. TheCareer Manager for medical ratings is located at HMS EXCELLENT, West Battery.

Notes:

f. Leading Rates and/or Senior Rates Leadership Course is notrequired if Lateral Entry transferees have already undertakenequivalent Leadership courses in their previous Service.

g. Transferees will be required to complete Level 2 First AidTraining; recorded under JPA competence 'Medical|Level 2 First Aid(CBRNDC 23)|Navy|'.

2. Transfer to Medical Technician

a. The effective date of transfer will be the date of completion ofPhase 1 training.

b. Transfer will be to the rates shown below.

Present Rate (Army) Present Rate (RAF) Transfer to

Pte JT Acting Leading Medical Technician

L/Cpl SAC Acting Leading Medical Technician

Cpl Cpl Acting Leading Medical Technician -Leading Medical Technican (ifcompleted donor Service Leadershipequivant course).

Sgt Sgt Acting Petty Officer MedicalTechnician - Petty Officer MedicalTechnician ((if completed donorService Leadership equivalentcourse).

S/Sgt F/Sgt Chief Petty Officer Medical Technician

3. RNFT. Ratings are to be in date RNFT or in possession of either apermanent medical exemption as issued by a Naval Service Medical Board ofSurvey (NSMBOS) or temporary exemption (as issued by the CommandingOfficer) on advancement. See Para 6718.

BRd 3(1)



c. Information pertaining to the ratings training pipeline is contained within theMedical branch (SM) Career on a Page. Information relating to allowances andbenefits available during a career is shown in the Table below.

d. Ratings seeking promotion to the Officer Corps can do so via the Upper Yardman(UY)1 or Senior Upper Yardman (SUY)2 schemes, details of which may be found inChapter 50.

Fig 87-1. Medical Branch - Branch Managers, Career Managers and General Information

1. Ratings must be over the age of 17 and below the age of 30 for Warfare, 35 for Engineers and 32 for LOGS. Candidatesare required to have 5 GCSE's grade A-C of non-overlapping subjects including English and Maths.2. Ratings must be over the age of 26 (30 for Engineers) and have a minimum of 4 years to serve as an officer from theday that officer training commences. Candidates are required to have English and Maths GCSEs to allow papers to be raisedand 2 other non-overlapping GCSEs or equivalents prior to final selection board.

Branch Manager (MASM) Career Manager (MASM)(Senior Rate & Junior Rate)

NAVY PCAP-BM MED WO1 NAVY PCAP-CM OR MED NAHPPO

Career and Promotion referencesBRd 1991 Instructions for the Royal Naval Medical Service Chapter 5JSP 950: Medical Policy

General Information

BRd 1900: Submarine InstructionsJSP 419: Adventurous Training in the UK Armed ForcesJSP 464: Tri-Service Accommodation Regulations (TSARs) (Forces Help to Buy Scheme)JSP 752: Tri-Service Regulations for Expenses and AllowancesJSP 754: Tri-Service Regulations for PayJSP 760: Tri-Service Regulations for Leave and Other Types of AbsencesJSP 765: MOD Compensation Schemes Statement of PolicyJSP 905: Armed Forces Pension Scheme 2015 and Early Departure Payments Scheme 2015Additional information: www.gov.uk/armed-forces-pension-calculatorThe Helm(Personnel Support Brief)Officers and Ratings Career Progression Chartswww.ticketsfortroops.org.ukwww.defencediscountservice.co.uk

BRd 3(1)



Fig 87-2. Medical Branch - Submarine Career on a Page