How To Become A Medical Technician

Transcription

1 CHAPTER 87 MEDICAL BRANCH MEDICAL ASSISTANT AND TECHNICIAN POINT OF CONTACT - CONTENTS Para Medical Assistant Specialisation Promotion Flowchart Medical Assistant (Pharmacy) Specialisation - Advancement Flowchart Medical Assistant (Submarine) Specialisation - Advancement Flowchart Medical Technician Specialisation (Entry as Probationary Medical Technician) Promotion Flowchart Medical Technician Specialisation (Direct Entry) Promotion Flowchart Medical Technician Specialisation (Sideways Entry - Untrained) Promotion Flowchart Medical Technician Specialisation (Lateral Entry - Specialist Trained) - Service Transfer Promotion Flowchart 87-1

2 CHAPTER 87 MEDICAL BRANCH MEDICAL ASSISTANT AND TECHNICIAN Medical Assistant Specialisation Promotion Flowchart Entry: years (see Note 1) MEDICAL ASSISTANT 2 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. (15) h. Achieved Initial OPS. i. At least 6 months since last career check (if any) on advancement. MEDICAL ASSISTANT 1 Leading Medical Assistant Pre-Selection Requirements a. Complete three months Phase II Consolidation period. (4) b. Complete Phase II Practical Consolidation Task Book. The completed Task Book is to be retained by the MA in the Personal Development Record together with the DCHET On-Job Training Task Book. (4) c. Educationally qualified for promotion (EFP) in accordance with Para Achieved minimum NAMET 5:5 or Level 1 Functional Skills (or equivalent) in English and Mathematics at Common Reporting Date (CRD) and competence "Educational RN/RM QELH/Cpl Navy " recorded on JPA. d. Minimum of 18 months seniority as a MA1 12 months prior to Common Promotion Date (CPD) (Para 6703 b sub para (3)). e. Serving on ES1/FC/OE1 that expires after the nominated CPD (Para 6703 b sub para (7)). f. Recommended for promotion on Appraisal Report at CRD. (13) g. In date RNFT or waiver obtained at CRD; recorded as JPA competence CMS Fitness Test Navy. (14) h. Achieved Rolling OPS at CRD and recorded as JPA competency 'CMS Annual OPS Check AB1 Navy '. (17) 87-2

3 Leading Medical Assistant Pre-Promotion Requirements i. Passed Professional Qualifying Course (PQC), Examination (PQE) and First Aid Instructors Course (FAIC) for Leading Medical Assistant and completed Advanced Casualty Care Module. (7) (16) j. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy '. (16) k. In date RNFT or waiver obtained at nominated CPD (or when eligible for promotion (if later)); recorded as JPA competence CMS Fitness Test Navy. (15) l. At least 6 months since last career check (if any) on nominated CPD or date due promotion (if later). Promoted to LEADING MEDICAL ASSISTANT 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. In date RNFT or waiver obtained at CRD; recorded as JPA competence CMS Fitness Test Navy. (14) e. Achieved Rolling OPS at CRD and recorded as JPA competence 'CMS Annual OPS Check LH Navy '. (17) f. EFP in accordance with Para Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics at CRD and competence "Educational RN/ RM QEPO/Sgt Navy " recorded on JPA. Petty Officer Medical Assistant Pre-Promotion Requirements g. Passed PQC Examination for Medical Branch Senior Rating. (8) (16) h. Senior Rates Leadership Course (SRLC) completed and recorded as JPA competence 'Miscellaneous Senior Rates Leadership Course (RNLA 103) Navy '. (16) i. In date RNFT or waiver obtained at nominated CPD (or when eligible for promotion (if later)); recorded as JPA competence CMS Fitness Test Navy. (15) j. At least 6 months since last career check (if any) on nominated CPD or date due promotion (if later). Promoted to PETTY OFFICER MEDICAL ASSISTANT 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 JPA competence 'Miscellaneous Senior Rates Leadership Course (RNLA 103) Navy '. d. Recommended for promotion on Appraisal Report at CRD. (13) e. In date RNFT or waiver obtained at CRD; recorded as JPA competence CMS Fitness Test Navy. (14) 87-3

4 Chief Petty Officer Medical Assistant Pre-Promotion Requirements f. In date RNFT or waiver obtained at nominated CPD (or when eligible for promotion (if later)); recorded as JPA competence CMS Fitness Test Navy. (15) g. At least 6 months since last career check (if any) on nominated CPD or date due promotion (if later). Promoted to CHIEF PETTY OFFICER MEDICAL ASSISTANT 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 Must have achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and the appropriate competence 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. (Note 13) e. In date RNFT or waiver obtained at CRD; recorded as JPA competence CMS Fitness Test Navy. (Note 14) Warrant Officer 1 Pre-Promotion Requirements f. In date RNFT or waiver obtained at nominated CPD (or when eligible for promotion (if later)); recorded as JPA competence CMS Fitness Test Navy. (Note 15) g. At least 6 months since last career check (if any) on nominated CPD or date due promotion (if later). h. Satisfy terms of Assignment Order issued by Promotion Authority. i. Complete the Warrant Officer Staff Course. Notes: 1. Entry. a. Educational Standard. Minimum RT Score of 70. b. Age of Entry years. 2. Rate on Entry. Medical Assistant (MA) Phase I training. 4. Phase II Theory Training (MA2). Promoted to WARRANT OFFICER 1 MEDICAL ASSISTANT a. Course. 20 weeks at Defence College of Healthcare, Education and Training (DCHET), Lichfield. 87-4

5 b. Examination. Written and practical examinations on completion of each module. Practical First Aid assessment at week eight. A minimum of 65% in each subject is required for a PASS, except for First Aid which requires a minimum of 70%. c. Failures. (1) Ratings who fail to achieve a pass at the first attempt, may be permitted to resit one subject only, be backclassed for a period not exceeding six months or referred for disposal at the discretion of the Commanding Officer DCHET in liaison with FOST. (2) Ratings who are considered unsuitable for further training as MAs should be considered for branch transfer or Discharge SHORE in accordance with Chapter 54. d. MASM. A separate training pathway exists for Medical Assistant (Submarines) see Note Phase II Practical Training (MA2). a. On successful completion of Phase II theory training, ratings will commence 19 weeks Phase II Practical Training, including two academic blocks of six and two weeks respectively to be held at DCHET (note: ratings must be 17½ before they can undertake practical ward placements in hospital). b. Professional Qualifying Examination (PQE). All examinations will take place in DCHET as follows: (1) Criterion Tests: Anatomy and Physiology, Clinical, Medical Administration, Pharmacy, CBRNDC and MOFA papers in 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 will need to be completed. d. Failures. Ratings who fail this part of their training at any stage will be assessed by Commanding Officer DCHET and his Senior Naval Officer to determine whether a further period of training should be 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 practical training, ratings will be rated MA1 and assigned to either a Ship or Establishment Sick Quarters for three months Phase II Consolidation Period. Phase II consolidation is constructed in a modular format with MAs completing defined periods within a number of clinical and administrative areas. The duration and content of each of these modules has been programmed to place emphasis on areas where newly qualified MAs require the greatest support. The full Phase II consolidation programme may be found within the Medical Assistant Phase II Consolidation Task Book, which is issued at DCHET by WO Training INM, on completion of Phase II theory/practical training. The programme in brief is as follows: 87-5

6 (1) Induction 2 days. (2) Treatment Room 3 weeks. (3) Medical Administration (MHS/Release/Hospital Assignments/ P7R/PHCIS/ DIMCP) 3 weeks. (4) Dispensary/Storekeeping 2 weeks. (5) Physiotherapy (if available Treatment Room if not) 1 week. (6) Shadow Medical Officer (attend all consultations and medicals) 1 week. (7) Small Department acquaint, i.e. Occupational Health/MBOS etc, as required/available 1 week. b. At the end of Phase II consolidation training, ratings are to have completed all aspects of their Phase II Consolidation Task Book. The Task Book is to be retained within the Ratings Personal Development Record. 7. Professional Qualifying Examinations for Leading Medical Assistant (LMA) a. PQEs. These are taken following a PQC held in DCHET. By passing the PQE, Medical Assistants will be professionally qualified for LMA. The general rules for examinations at Para 6911 will apply. Failures are to be dealt with under Para b. Details of PQC and Examination: (1) Candidates for the course will be nominated by the Navy Command/ Commodore Naval Personnel (CNPers)/RCMNAHP from those ratings who are selected for promotion at the annual Promotion Board. (2) The PQC and examination will be held at DCHET four times per year and the dates of the course will be published annually by the Statement of Training Requirement (SOTR). The course will be of four weeks duration, which will include a one week Advanced Casualty Care Module. The examination will consist of: (a) Practical Advanced Emergency Care and Assessments. (b) Written papers on Advanced Emergency Care, Pharmacy and Service Administration. The examinations and assessments will be set and marked by the DCHET Examination Centre. The basic date of passing will be the date of completing the examination. The pass mark is 60% in all papers. (3) Failure in examination - ratings that fail the examination are to be dealt with in accordance with Para Professional Qualifying Examinations for Petty Officer Medical Assistant (POMA). a. A PQE is taken following a PQC held in DCHET. By passing the PQE, LMAs will be professionally qualified for POMA. The general rules for examinations, given in Para 6911, will apply to these examinations. Failures are to be dealt with under Para

7 b. Details of PQC and Examination: (1) Candidates for the course will be nominated and assigned by RCMNAHP from those selected at an annual Promotion Board. (2) The PQC and Examination will be held at DCHET and the dates of the course will be published annually by DIN. The course will be of three weeks duration. (3) The final examination will consist of practical assessment and a written paper covering professional and naval general knowledge, Pharmacy, Service Administration and First Aid. The examination will be set and marked by the DMSTG examination centre. The basic date of passing will be the date of the examination. Candidates are required to pass the practical assessment and obtain 70% to qualify. (4) Ratings who fail the examination are to be dealt with in accordance with Para Medical Assistant (Submarines) (MASM). See Para 8703 for promotion flowchart. 10. Medical Assistant (Operating Department Practitioner) (ODP). a. Promotion for MA (ODP) will follow the Promotion Flowchart described in Para b. A three year return of service (ROS) as a registered practising ODP is required on completion of professional training. c. All MA (ODP) are to maintain their registration at all times even when assigned out of the Operating Department in accordance with Health and Care Professions Council (HCPC). 11. Medical Assistant (Pharmacy Services) (MA Pharm). See Para 8702 for promotion flowchart 12. Royal Marine Medical Assistant (RMMA). a. Promotion for RMMA will follow the Promotional Flowchart described in Para 8701, with the exception that the requirement to be in date RNFT should be replaced by being in date for BFT (Battle Fitness Test) and completion of JCC/SCC is required in lieu of LRLC/SRLC. Additionally, promotion from OR7 (CSgt) RMMA to OR9 (WO1) will be in accordance with RM Aircrew procedures i.e. on selection to WO1 the individual must attend Advanced Command Course (WO2 course) and WO1 course. b. RMs transferring SQ to RMMA will retain their RM seniority date on qualifying as an MA but must achieve a minimum of 18 months seniority as a MA1, 12 months prior to CPD as a Pre-Selection requirement for LMA. 87-7

8 13. Recommendation. Awarded 'Exceptional', 'High' or 'Yes' recommendation for 'Promotion - 1 Rank Up' on SJAR by final RO. Where an otherwise fully eligible candidate has received an SJAR assessment of 'Insufficient Knowledge' at last report, presentation before the next Board will be determined by the Promotion Section using the previous report recommendation. 14. RNFT (at CRD). Ratings are to be in date RNFT or in possession of either a permanent medical exemption as issued by a Naval Service Medical Board of Survey (NSMBOS) or temporary exemption (as issued by the Commanding Officer) on the appropriate CRD. See Para See Note 12 sub para a for RMMA. 15. RNFT (at CPD). Ratings are to be in date RNFT or in possession of either a permanent medical exemption as issued by a NSMBOS or temporary exemption (as issued by the Commanding Officer) on the appropriate CPD (or later) or on advancement. See Note 12 sub para a for RMMA. 16. Failure to complete Professional and/or Leadership Course. Refer to Para 6716 for rules on the impact on a rating s promotion if he/she fails to complete PQC and/or LRLC/ SRLC before CPD or within 12 months of CPD as a result of service reasons, non-service reasons (outwith control) or non-service reasons (within control). See Para Rolling OPS. a. It is recognised that occasionally there may be factors beyond the control of the individual, such as prolonged Op tour, Maternity Leave, etc, which preclude them from completing the OPS check in which 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 by case basis and should be made in writing by the individual's Divisional Officer or Divisional Senior Rate to the Head of Training Division, INM Alverstoke (FAO Warrant Officer (Training) (WO(T))). b. An extension or waiver may only be issued by WO(T) who will also record the fact on a local database, held at INM, of all waivers and extensions which will be forwarded to the Promotions Office before each board. Individuals can still be presented at Promotion Boards, but the waiver needs to be current and mention made of it in the appraisal report in the performance section. The Medical Branch Manager SO1 will be the final authority for any issues regarding eligibility for promotion. c. Failure to achieve the Rolling OPS Check within a 12 month period will be treated as a serious matter. Should a unit be unable to complete, then HTD INM should be engaged for advice at the earliest opportunity. Should an individual consistently fail to meet the required standards of knowledge and skill throughout the year then the Divisional system should be employed appropriately and consideration should be given to warning the rating for Discharge SHORE (Professional Inadequacy). 87-8

9 8702. Medical Assistant (Pharmacy) Specialisation - Advancement Flowchart Advancement to MA1 in accordance with Para 8701 BR 3 MEDICAL ASSISTANT 1 Selected for Pharmacy Training Acting Leading Medical Assistant - Advancement Requirements a. Complete three months' Phase II Consolidation period. b. Complete Phase II Practical Consolidation Task Book. The completed Task Book is to be retained by the MA in the Personal Development Record together with the DCHET On-Job Training Task Book. c. Educationally qualified for promotion (EFP) in accordance with Para Achieved minimum NAMET 5:5 or Level 1 Functional Skills (or equivalent) in English and Mathematics at Common Reporting Date (CRD) and competence 'Educational RN/RM QELH/Cpl Navy ' recorded on JPA. d. Serving on ES1/FC/OE1 that expires 3 years after advancement to ALMA. e. Recommended for advancement on completion of Pharmacy Service Skills Course Training course. f. In date RNFT/BFT or waiver obtained at date of advancement; recorded as JPA competence CMS Fitness Test Navy ' or 'CMS RM Basic Fitness Test Navy '. g. Achieved Rolling OPS at date of advancement and recorded as JPA competence 'CMS Annual OPS Check AB1 Navy '.(2) h. At least 6 months since last career check (if any) at date of advancement. i. Passed Pharmacy Service Skills Course. ACTING LEADING MEDICAL ASSISTANT (PHARMACY) Leading Medical Assistant - Advancement Requirements j. Passed Professional Qualifying Course (PQC), Professional Qualifying Examination (PQE) and First Aid Instructors Course (FAIC) for Leading Medical Assistant and completed Advanced Casualty Care Module. k. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy ' or completed Junior Command Course (JCC) and recorded on JPA as 'Professional RM Junior Command Course For Corporal (with SQ) (1D40) Navy '. l. In date RNFT/BFT or waiver obtained at date of advancement and recorded as JPA competence 'CMS Fitness Test Navy ' or 'CMS RM Basic Fitness Test Navy '. m. At least 6 months since last career check (if any) at date of advancement. LEADING MEDICAL ASSISTANT (PHARMACY) Further promotion in accordance with Para

10 Notes: 1. Professional Qualifying Examinations for Leading Medical Assistant (LMA) a. PQEs. These are taken following a PQC held in DCHET. By passing the PQE, Medical Assistants will be professionally qualified for LMA. The general rules for examinations at Para 6911 will apply. Failures are to be dealt with under Para b. Details of PQC and Examination: 2. Rolling OPS. (1) Candidates for the course will be nominated by the Navy Command/ Commodore Naval Personnel (CNPers)/RCMNAHP from those ratings who are selected for promotion at the annual Promotion Board. (2) The PQC and examination will be held at DCHET four times per year and the dates of the course will be published annually by the Statement of Training Requirement (SOTR). The course will be of four weeks duration, which will include a one week Advanced Casualty Care Module. The examination will consist of: (a) Practical Advanced Emergency Care and Assessments. (b) Written papers on Advanced Emergency Care, Pharmacy and Service Administration. The examinations and assessments will be set and marked by the DCHET Examination Centre. The basic date of passing will be the date of completing the examination. The pass mark is 60% in all papers. (3) Failure in examination - ratings that fail the examination are to be dealt with in accordance with Para a. It is recognised that occasionally there may be factors beyond the control of the individual, such as prolonged Op tour, Maternity Leave, etc, which preclude them from completing the OPS check in which 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 by case basis and should be made in writing by the individual's Divisional Officer or Divisional Senior Rate to the Head of Training Division, INM Alverstoke (FAO Warrant Officer (Training) (WO(T)). b. An extension or waiver may only be issued by WO(T) who will also record the fact on a local database, held at INM, of all waivers and extensions which will be forwarded to the Promotions Office before each board. Individuals can still be presented at Promotion Boards, but the waiver needs to be current and mention made of it in the appraisal report in the performance section. The Medical Branch Manager SO1 will be the final authority for any issues regarding eligibility for promotion. c. Failure to achieve the Rolling OPS Check within a 12 month period will be treated as a serious matter. Should a unit be unable to complete then HTD INM should be engaged for advice at the earliest opportunity. Should an individual consistently fail to meet the required standards of knowledge and skill throughout the year then the Divisional system should be employed appropriately and consideration should be given to warning the rating for Discharge SHORE (Professional Inadequacy)

11 3. Failure to complete Professional and/or Leadership/Command Course within 12 months of holding the acting higher rate. The Branch Manager will review the cases of ratings who fail to complete the necessary training or meet the required standards within the designated; administrative action considered may include relinquishment of the acting higher rate. 4. Advancement for MA(Pharm) specialisation will follow the Promotional Flowchart described in Para A three year ROS is required on completion of the Level 3 Diploma Pharmacy Services skills course. See Para 5304 regarding ROS rules. 6. MA(Pharm) of all rates must maintain registration with the General Pharmaceutical Council Medical Assistant (Submarine) Specialisation - Advancement Flowchart Entry: years (see Para 8701, Note 1) MEDICAL ASSISTANT 2 (SUBMARINES) Advancement to MA1 in accordance with Para 8701 MEDICAL ASSISTANT 1 (SUBMARINES) Acting Leading Medical Assistant - Advancement Requirements a. Complete three months' Phase II Consolidation period. b. Complete Phase II Practical Consolidation Task Book. The completed Task Book is to be retained by the MA in the Personal Development Record together with the DCHET On-Job Training Task Book. c. Educationally qualified for promotion (EFP) in accordance with Para Achieved minimum NAMET 5:5 or Level 1 Functional Skills (or equivalent) in English and Mathematics at date of advancement and competence 'Educational RN/RM QELH/Cpl Navy ' recorded on JPA. d. Serving on ES1/FC/OE1 that expires after advancement to ALMA.(2) e. Recommended for advancement on completion of MASM1 Training Phase (1) f. In date RNFT or waiver obtained at date of advancement; recorded as JPA competence 'CMS Fitness Test Navy '. g. Achieved Rolling OPS at date of advancement and recorded as JPA competence 'CMS Annual OPS Check AB1 Navy '. h. At least 6 months since last career check (if any) at date of advancement. ACTING LEADING MEDICAL ASSISTANT (SUBMARINES) 87-11

12 Leading Medical Assistant - Advancement Requirements i. Completion of MASM1 Task Book. (3) j. Passed Professional Qualifying Course (PQC), Professional Qualifying Examination (PQE) and First Aid Instructors Course (FAIC) for Leading Medical Assistant and completed Advanced Casualty Care Module. (4)(5)(6) k. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy '. l. In date RNFT or waiver obtained at date of advancement; recorded as JPA competence 'CMS Fitness Test Navy '. m. At least 6 months since last career check (if any) at date of advancement. LEADING MEDICAL ASSISTANT (SUBMARINES) Acting Petty Officer Medical Assistant - Advancement Requirements a. Confirmed as a substantive LMA(SM).(5) b. Formal recommendation from sea-going assignment.(7) c. Recommended for promotion on Appraisal Report. (7) d. Serving on ES2/FC/OE1 or ES3/EC/2OE that expires after advancement to APOMA.(9) e. Complete MASM2 Course.(8) f. In date RNFT or waiver obtained at date of advancement; recorded as JPA competence 'CMS Fitness Test Navy '. g. Achieved Rolling OPS at time of recommendation and recorded as JPA competence 'CMS Annual OPS Check LH Navy '(12) h. EFP in accordance with Para Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics at date of advancement and competence 'Educational RN/RM QEPO/Sgt Navy ' recorded on JPA. i. At least 6 months since last career check (if any) at date of advancement. ACTING PETTY OFFICER MEDICAL ASSISTANT (SUBMARINES) Petty Officer Medical Assistant - Advancement Requirements j. Passed Professional Qualifying Course (PQC) and Professional Qualifying Examination (PQE) for Medical Branch Senior Rating.(10) k. Senior Rates Leadership Course (SRLC) completed and recorded as JPA competence 'Miscellaneous Senior Rates Leadership Course (RNLA 103) Navy '. (11) l. In date RNFT or waiver obtained at date of advancement; recorded as JPA competence 'CMS Fitness Test Navy '. m. At least 6 months since last career check (if any) at date of advancement. PETTY OFFICER MEDICAL ASSISTANT (SUBMARINES) Further promotion in accordance with Para

13 Notes: 1. Advancement to Acting LMA(SM) on Completion of MASM1 Training. Those selected to be MASMs, either by direct entry or transfer from within the MA branch, will be advanced to ALMA(SM) on completion of the MASM1 training phase (i.e. MA, MASM1, SMQ, completion of Task Book and a six month consolidation period) assuming completion of all service requirements for advancement. The effective date of advancement will be the qualification date as a MASM1. 2. See 2014DIN for the rules regarding MASM-Financial Retention Incentive (FRI) for MASM1. 3. Completion of the MASM1 Task Book is to be achieved within six months of the first sea-going assignment (Medical Branch Manager will review cases of ratings who fail to complete the Task Book within the designated period; administrative action considered may include reversion). Formalising completion of the MASM1 Task Book ensures that prerequisite knowledge and experience is achieved within a reasonable timeframe in support of operational effectiveness. 4. Confirmation as a LMA will occur on successful completion of the LRLC and PQC and Examination for LMA, with completion of the Advanced Casualty Care Module. 5. These requirements should be satisfied within 12 months of advancement to ALMA. The Medical Branch Manager will review the cases of ratings who fail to complete the necessary training or meet the required standards within the designated period; administrative action considered may include reversion. 6. Professional Qualifying Examinations for Leading Medical Assistant (LMA): a. PQEs. These are taken following a PQC held in DCHET. By passing the PQE, Medical Assistants will be professionally qualified for LMA. The general rules for examinations at Para 6911 will apply. Failures are to be dealt with under Para b. Details of PQC and Examination: (1) Candidates for the course will be nominated by the Navy Command/ Commodore Naval Personnel (CNPers)/RCMNAHP from those ratings who are selected for promotion at the annual Promotion Board. (2) The PQC and examination will be held at DCHET four times per year and the dates of the course will be published annually by the Statement of Training Requirement (SOTR). The course will be of four weeks duration, which will include a one week Advanced Casualty Care Module. The examination will consist of: (a) Practical Advanced Emergency Care and Assessments. (b) Written papers on Advanced Emergency Care, Pharmacy and Service Administration. The examinations and assessments will be set and marked by the DCHET Examination Centre. The basic date of passing will be the date of completing the examination. The pass mark is 60% in all papers. (3) Failure in examination - ratings that fail the examination are to be dealt with in accordance with Para

14 7. Advancement to Acting POMA on Completion of MASM2 Training. A formal recommendation from a sea-going assignment is required prior to selection and progression to MASM2 training. This should take the form of an appraisal report and be submitted via the Flotilla RSO, copied to the Medical Branch Manger and RADPOL; this will be used to assess the competence and efficiency of the rating at MASM1 prior to progression to MASM2. 8. On completion of the MASM2 course, all ratings will be advanced to APOMA upon joining their subsequent sea assignment as a MASM2, assuming completion of all service requirements for advancement. The effective date of advancement will be the completion date of the MASM2 course. 9. See 2014DIN for the rules regarding the MASM-Financial Retention Incentive (FRI) for MASM Professional Qualifying Examinations for Petty Officer Medical Assistant (POMA): a. A PQE is taken following a PQC held in DCHET. By passing the PQE, LMAs will be professionally qualified for POMA. The general rules for examinations, given in Para 6911, will apply to these examinations. Failures are to be dealt with under Para b. Details of PQC and Examination: (1) Candidates for the course will be nominated and assigned by RCMNAHP from those selected at an annual Promotion Board. (2) The PQC and Examination will be held at DCHET and the dates of the course will be published annually by DIN. The course will be of three weeks' duration. (3) The final examination will consist of practical assessment and a written paper covering professional and Naval general knowledge, Pharmacy, Service Administration and First Aid. The examination will be set and marked by the DMSTG examination centre. The basic date of passing will be the date of the examination. Candidates are required to pass the practical assessment and obtain 70% to qualify. (4) Ratings who fail the examination are to be dealt with in accordance with Para Confirmation as a POMA will be subject to successful completion of the SRLC and PQC/Examination for Medical Branch Senior Rating within 12 months of the award of the acting higher rate. The Medical Branch Manager will review the cases of ratings who fail to complete the necessary training or meet the required standards within the designated period; administrative action considered may include reversion. 12. Rolling OPS: a. It is recognised that occasionally there may be factors beyond the control of the individual, such as prolonged Op tour, Maternity Leave, etc, which preclude them from completing the OPS check in which 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 by case basis and should be made in writing by the individual's Divisional Officer or Divisional Senior Rate to the Head of Training Division, INM Alverstoke (FAO Warrant Officer (Training) (WO(T))

15 b. An extension or waiver may only be issued by WO(T) who will also record the fact on a local database, held at INM, of all waivers and extensions which will be forwarded to the Promotions Office before each board. Individuals can still be presented at Promotion Boards, but the waiver needs to be current and mention made of it in the appraisal report in the performance section. The Medical Branch Manager SO1 will be the final authority for any issues regarding eligibility for promotion. c. Failure to achieve the Rolling OPS Check within a 12 month period will be treated as a serious matter. Should a unit be unable to complete then HTD INM should be engaged for advice at the earliest opportunity. Should an individual consistently fail to meet the required standards of knowledge and skill throughout the year then the Divisional system should be employed appropriately and consideration should be given to warning the rating for Discharge SHORE (Professional Inadequacy) Medical Technician Specialisation (Entry as Probationary Medical Technician) Promotion Flowchart Entry: 17½ - 36 years (see Note 1) PROBATIONARY MEDICAL TECHNICIAN a. Enters HMS RALEIGH (Phase I training) b. Complete specialist professional course. (2) c. Graduate on completion of specialist professional course. MEDICAL TECHNICIAN Leading Medical Technician Advancement Criteria a. Seniority as Medical Technician to be date of completing specialist professional training. 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. (4) f. At least 6 months since last career check (if any) on advancement. g. Educationally qualified from promotion (EFP) in accordance with Para Achieved minimum Level 1 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QELH/Cpl Navy" recorded on JPA ACTING LEADING MEDICAL TECHNICIAN 87-15

16 h. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy '. i. In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy. (4) 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 '. LEADING MEDICAL TECHNICIAN Petty Officer Medical Technician Advancement Criteria a. Two years' service as a Leading MT. b. Provide documentary evidence of relevant registration with civilian professional body; recorded under JPA competence Professional Healthcare Staff c. Recommended for advancement. d. In date RNFT or waiver obtained on advancement; recorded under JPA competence 'CMS Fitness Test Navy '. (4) e. At least 6 months since career check (if any) on advancement. f. EFP in accordance with Para Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QEPO/Sgt Navy " recorded on JPA. ACTING PETTY OFFICER MEDICAL TECHNICIAN g Senior Rates Leadership Course (SRLC) completed and recorded as JPA competence 'Miscellaneous Senior Rates Leadership Course (RNLA 103) Navy '. h In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy ' (4) i At least 6 months since last career check (if any) on advancement. PETTY OFFICER MEDICAL TECHNICIAN Chief Petty Officer Medical Technician Advancement Criteria a. Two years' service as a POMT. b. Provide documentary evidence of relevant registration with civilian professional body; recorded under JPA competence Professional Healthcare Staff c. Recommended for advancement. (Para 6901) d. In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy. (4) e. At least 6 months since career check (if any) on advancement. f EFP in accordance with Para Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QEPO/Sgt Navy " recorded on JPA. CHIEF PETTY OFFICER MEDICAL TECHNICIAN (Note - with effect from 1 Apr 14, there are no further Selection Boards for promotion to Warrant Officer 2 Medical Technician following the removal of the Warrant Officer 2 rate across the Royal Navy.) 87-16

17 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 seniority requirement. b. EFP in accordance with Para Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and recorded on JPA with the appropriate competence. 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. e. In date RNFT or waiver obtained at CRD; recorded as JPA competence CMS Fitness Test Navy. (3) Warrant Officer 1 Medical Technician Pre-Promotion Requirements f. Provide documentary evidence of registration with civilian professional body; recorded under JPA competence Professional Healthcare Staff. g. In date RNFT or waiver obtained at nominated CPD (or when eligible for promotion (if later)); recorded as JPA competence 'CMS Fitness Test Navy '. (4) h. At least 6 months since last career check (if any) on nominated CPD or date due promotion (if later). i. Satisfy terms of Assignment Order issued by Promotion Authority. j. Complete the Warrant Officers Staff Course (WOSC). Notes: Promoted to WARRANT OFFICER 1 MEDICAL TECHNICIAN 1. Candidates must fulfil the following conditions to become eligible for entry: a. Be between 17½ and 36 years of age. b. Meet the Minimum Educational Requirements. These are subject to change and definitive advice should be sought from the Medical Branch Manager. c. Meet the specific requirements of the relevant academic establishment. d. Pass an Interview Board. Candidates accepted for entry will join as Probationary Medical Technicians. 2. Training. All entrants will undergo 10 weeks Phase I Training at HMS RALEIGH, on successful completion of which candidates will commence a professional course of Medical Technician training in the specialisation for which he/she has been selected. Candidates who fail the specialist professional course will be offered branch transfer, if possible and recommended, or discharged SHORE. 3. RNFT (at CRD). Ratings are to be in date RNFT or in possession of either a permanent medical exemption as issued by a Naval Service Medical Board of Survey (NSMBOS) or temporary exemption (as issued by the Commanding Officer) on the appropriate CRD. See Para

18 4. RNFT (at CPD). Ratings are to be in date RNFT or in possession of either a permanent medical exemption as issued by a NSMBOS or temporary exemption (as issued by the Commanding Officer) on the appropriate CPD (or later) or on advancement. See Para 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 professional course. c. Provide documentary evidence of registration with civilian professional body. d. Pass Interview Board. e. Entered at HMS RALEIGH for Phase I training. MEDICAL TECHNICIAN Leading Medical Technician Advancement Criteria a. Complete Phase I Training at HMS RALEIGH. b. Seniority as Acting Leading Medical Technician to be the date of completing Phase I Training. c. Recommended for advancement. d. Provide documentary evidence of registration with civilian professional body. e. In date Royal Naval Fitness Test (RNFT) or waiver obtained on advancement; recorded under JPA competence Professional Healthcare Staff. f. At least 6 months since career check (if any) on advancement. g. Educationally qualified for promotion (EFP) in accordance with Para Achieved minimum Level 1 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QELH/Cpl Navy" recorded on JPA. ACTING LEADING MEDICAL TECHNICIAN h. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy '. i. In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy. j. At least 6 months since 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 '. LEADING MEDICAL TECHNICIAN (Then as per Para 8704) 87-18

19 8706. 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 CANDIDATE a. Successfully complete specialist professional training. (2) b. Provide documentary evidence of passing the appropriate civilian professional course. 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 career check (if any) on advancement. g. Educationally qualified for promotion (EFP) in accordance with Para Achieved minimum Level 1 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QELH/Cpl Navy" recorded on JPA. ACTING LEADING MEDICAL TECHNICIAN a. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy '. b. In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy. (5) c. At least 6 months since 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 LEADING MEDICAL TECHNICIAN (Then as per Para 8704) a. Educationally qualified as required for specialist training. b. Pass Interview Board. c. Comply with current ROS requirement and other criteria. (1) 87-19

20 MEDICAL TECHNICIAN CANDIDATE a. Successfully complete specialist professional training. (2) b. Provide documentary evidence of passing the appropriate civilian professional Course. c. Provide documentary evidence of registration with civilian professional body recorded under JPA competence Professional Healthcare Staff. (4) d. Recommended for advancement e. In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy. (5) f. At least 6 months since career check (if any) on advancement. g. EFP in accordance with Para Achieved minimum Level 1 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QELH/Cpl Navy" recorded on JPA. Entry - Petty Officer level LEADING MEDICAL TECHNICIAN (Then as per Para 8704) a. Educationally qualified as required for specialist training. b. Pass Interview Board. c. Comply with current ROS requirement and other criteria. (1) MEDICAL TECHNICIAN CANDIDATE a. Successfully complete specialist professional training. (2) b. Provide documentary evidence of passing the appropriate civilian professional course. c. Provide documentary evidence of registration with a civilian professional body recorded under JPA competence Professional Healthcare Staff. d. Recommended for advancement. e. In date RNFT or waiver obtained on advancement; recorded under JPA competence CMS Fitness Test Navy. (5) f. At least 6 months since career check (if any) on advancement. g. EFP in accordance with Para Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QEPO/Sgt Navy " recorded on JPA. Rate to be determined by Medical Branch Manager iaw Para 5126 (Then as at Para 8704) 87-20

21 Notes: 1. Internal recruitment of Medical Technicians: a. RN and QARNNS ratings may apply when volunteers are called for by the Medical Branch Manager to be considered 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 manning clearance should be made by letter to the Navy Command HQ (for NAVY PERS-PPLAN SWPR WO1) in accordance with current regulations. Manning clearance, if approved, will be valid for two years. If manning clearance is approved, applications and a copy of the manning clearance letter are to be forwarded to CNR NMD SO3/Nurse Recruiting Assistant (NRA) together with full Service Documents and documentary evidence of academic attainments held by the applicant. Inter-Service transfers, however, are to be processed through CNR, Room 202, Building 1/080, MP 73A, Jago Road, HM Naval Base, Portsmouth. PO1 3LU and applicant's units are advised to make preliminary enquiries of CNR regarding the possibility of release from the parent Service before applications are forwarded. c. Applicants will be notified by CNR whether they are eligible to appear before a Selection Board. If ineligible, they will be made aware of any further educational qualifications required. In addition, they will be advised whether vacancies exist in their preferred specialisation and, if not, whether vacancies exist in any of the other specialisations. It should be noted that vacancies are very limited and vary according to the requirements of the Service. In addition, the entry standards are high and competition intense so applicants should be prepared to reconsider their initial preference. d. Applicants will be eligible to appear before a Medical Technician Selection Board provided they fulfil the mandated academic requirements and also provide evidence of satisfying the following conditions: (1) Evidence of Medical Category (Medcat) MFD/P2 or another Medcat that allows Sea Service and Land Operational Deployment. (2) Proof of in-date RNFT pass. (3) Recommended for transfer on the candidate's latest SJAR. (4) Evidence of in date manning clearance to transfer from current branch/trade. (5) Passed the Royal Navy Psychometric Test (RT), at the score stated in Para Eligibility Matrix-RN, RM and RFA - for a Medical Technician (radiography/ biomedical science/odp) student. (6) Provide Nurse Recruitment Assistant with a curriculum vitae, ed to [email protected] 87-21

22 (7) Completed evidence of two weeks clinical experience obtained in a relevant Health Care setting with a recommendation to train in radiography/biomedical science/odp. (8) Provide copies of last 3 years' SJARs. e. CNR, in consultation with the Branch Manager, will convene Selection Boards as necessary and will inform Commanding Officers, copy to CNPers and CNR if appropriate. f. Subject to confirmation of availability by the Medical Branch/Career Manager, selected candidates will be assigned to the MA2 Margin for training. g. The Service Person (SP) will remain in their current branch/trade and rate until completion of specialist training. h. In a transfer where the rating is a Petty Officer, the new rate will be determined by the Medical Branch Manager on a case by case basis, based on the Service requirement. i. Seniority as Medical Technician will be the date of completing specialist professional training. j. All candidates must comply with the current ROS regulations and sign a Notice of Waiver of Right of Discharge in Consideration of Course of Training (Form S2658) in accordance with Para k. Transferees who are not Medical Branch ratings will be required to complete Level 2 First Aid Training; recorded under JPA competence 'Medical Level 2 First Aid (CBRNDC 23) Navy '. 2. Examinations: a. All students will be required to pass all examinations, including final examinations, and continuous assessments to complete professional training. b. Ratings who do not maintain the highest level of conduct or academic, professional and disciplinary standards whilst on course, may be removed from training and returned to their original specialisation or Service. c. Ratings who fail the specialist professional course will be returned to their original branch/specialisation or Service in accordance with Para d. Ratings who qualify will be advanced as shown in the flow diagrams. 3. Advancement of Students During Training. Individuals will not be eligible for selection for promotion in their source specialisation whilst on course. 4. Transfer to Medical Technician: a. Ratings will be transferred to the Medical Technician structure when they have successfully completed specialist professional training

23 b. The effective date of transfer will be the date of completion of specialist training. c. Transfer will be to the rates shown below Present Rate Able Rate Leading Hand Petty Officer Transfer to Acting Leading Medical Technician Leading Medical Technician (See Para 6909 re LRLC) Petty Officer Medical Technician 5. RNFT. Ratings are to be in date RNFT or in possession of either a permanent medical exemption as issued by a Naval Service Medical Board of Survey (NSMBOS) or temporary exemption (as issued by the Commanding Officer) on advancement. See Para 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 professional course. c. Provide documentary evidence of registration with civilian professional body. d. Pass Interview Board. e. Entered at HMS RALEIGH for Phase I training or waiver (1). MEDICAL TECHNICIAN Leading Medical Technician - Advancement Criteria a. Complete Phase I Training at HMS RALEIGH or waiver. b. Seniority as Acting Leading Medical Technician to be the date of completing Phase I Training. c. Recommended for advancement. d. Provide documentary evidence of registration with civilian professional body; recorded under JPA competence Professional Healthcare Staff e. 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 career check (if any) on advancement. g. Educationally qualified for promotion (EFP) in accordance with Para Achieved minimum Level 1 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QELH/Cpl Navy" recorded on JPA

24 ACTING LEADING MEDICAL TECHNICIAN h. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy '. i. In date RNFT or waiver obtained on advancement; recorded under JPA competence 'CMS Fitness Test Navy '. j. At least 6 months since 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 '. Entry - Leading Hand level LEADING MEDICAL TECHNICIAN (Then as at Para 8704) a. Entry upper age limit - 36 years of age. b. Provide documentary proof of passing the appropriate civilian professional course. c. Provide documentary evidence of registration with civilian professional body. d. Pass Interview Board. e. Entered at HMS RALEIGH for Phase I training or waiver (1). f. Complete Phase I Training at HMS RALEIGH or waiver. g. Seniority as Acting Leading Medical Technician to be the date of completing Phase I Training. h. Recommended for advancement. i. In date RNFT or waiver obtained on advancement; recorded under JPA competence 'CMS Fitness Test Navy '. j. At least 6 months since career check (if any) on advancement. k. Leading Rates Leadership Course (LRLC) completed and recorded as JPA competence 'Miscellaneous Leading Rates Leadership Course (RNLA 102) Navy ' (1) l. Completed Level 2 First Aid Training; recorded under JPA competence 'Medical Level 2 First Aid (CBRNDC 23) Navy '. m. EFP in accordance with Para Achieved minimum Level 1 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QELH/Cpl Navy" recorded on JPA Entry - Petty Officer level LEADING MEDICAL TECHNICIAN (Then as at Para 8704) a. Entry upper age limit - 36 years of age. b. Provide documentary proof of passing the appropriate civilian professional course. c. Provide documentary evidence of registration with civilian professional body. d. Pass Interview Board. e. Entered at HMS RALEIGH for Phase I training or waiver (1)

25 f. Complete Phase I Training at HMS RALEIGH or waiver. g. Seniority as Acting Petty Officer Medical Technician to be the date of completing Phase I Training. h. Recommended for advancement. i. In date RNFT or waiver obtained on advancement; recorded under JPA competence 'CMS Fitness Test Navy '. j. At least 6 months since career check (if any) on advancement. k. Senior Rates Leadership Course (SRLC) completed and recorded as JPA competence '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 Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QEPO/Sgt Navy " recorded on JPA. Entry - Chief Petty Officer level Notes: (Then as at Para 8704) a. Entry upper age limit - 36 years of age. b. Provide documentary evidence of passing the appropriate civilian professional course. c. Provide documentary evidence of registration with civilian professional body. d. Pass Interview Board. e. Entered at HMS RALEIGH for Phase I training or waiver (1). f. Complete Phase I Training at HMS RALEIGH or waiver. g. Seniority as Chief Petty Officer Medical Technician to be the date of completing Phase I Training. h. Recommended for advancement. i. In date RNFT or waiver obtained on advancement;recorded under JPA competence 'CMS Fitness Test Navy '. j. At least 6 months since 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 Achieved minimum Level 2 Functional Skills (or equivalent) in English and Mathematics and competence "Educational RN/RM QEPO/Sgt Navy " recorded on JPA. (Then as at Para 8704) 1. Recruitment of Lateral Entry Service Transfer Medical Technicians: a. Army and RAF other ranks may apply for Service Transfer when volunteers are called for by the Medical Branch Manager to be considered for any one of the following Medical Technician courses: (1) Medical Technician (Radiographer). (2) Medical Technician (Biomedical Scientist)

26 (3) Medical Technician (Operating Department Practitioner). b. Applications for Lateral Entry Service transfers should be made by letter to CNR. Applicant's units are advised to make preliminary enquiries of CNR regarding the possibility of release from the parent Service before applications are forwarded. c. Applicants will be notified by CNR whether they are eligible to appear before a Selection Board. In addition, they will be advised whether vacancies exist in their specialisation and it should be noted that vacancies are very limited and vary according to the requirement of the Service. In addition, the entry standards are high and competition intense so applicants should be prepared. d. The Medical Branch Manager will seek approval through HMS RALEIGH Cdr Training to waive Phase 1 Basic Training and instead the Transferee will undertake the 5 day bespoke HMS RALEIGH Transferee Induction package. e. All candidates must comply with the current ROS regulations and sign a Notice of Waiver of Right of Discharge in Consideration of Course of Training (Form S2658) in accordance with Para f. Leading Rates and/or Senior Rates Leadership Course is not required if Lateral Entry transferees have already undertaken equivalent Leadership courses in their previous Service. g. Transferees will be required to complete Level 2 First Aid Training; 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 of Phase 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 Technician (if completed donor Service Leadership equivalent course). Sgt Sgt Acting Petty Officer Medical Technician - Petty Officer Medical Technician ((if completed donor Service Leadership equivalent course). S/Sgt F/Sgt Chief Petty Officer Medical Technician 3. RNFT. Ratings are to be in date RNFT or in possession of either a permanent medical exemption as issued by a Naval Service Medical Board of Survey (NSMBOS) or temporary exemption (as issued by the Commanding Officer) on advancement. See Para